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OPTIM OCS: LQ > Ankle: Ligament Pathology 1 > Flashcards

Ankle: Ligament Pathology 1 Flashcards

1
Q

Differential dx for lateral ankle pain

A
  • lateral ankle sprain
  • distal fibular fx
  • peroneal tendon injury
  • peroneal/sural nerve irritation
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2
Q

Differential dx for lateral foot pain

A
  • jones fx (5th met head)
  • cuboid subluxation
  • mechanical subtalar dysfunction
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3
Q

Most common form of ankle sprain

A

Lateral

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4
Q

Lateral ankle sprains: Results in (laxity)

A

Talocrural and subtalar joint laxity

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5
Q

Lateral ankle sprains: Clinical findings (ROM)

A

Painful PROM into inversion

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6
Q

Lateral ankle sprains: ttp

A

ATFL
CFL
PTFL

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7
Q

Lateral ankle sprains: Stress tests

A

(+) anterior drawer, talar tilt

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8
Q

Grade I: ligament tear

Extent

A

None

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9
Q

Grade II: ligament tear

Extent

A

Partial

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10
Q

Grade III: ligament tear

Extent

A

Complete

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11
Q

Grade I: loss of functional ability

Extent

A

Minimal

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12
Q

Grade II: loss of functional ability

Extent

A

Some

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13
Q

Grade III: loss of functional ability

Extent

A

Great

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14
Q

Grade I: pain

Extent

A

Minimal

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15
Q

Grade II: pain

Extent

A

Moderate

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16
Q

Grade III: pain

Extent

A

Severe

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17
Q

Grade I: swelling

Extent

A

Minimal

18
Q

Grade II: swelling

Extent

A

Moderate

19
Q

Grade III: swelling

Extent

A

Severe

20
Q

Grade I: ecchymosis

Extent

A

Usually none

21
Q

Grade II: ecchymosis

Extent

A

Common

22
Q

Grade III: ecchymosis

Extent

A

Yes

23
Q

Grade I: difficulty bearing weight

Extent

A

None

24
Q

Grade II: difficulty bearing weight

Extent

A

Usual

25
Q

Grade III: difficulty bearing weight

Extent

A

Almost always

26
Q

Grade I lateral ligament injuries:

Initially need to control…

A

Pain and inflammation

27
Q

Grade I lateral ligament injuries:

Need to restore what ASAP

A

AROM/PROM

28
Q

Grade I lateral ligament injuries:

To restore AROM/PROM, should do what ASAP

A

Manipulate ASAP!

29
Q

Grade I lateral ligament injuries:
AROM/PROM restoration

Initiate what early to avoid too much stress to healing ligament

A

Midrange

30
Q

Grade I lateral ligament injuries:

Early strengthening

A

OKC strengthening with tubing

31
Q

Grade I lateral ligament injuries:

From OKC, progress to

A

WB and CKC strengthening

32
Q

Grade I lateral ligament injuries:

May return to play in (timeframe)

A

1-2 weeks

33
Q

Lateral ligament injuries: Grade II

Initial management

A
  • Similar to grade 1 injuries

- May need crutches initially to walk

34
Q

Lateral ligament injuries: Grade II

May take how long to return to play

A

2-3 weeks

35
Q

Lateral ligament injuries: Grade II

Functional testing should be (%) of uninvolved side for return to play

A

90%

36
Q

Lateral ligament injuries: Grade III

Debate between what management options

A
  • conservative treatment with immobilization

- early surgical repair

37
Q

Lateral ligament injuries: Grade III

Initial conservative mgmt

A
  • cryotherapy
  • NSAIDs
  • compression garments

Imperative

38
Q

Lateral ligament injuries: Grade III

External supports likely useful x (timeframe)

A

1-2 weeks

39
Q

Lateral ligament injuries: Grade III

Begin with walking boot, progress to hinged ankle brace, to no brace over the course of

A

6-8 weeks

40
Q

Lateral ligament injuries: Grade III

Protective devices for sports may be recommended up to (timeframe)

A

1 year

OPTIM OCS: LQ (43 decks)

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