Ankle Disorder Flashcards

1
Q

Where is pain located if you have tibialis posterior tendon injury

A

Posteromedial ankle

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2
Q

What physical exam test is positive if you have Achilles’ tendon rupture

A

Thompson test

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3
Q

What can be seen on physical exam of someone with retrocalcaneal bursitis

A

Haglund’s deformity

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4
Q

How do you injure the flexor hallucis longus?

A

Push-off maneuvers

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5
Q

Mechanism of injury causing peroneal tendon subluxation or dislocation

A

Sudden dorsiflexion of ankle

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6
Q

In Achilles’ tendon rupture, how long do you keep brace on and in what position do you keep it?

A

8-12 weeks in a plantarflexed position

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7
Q

Who is most at risk of developing retrocalcaneal bursitis

A

Women wearing high heels

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8
Q

How do you cause a high ankle sprain

A

Hyper-dorsiflexion and forceful eversion or a direct blow to the foot with ankle in external rotation

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9
Q

Most serious complication of a talar neck fracture

A

AVN of the talar body

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10
Q

What kind of fracture can a high ankle sprain lead to?

A

Maisonneuve fracture - fracture of proximal fibula with rupture of anterior tibiofibular ligament

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11
Q

If there is rupture/subluxation/dislocation of peroneal tendon, how long do you immobilize for and in what position do you immobilize?

A

4-6 weeks in a plantar-flexed position

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12
Q

How do you diagnose sinus tarsi syndrome

A

Pain relief with injecting anesthetic into the sinus tarsi

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13
Q

4 ligaments that make up the deltoid ligament

A
  1. Anterior tibiotalar ligament
  2. Posterior tibiotalar ligament
  3. Tibionavicular ligament
  4. Tibiocalcaneal ligament
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14
Q

Mechanism of injury causing medial ankle sprain

A

Foot caught in a pronated and everted position

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15
Q

In a grade 3 ankle sprain, how long do you do rehab before you consider surgery if no improvement

A

6 months, unless high-performance athlete then 3 months

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16
Q

Provocative test maneuver to test for peroneal tendon

A

Resisted dorsiflexion and eversion causes pain

17
Q

What surgical procedure can be done to treat equinovarus deformity due to tibialis anterior spasticity?

A

SPLATT procedure

Split Anterior Tibial Tendon Transfer

18
Q

In equinovarus deformity, what muscle is spastic?

A

Tibialis anterior

19
Q

Mechanism of injury causing peroneal tendon tenosynovitis

A

Repetitive forceful eversion

20
Q

What is affected in a high ankle sprain

A

The tibiofibular syndesmosis

21
Q

Where does peroneus longus and brevis attach in the foot?

A

Longus attaches at base of 1st metatarsal.

Brevis attaches at base of 5th metatarsal.

22
Q

What ligaments does the Talar tilt test test?

A

ATFL and CFL

23
Q

3 main Indications for surgical intervention after grade 3 ankle sprain

A
  1. Avulsions
  2. Severe ligament damage on both medial and lateral sides
  3. Recurrent injuries
24
Q

Anterior drawer test and talar tilt test in grade 1, 2 and 3 ankle sprains

A

Grade 1 = negative anterior and talar tilt
Grade 2 = positive anterior and negative talar tilt
Grade 3 = positive anterior and talar tilt

25
Q

What kind of anatomic causes can lead to Achilles tendonitis

A

Hyperpronation, tight hamstrings, tight heel cords, pes cavus, genu varum

26
Q

Where is pain located in sinus tarsi syndrome

A

Anterolateral ankle

27
Q

ATFL, CFL and PTFL in grade 1, 2 and 3 ankle sprains

A

Grade 1 = ATFL partial tear
Grade 2 = ATFL tear and CFL partial tear
Grade 3 = ATFL and CFL tear
PTFL is torn when it is dislocated

28
Q

2nd most commonly injured ligament in the ankle

A

Calcaneofibular ligament

29
Q

2 provocative tests for high ankle sprain

A
  1. Squeeze test

2. Stress test - externally rotate tibia = pain

30
Q

What is injured in sinus tarsi syndrome?

A

Talocalcaneal ligament sprain

31
Q

Where do most Achilles rupture occur?

A

2-5 cm proximal from calcaneal insertion

32
Q

How do you injure the tibialis posterior

A

Inversion injury

33
Q

What is sever’s disease

A

Apophysitis of the calcaneal apophysis

34
Q

Action of tibialis anterior

A

Dorsiflexes and inverts foot

35
Q

What is the most common risk factor for Achilles tendonitis

A

Training errors - increase in intensity, improper footwear

36
Q

Where do you have pain if you have FHL tendonitis?

A

Posteromedial aspect of great toe and posteromedial ankle

37
Q

Dancer’s tendonitis is also known as…

A

Flexor hallicus longus tendonitis