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OPTIM OCS: LQ > Ankle: Ligament Pathology 2 > Flashcards

Ankle: Ligament Pathology 2 Flashcards

1
Q

Cuboid syndrome: definition

A
  • ttp over cuboid
  • decreased midtarsal mobility
  • pain with gait
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2
Q

Cuboid syndrome: treatments

A
  • cuboid manipulation

- gentle massage over cuboid

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3
Q

Chronic Ankle Instability: categories of insufficiencies

A

Mechanical

Functional

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4
Q

Chronic Ankle Instability:

Mechanical insufficiencies

A
  • arthrokinematic restrictions
  • pathological laxity
  • degenerative changes
  • synovial changes
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5
Q

Chronic Ankle Instability:

Functional insufficiencies

A
  • impaired proprioception
  • impaired neuromuscular control
  • strength deficits
  • impaired postural control
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6
Q

Arthrogenic inhibition: after a traumatic sprain injury, ankle function can be hindered by

A

Pain

Swelling

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7
Q

Arthrogenic inhibition: A painful, distended joint can cause what to the surrounding ankle musculature, also known as arthrogenic inhibition

A

Reflex inhibition

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8
Q

Arthrogenic inhibition: Where has this been observed?

A
  • Acute ankle and knee injuries

- Patients with chronic ankle problems

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9
Q

In the acute phases of injury, arthrogenic inhibition has a clear influence on…

A
  • neuromuscular activation patterns
  • muscle strength
  • balance
  • a patient’s ability to fully mobilize and bear weight
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10
Q

CAI characteristics (general)

A
  • arthrokinematic impairments
  • altered neuromuscular control
  • increased inversion at heel strike
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11
Q

CAI bottom line: Arthrokinematic impairments best addressed with what treatment?

A

Manipulation

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12
Q

CAI bottom line: Altered neuromuscular control best address with what treatment?

A

Manipulation

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13
Q

CAI bottom line: increased inversion at heel strike best addressed with what treatment?

A

Intrinsic foot exercise

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14
Q

Associated injuries from lateral ankle sprains

A
  • synovitis
  • posterior talotibial compression syndrome
  • talar OCD lesions
  • talar lateral process fractures
  • peroneal nerve lesions
  • anterolateral impingement
  • sinus tarsi syndrome
  • cuboid hypomobility
  • 5th ray fx
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15
Q

High ankle sprains: AITFL and PITFL provide (%) of stability to syndesmosis

A

77%

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16
Q

High ankle sprains: Isolated injury is (rare/common)

A

Rare

17
Q

High ankle sprains: Typically accompanied by

A
  • fibular fracture and/or

- deltoid ligament injury

18
Q

High ankle sprains: the mortise widens resulting in

1 mm lateral shift of the talus decreases the WB surface of the talus by (%)

A

40%

19
Q

High ankle sprains: the mortise widens resulting in

3 mm lateral shift of the talus decreases the WB surface of the talus by (%)

A

> 60%

20
Q

High ankle sprains: the mortise widens resulting in

5 mm lateral shift of the talus decreases the WB surface of the talus by (%)

A

80%

21
Q

High ankle sprains: increased contact pressures led to

A

Early DJD

22
Q

High ankle sprains: clinical presentation

Pain and tenderness

A
  • pain localized to joint

- ttp to ATFL

23
Q

High ankle sprains: pain with what motions?

A

AROM DF and eversion

24
Q

High ankle sprains: Swelling?

A

Minimal present

25
Q

High ankle sprains: Antalgic gait to avoid

A

DF

26
Q

Deltoid ligament sprain: typical MOI

A

Forced eversion of talus/calcaneus

27
Q

Deltoid ligament sprain: treatment impairments

A
  • irritated posterior tibialis
  • TCJ dysfunctions
  • STJ dysfunctions
28
Q

Deltoid ligament sprain: Overall ankle is very stable medially and most deltoid tears resolve with

A

Relatively easy rehab

OPTIM OCS: LQ (43 decks)

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