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BPK 241 Injury Scenario > Ankle > Flashcards

Ankle Flashcards

1
Q

What are the injuries to the ankle?

A

Inversion and Eversion sprain

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2
Q

AROM for ankle

A
  • Inversion/Eversion –> hand over top of ankle
  • DF/PF
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3
Q

PROM for ankle

A
  • Inversion/Eversion
  • DF/PF
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4
Q

Strengthening test for ankle

A
  • Inversion/Eversion
  • DF/PF
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5
Q

What does DF strength test test for?

A

Tibialis Anterior

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6
Q

What does PF strength test test for?

A

Gastrocnemius/soleus

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7
Q

What does Inversion strength test test for?

A

Tibialis Posterior

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8
Q

What does Eversion strength test test for?

A

Peroneals

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9
Q

What are the ligament stress tests?

A
  • Anterior drawer test
  • Posterior drawer test
  • Talar tilt test
  • Eversion stress test
  • Squeeze test
  • External rotation test
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10
Q

Anterior drawer test

A
  1. Sit with foot relaxed slightly plantar flexed
  2. Stabilize lower leg with one hand and cup heel with other
  3. Pull heel towards you while stabilizing lower leg
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11
Q

What is a positive sign for anterior drawer test?

A

Excessive anterior translation of talus compared to uninjured side indicates ATFL injury

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12
Q

Posterior drawer test

A
  1. Sit with foot relaxed with slight plantar flexion
  2. Stabilize lower leg with one hand and cup heel with other
  3. Push heel away from you while stabilizing lower leg
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13
Q

What is a positive sign for posterior drawer test?

A

Excessive posterior translation of talus compared to uninjured side indicates PTFL injury

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14
Q

Talar tilt test

A
  1. Sit with foot relaxed
  2. Stabilize the lower leg and cup the heel
  3. Invert the heel to stress lateral ligaments
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15
Q

What is a positive sign for talar tilt test?

A

Increased laxity or pain indicates injury to CFL

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16
Q

Eversion stress test

A
  1. Sits with foot relaxed
  2. Stabilize lower leg with one hand and cup heel with the other
  3. Evert heel to stress the deltoid ligament
17
Q

What is a positive sign for eversion stress test?

A

Pain or increased laxity on medial side of ankle indicates deltoid ligament injury

18
Q

Squeeze test

A
  1. Lay on stomach leg relaxed
  2. Squeeze tibia and fibula together at the mid-calf level
  3. Pressure is gradually released and repeated closer to the ankle
19
Q

What is a sign for positive squeeze test?

A

Pain in lower leg near ankle joint suggests syndesmotic injury

20
Q

External rotation test

A
  1. Sits with knee flexed and foot hanging off edge of table
  2. Stabilize the leg and hold the heel
  3. Rotate the foot externally outward while holding leg still
21
Q

Positive sign for external rotation test

A

Pain in high ankle joint area suggests a syndesmotic injury

22
Q

What are the assessment for inversion sprain?

A
  • Pain and laxity with any of ATFL, CFL, PTFL
  • Anterior drawer test
  • Posterior drawer test
  • Squeeze test
  • External rotation test
  • Restricted ROM in PF and INV
  • Weak resisted eversion
23
Q

What is treatment for inversion and eversion sprain

A
  • Crutches, brace, ice
  • ROM exercises, alphabet, towel or band stretching
  • Strengthening exercises, resistance bands to work on inversion, eversion
  • Proprioception, single leg stands
  • Running progression, walking, jogging, running, sprinting
24
Q

What are the assessments for eversion sprain

A
  • Pain and laxity in deltoid area
  • Anterior drawer test
  • restricted ROM into EVER
  • Weak resisted inversion
25
Q

Palpation for ankle

A
  • ATFL
  • CFL
  • PTFL
  • Deltoid ligament
  • AITFL

BPK 241 Injury Scenario (3 decks)

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