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MSK 1 > Ankle Classification/Diagnoses > Flashcards

Ankle Classification/Diagnoses Flashcards

1
Q

Inversion Ankle Sprain

Location of Symptoms

A

-pain, swelling over lateral ankle

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2
Q

Eversion Ankle Sprain

Location of Symptoms

A

-pain, swelling on medial ankle

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3
Q

Cuboid Syndrome

Location of Symptoms

A
  • lateral plantar pain
  • feels like rock in shoe
  • pain is constant and lasts longer than normal healing processes of lat ankle sprain
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4
Q

Cuboid Syndrome

Mechanism of Injury

A
  • plantarflexion + inversion injury

- minor subluxation of calcaneocuboid alignment that irritates the ligaments, cuboid and peroneus longus

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5
Q

Tendon Injury–Achilles Rupture

Location of Symptoms

A
  • sudden pain over post ankle/leg

- balled up muscle

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6
Q

Tendon Injury–Posterior Tibial Tendonitis

Location of Symptoms

A
  • pain at medial malleoli along tendon

- pain medial ankle but can progress to lateral ankle if not treated

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7
Q

Tibial Stress Syndrome/Fracture

Location of Symptoms

A
  • Pain along post medial tibia or ant lat
  • proximal 2/3 of tibia

-“shin splints”

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8
Q

Posterior Tibial Nerve Entrapment

Location of Symptoms

A
  • local edema

- burning pain and paresthesia to sole of foot

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9
Q

Plantar Fasciitis

Location of Symptoms

A
  • pain on heel of foot
  • pain plantar surface of foot
  • pain in morning but eases with movement
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10
Q

OA/DJD

Location of Symptoms

A
  • Pain and stiffness in foot/ankle
  • swelling
  • stiff in morning

(foot OA less common)

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11
Q

Bursitis

Location of Symptoms

A
  • calcaneal/retrocalcaneal bursitis=tender/painful at calcaneous
  • subcalcaneal bursitis=tender under heel on plantar surface

(rule out plantar fasciitis, heel spur)

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12
Q

Sprain

Agg Factors

A
  • WB
  • walk
  • jump
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13
Q

Cuboid Syndrome

Agg Factors

A
  • pain in terminal stance

- single leg hop

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14
Q

Tendon Injury

Agg Factors

A
  • achilles/post tib: unable to stand on toes

- achilles: push off with gait

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15
Q

Tibial Stress Syndrome/Fracture

Agg Factors

A
  • walking
  • standing on toes
  • push off
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16
Q

Posterior Tibial Nerve Entrapment

Agg Factors

A
  • walking

- prolonged standing

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17
Q

Plantar Fasciitis

Agg Factors

A
  • walking
  • jumping
  • WB in morning
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18
Q

OA/DJD

Agg Factors

A
  • walking
  • jumping
  • WB
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19
Q

Bursitis

Agg Factors

A
  • rubbing of heel by shoe
  • repetitive irritation
  • running
  • walking
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20
Q

Sprain

Ease Factors

A
  • ice
  • NSAIDs
  • decr WB
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21
Q

Cuboid Syndrome

Ease Factors

A
  • rest

- avoid prolonged terminal stance

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22
Q

Tendon Injury

Ease Factors

A

-avoid WB

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23
Q

Tibial Stress Syndrome/Fracture

Ease Factors

A
  • ice
  • massage
  • NSAIDS

-if fracture=pain at rest

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24
Q

Post Tibial Nerve Entrapment

Ease Factors

A
  • NWB

- avoid pronation

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25
Q

OA/DJD

Ease Factors

A
  • rest
  • NSAIDS
  • increased movement
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26
Q

Plantar Fasciitis

Ease Factors

A

-stretch
-massage
-ice
NSAIDS

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27
Q

Bursitis

Ease Factors

A
  • rest
  • ice
  • NSAIDS
  • shoes that don’t rub
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28
Q

Inversion Sprain

History

A
  • plantarflexion + Inversion injury
  • check integrity of superficial peroneal nerve
  • weak lateral collateral ligaments
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29
Q

Eversion Sprain

History

A
  • stress on medial collateral ligaments (deltoid)
  • due to excessive eversion
  • can be accompanied with talus or medial malleoli fracture
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30
Q

Cuboid Syndrome

History

A
  • plantarflexion + inversion –>sublux of cuboid laterally and posteriorly
  • more common in pts with history of ankle sprains and over pronation during gait
  • forefoot valgus
  • tight peroneus longus
31
Q

Tendon Injury–Achilles Rupture

History

A
  • MOI: explosive push off at terminal plantarflexion
  • men>women
  • 30-40 years old
  • history of chronic achilles tendonitis
32
Q

