Ankle Disorder Flashcards
Where is pain located if you have tibialis posterior tendon injury
Posteromedial ankle
What physical exam test is positive if you have Achilles’ tendon rupture
Thompson test
What can be seen on physical exam of someone with retrocalcaneal bursitis
Haglund’s deformity
How do you injure the flexor hallucis longus?
Push-off maneuvers
Mechanism of injury causing peroneal tendon subluxation or dislocation
Sudden dorsiflexion of ankle
In Achilles’ tendon rupture, how long do you keep brace on and in what position do you keep it?
8-12 weeks in a plantarflexed position
Who is most at risk of developing retrocalcaneal bursitis
Women wearing high heels
How do you cause a high ankle sprain
Hyper-dorsiflexion and forceful eversion or a direct blow to the foot with ankle in external rotation
Most serious complication of a talar neck fracture
AVN of the talar body
What kind of fracture can a high ankle sprain lead to?
Maisonneuve fracture - fracture of proximal fibula with rupture of anterior tibiofibular ligament
If there is rupture/subluxation/dislocation of peroneal tendon, how long do you immobilize for and in what position do you immobilize?
4-6 weeks in a plantar-flexed position
How do you diagnose sinus tarsi syndrome
Pain relief with injecting anesthetic into the sinus tarsi
4 ligaments that make up the deltoid ligament
- Anterior tibiotalar ligament
- Posterior tibiotalar ligament
- Tibionavicular ligament
- Tibiocalcaneal ligament
Mechanism of injury causing medial ankle sprain
Foot caught in a pronated and everted position
In a grade 3 ankle sprain, how long do you do rehab before you consider surgery if no improvement
6 months, unless high-performance athlete then 3 months
Provocative test maneuver to test for peroneal tendon
Resisted dorsiflexion and eversion causes pain
What surgical procedure can be done to treat equinovarus deformity due to tibialis anterior spasticity?
SPLATT procedure
Split Anterior Tibial Tendon Transfer
In equinovarus deformity, what muscle is spastic?
Tibialis anterior
Mechanism of injury causing peroneal tendon tenosynovitis
Repetitive forceful eversion
What is affected in a high ankle sprain
The tibiofibular syndesmosis
Where does peroneus longus and brevis attach in the foot?
Longus attaches at base of 1st metatarsal.
Brevis attaches at base of 5th metatarsal.
What ligaments does the Talar tilt test test?
ATFL and CFL
3 main Indications for surgical intervention after grade 3 ankle sprain
- Avulsions
- Severe ligament damage on both medial and lateral sides
- Recurrent injuries
Anterior drawer test and talar tilt test in grade 1, 2 and 3 ankle sprains
Grade 1 = negative anterior and talar tilt
Grade 2 = positive anterior and negative talar tilt
Grade 3 = positive anterior and talar tilt
