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AET 273 > Ankle > Flashcards

Ankle Flashcards

1
Q

what are the types of movements for ATFL and CFL? MT

A
  • ATFL is plantar flexion a MOI for a sprain (taught/tight)
  • CFL is plantar flexion is loose.
  • PTFL dorsiflexion at a neutral position.
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2
Q

what is the differance between 1,2,3 degree of an inversion ankle sprain?

A

1st
- some pain on palpation of the lateral ligaments.
- no laxity.
- point tenderness of ATFL.

2nd
- pop/sound
- pain on palpation
- pain of ATFL & CFL
- positive anterior drawer
- more laxity.
- slight swelling

3rd
- pop/sound on lateral side.
- more swelling than 2nd
- positive anterior drawer and talorr tilt.

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3
Q

what ligaments are affected with a eversion ankle sprain.

A
  • deltoid ligaments x4
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4
Q
  1. what is a eversion ankle sprain?
  2. s/s of eversion ankle sprain?
A
  1. takes longer to heal.
    - foot is pronated, hyper mobile or has a depressed medial longitudinal arch.
  2. severe pain.
    - unable to weight bear.
    - pain with abduction and adduction.
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5
Q

what is the kleiger test? MT

A
  • push the foot into dorsiflexion, which will stretch the medial ligament, then externally rotate.
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6
Q

what is a syndesmotic sprain? MT

A
  • also known as a high ankle sprain.
  • injury to the anterior and posterior tibiofibular ligament.
  • torn w/ increased external rotation or dorsiflexion.
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7
Q

s/s of a syndesmotic sprain? MT

A
  • severe pain
  • loss of function
  • passive external rotation and dorsiflexion cause pain.
  • pain is anterolaterally located.
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8
Q

how do you manage syndesmotic spin? MT

A
  • possible surgery
  • difficult to treat and can take months of treatments.
  • same treatment as other sprains (RICE, ELEVATE, COMPRESS)
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9
Q

what’s are MOI of syndesmotic sprain? MT

A
  • dorsiflexion eversion is a MOI, with external rotation.
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10
Q

s/s of ankle fracture/ dislocation?

A
  • swelling
  • extreme pain with possible deformity.
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11
Q

management for ankle fracture and dislocation?

A
  • RICE to control hemorrhaging and swelling.
  • walking cast w/ immobilization for 6-8 weeks. (not w/ surgery)
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12
Q

what is OCD? MT

A
  • this can occur at any joint, but mostly in the ankle.
  • occurs in the superior medial articular surface of the tall dome.
  • this is caused by single trauma or repeated trauma to that area.
  • cartilage that has been chipped off.
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13
Q

s/s of OCD? MT

A
  • may be a complaint of pain w/ effusion w/ signs of atrophy.
  • may also be catching, locking, or giving way.
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14
Q
  1. what does OCD stand for?
  2. how do you manage OCD MT
A
  1. osteochondritis dessecans.
  2. diagnosis by x-ray or MRI
    - immobilized w/ early motion and delayed weight bearing.
    - if fragments are displaced, surgery is required.
    - surgery can minimize risk of nonunion.
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15
Q

what are the basic rehabilitation concepts for ankles? MT

A
  • weight bearing options
  • flexibility
  • strengthen
  • taping
  • functional progress.
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16
Q

explain how weight bearing works for rehabilitation purposes?

A
  • if the patient is non-weight bearing start them off doing partial WB by sitting on a chair and apply slight pressure through the injured ankle.
  • protection and faster healing.
  • protected motion facilitates collagen alignment and stronger healing.
17
Q

what things do you do for flexibility during rehab purposes?

A
  • early stage of in and eversion should be limited.
  • if it is a strain injury, then no stretching bc it will strain the injured area more.
  • plantar and dorsiflexion should be encouraged.
  • with decreased discomfort inversion and eversion exercises should be initiated.
18
Q

what is strengthening in rehab purposes?

A
  • early rehab, isometrics in 4 directions
  • increased healing, then aggressive strengthening should be increased. (isotonic exercises)
  • pain should serve as a guideline for progress.
  • concentric and eccentric tubing exercises.
19
Q

how does taping and bracing work during rehab purposes?

A
  • try and have athlete RTP w/o taping or bracing.
  • tape and bracing should be used initially to enhance stabilization
  • tape and brace do not interfere with overall motor performance.
  • tape and brace provide ligament support.

AET 273 (8 decks)

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