Tendon Injury–Post Tib tendonitis

History

A
  • Hx of over pronation
  • flat foot
  • tender midfoot (esp with toe raises)
  • loss of arch
33
Q

Tendon Injury Risk Factors

A
  • Diabetes
  • Obesity
  • RA
  • Women over 50 (post tib dysfunction)
34
Q

Tibial Stress Syndrome/Fracture

History

A
  • inflam of contractile portoin of post tib
  • irritation of interosseous membrane due to overpronation
  • periostitis
  • overuse
  • recent increase in activity
35
Q

Periostitis

A

over use stresses of ant tib at origin attachment

-it is eccentrically over worked with achilles is tight

36
Q

Posterior Tib Nerve Entrapment

History

A
  • worse at end of day
  • flat foot
  • post tib dysfunction
  • Hx deltoid ligament sprain
37
Q

Plantar Fasciitis

History

A
  • obesity
  • overuse
  • acute (step on hard object)
  • occupational (prolonged stand/walk)
38
Q

OA/DJD

History

A
  • over weight
  • OA in other joints
  • family Hx
  • history of microtrauma to ankle/foot
  • forefoot valgus
  • flat foot
  • overpronation
  • decr ROM all directions
39
Q

Bursitis

History

A
  • excessive running (rubbing on post calc)

- tightness/restriction of achilles tendon

40
Q

Sprain

Neurodynamic Testing

A

-PF/Eversion + SLR

common peroneal

41
Q

Tendon Injury

Neurodynamic Testing

A

-DF/Inversion + SLR

sural nerve–achilles tendonitis

42
Q

Tibial Stress Syndrome/Fracture

Neurodynamic Testing

A

-PF/Inversion + SLR

common peroneal

43
Q

Post Tib N Entrapment

Neurodynamic Testing

A

SLR with tibial nerve tension

44
Q

Plantar Fasciitis

Neurodynamic Testing

A

-DF/Eversion + SLR

tibial

45
Q

Sprain

Neurological Exam

A

-inversion: check superficial peroneal nerve

46
Q

Post Tib Nerve Entrapment

Neurological Exam

A

-sole of foot

47
Q

Sprain

ROM

A
  • inversion, eversion

- DF, PF

48
Q

Cuboid Syndrome

ROM

A
  • pn with PF + inversion

- midtarsal mobility reproduces Sx

49
Q

Achilles Rupture

ROM

A
  • unable to PF

- check DF

50
Q

Post Tibial Tendonitis

ROM

A
  • pn with inversion and PF (resisted motion)
  • pn with passive eversion
  • pn with active PF + eversion
51
Q

Tibial Stress Syndrome/Fracture

ROM

A
  • PF, DF (passive/active)

- ankle pron/sup

52
Q

Post Tib N Entrapment

ROM

A
  • PF, DF

- Inv, Ever

53
Q

Plantar Fasciitis

ROM

A
  • df may be limited

- pain with df + great toe extension

54
Q

OA/DJD

ROM

A
  • Capsular pattern

- decr PF and DF

55
Q

____* DF needed for normal gait mechanics

A

10*

56
Q

Bursitis

ROM

A
  • bursitis won’t cause decr motion

- but check for tight gastroc/soleus causing burisitis

57
Q

Sprain–ATFL

Special Tests

A

-ant drawer

58
Q

Sprain–Calcaneofibular lig

Special Tests

A

-talar tilt

59
Q

Sprain–Deltoid lig

Special Tests

A

-Klieger

60
Q

Cuboid Syndrome

Special Tests

A

check for misplaced cuboid

61
Q

Tendon Injury–Achilles Rupture

Special Tests

A

-Thompson

62
Q

Post Tib N Entrapment

Special Tests

A

-Tinel

63
Q

OA/DJD

Special Tests

A
  • rule out other conditions

- check for loss of motion

64
Q

Sprain

Palpation

A

-Palp over ligament affected

65
Q

Cuboid Syndrome

Palpation

A

-over calcaneocuboid causes pain

66
Q

Tendon Injury

Palpation

A
  • pain over tendon

- ball of muscle in calf

67
Q

Tibial Stress Fracture

Palpation

A

-tuning fork

68
Q

Post Tib Nerve Entrapment

Palpation

A

-post tib nerve

69
Q

Plantar Fasciitis

Palpation

A

pn with pressure over plantar fascia

70
Q

OA/DJD

Palpation

A

compression through joint + rotary movement reproduces symptoms

71
Q

Bursitis

Palpation

A

-post calcaneous tender

72
Q

Muscle Length/Strength Testing of Ankle/Foot Disorders

A
  • peroneus longus
  • peroneus brevis
  • tibialis ant
  • gastrocnemius
  • soleus
73
Q

Outcome Measure

A

-LEFS

MSK 1 (15 decks)

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