Ankle Ish Flashcards
Navicular Drop Test
6-8 mm normal
> 10-15 mm excessive
Beighton Scale
Scale for hyperlaxity
Uncompensated rearfoot
If calcaneus is in same position as STJN
Compensated rearfoot
If calcaneus everts to vertical or beyond
Partially compensated rearfoot
If calcaneus everts, but not to vertical
Uncompensated rearfoot varus
Haglund’s deformity
Lateral ankle sprain tests
Anterior drawer (ATFL) Talar tilt (ATFL)
High ankle sprain tests
External rotation test
Fibula translation test
Thompson test
Calf squeeze
Achilles’ tendon
Stress fx tx
Avoid activity 8-10 wks
WB restriction 3-4 wks
Skeletal maturity
Growth plates closed
Lisfranc injury
Tarsometatarsal joint
2 MT recessed
MOI - loading and rapid twisting midfoot
Screws 3-6 mos
Stress radiograph***
Jones
Metaphyseal-diaphyseal fx
ORIF in athletes
Talar neck fx
DF and axial loading
High incidence AVN
NEED CAT SCANS
Ankle fx
ORIF except in isolated fx of medial or lateral mall rolls that are tx c cast
Hallux valgus
Irreversible foot deformity
High heels
Mallet
Flexed DIP
Hammer
Flexed PIP
Claw
Extended MTP
Syndesmotic ankle sprain
Pain at mortise
Initially need to limit DF
Limit WB
Limit strong PF contractions
Lat ankle sprain risk factors
Fatigue Lower CV fitness Static and dynamic balance DF strength and ROM Coordination
Post malleolus mob
When ATFL is torn, can become displaced
Anterior impingement tx
Heel lift
Surgical debridement
Manual therapy to improve DF
Plantar fasciitis risk factors
Obesity
Decreased DF ROM
Time spent on feet