Ankle And Lower Leg Flashcards
What does police stand for?
Protection Optimal loading Ice Compression Elevation
Movements available at the subtalar joint
Inversion and eversion
6 types of ankle ankle and lower limb injuries
Lateral ankle sprain Medical ankle sprain Achilles’ tendon pain Achilles rupture Plantar fasciitis Shin pain
Mechanisms of injury
Plantar flexion and or inversion
How can a lateral ankle sprain happen?
Quick change of direction
Landing on uneven surfaces
Someone else jumping on the foot
Treatment of a lateral or medial ankle sprain
Restore full range of motion Non weight bearing activity Partial weight bearing activity Full weight bearing activity Strapping May help stability
Restore strength- isometric > concentric > eccentric
Restore balance and proprioception
Long term deficits of a LAS and MAS
Decrease in proprioception, balance, dorsiflexion, range of motion
What does a decrease in dorsiflexion mean for the foot
Terada, pietrosimone and gribble 2013
Plantar fascia patchy
Patella tendinopathy
Medial tibia pain
Further sprains
Petersen et al 2013
Twice as likely to re injure 1 year after injury
Ottowa ankle rules
Pain 6cm up the tibula or fibula or on the tip of the malleolous
How is a medial ankle sprain formed ankle
Dorsiflexion/eversion
Ie. Foot landing in a hole
How is a medial ankle sprain tested
Eversion stress test of ligaments
What are the 2 main Achilles injuries
Achilles tendinopathy and achillies rupture
Kujala, Sarna and Kaprio, 2005
52% long distance runners suffer this
Why does injuries occur in the achillies
Sterkenburg and Dijk 2011
Increased training distances/speed
Training surfaced
Age
Change in footwear
Freedman, Gordon and Soslowsky 2014
75% occur in men between 30-49 years old
What ratio of men to women suffer achillies tendon rupture
6:1
What happens when achillies tendon ruptures
Feels like they have been shot in the back of the leg
No plantar flexion available