Ankle & Foot Injuries Flashcards

1
Q

What is the first objective of treating an ankle/foot injury?

A
  • Site of pain
  • Mechanism of injury
  • Observation
  • Careful, sequential physical examination
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2
Q

What are some of the common ankle/foot/calf injuries?

A
  • Inversion
  • Eversion
  • Rotation
  • Impact/forced DF or PF
  • Overload - tendinopathies (achilles, tib post)
  • Sudden acceleration/deceleration (gastroc tear/achilles rupture)
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3
Q

What does an inversion injury involve?

A
  • Lat ligaments (ATFL, CFL, PTFL)
  • Never simple, usually not isolated
  • Can involve chondral surfaces, bone, tendon injury (perineal), kissing lesion
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4
Q

What should you look for with an eversion injury and why?

A

Fracture - medial ligaments are very robust & strong, if there is enough force to rupture them, there’s enough force to fracture

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5
Q

What is associated with rotation injuries?

A
  • Spiral fracture

- Syndesmosis (splaying of tib/fib

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6
Q

Why is syndesmosis a not to be missed condition?

A

It doesn’t heal well if missed

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7
Q

What is associated with impact/forced DF or PF?

A
  • Syndesmosis
  • Fracture
  • Osteochondral (issues with bone/cartilage)
  • Impingements
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8
Q

What is a common site of injury in sprinters?

A

Medial head of gastroc - tear

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9
Q

What is an example of an osteochondral injury in the ankle?

A

Talar dome lesion

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10
Q

What is Kohler disease? (NTBM)

A
  • Spontaneous resorption of navicular bone
  • Happens in children
  • Avascular necrosis
  • Presents with weird painful foot
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11
Q

What is a Lisfranc injury? (NTBM)

A
  • Base of 2nd MT dislodged from recess into cuneiform

- Common in contact sports, going down stairs, something rolling over foot

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12
Q

When does a tib post rupture often occur?

A

In post-menopausal women

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13
Q

Where is the tarsal tunnel and what does it contain?

A

Behind the medial malleolus, contains important arteries, nerves

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14
Q

What are the causes of tarsal tunnel syndrome?

A

Anything that occupies the tarsal tunnel space

  • Trauma
  • Fractures
  • Post traumatic fibrosis
  • Talocalcaneal coalitions
  • Soft tissue masses
  • Ganglion cysts
  • Lipomas
  • Varicosities
  • Synovial hypertrophy
  • Flexor hallucis hypertrophy
  • Muscle anomalies
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15
Q

What are the symptoms of tarsal tunnel syndrome?

A
  • Pins and needles
  • Tight sensation in foot
  • Pain
  • Triggering of tendons
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16
Q

What is CELP?

A

Chronic exertion or leg pain (shin pain)

17
Q

What is the most common site for stress fractures?

A

Tibia

18
Q

What is PAES?

A

Popliteal artery entrapment syndrome

19
Q

What is Chronic exertional compartment syndrome (CECS)?

A
  • Increased pressure within a space causes compression of nerves/arteries & potential damage of tissues
  • Eased with rest
20
Q

What is a characteristic of CECS?

A

Limb feels really hard

21
Q

What is MTSS?

A

Medial tibial stress syndrome

22
Q

What is the difference between a stress fracture and MTSS?

A

Stress fracture is a pin point, MTSS extends about 5cm

23
Q

What is tarsal coalition?

A
  • Painful, very stiff foot

- Bony bridge at sub-talar joint

24
Q

What are the treatment principles for the acute phase?

A
  • Establish SIN
  • Identify impairments
  • Identify causes
  • Treat causes
25
Q

What are the treatment principles for the subacute phase and onwards?

A
  • Regain ROM
  • Regain movement control
  • Regain strength
  • Regain function/participation
26
Q

What is important in lateral ankle sprains?

A

Ensuring perineal muscles stay active as they will maintain the stability of the joint

27
Q

What is acute compartment syndrome & why is it a NTBM condition?

A
  • Pressure is significantly elevated
  • Does not subside with rest
  • Emergency surgery required to release pressure & avoid ischaemic injury
28
Q

What is complex regional pain syndrome (type 1) & why is it a NTBM condition?

A
  • Post-traumatic
  • Localised pain out of proportion to injury
  • Delayed recovery
  • Early mobilisation & avoidance of surgery key to management