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OPTIM OCS: LQ > Ankle: Ligament Pathology 3 > Flashcards

Ankle: Ligament Pathology 3 Flashcards

1
Q

Ankle impingement: usually occur secondary to

A

Trauma

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2
Q

Ankle impingement: Pain located where?

A
  • sinus tarsi
  • syndesmosis
  • posterior ankle
  • anterolateral gutter
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3
Q

Ankle impingement: usually occur due to

A
  • hypermobility

- disruption of stabilizing structures

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4
Q

Ankle impingement: Disruption of stabilizing structures…

A
  • bones
  • joint capsules
  • ligaments
  • tendons
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5
Q

Ankle impingement: Recurrent ankle pain with (motions)

A

Either DF or PF

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6
Q

Osseous impingement: what is it?

A

Abnormal calcification within the joint

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7
Q

Osseous impingement: abnormal calcification within the joint, specifically where?

A
  • talus
  • tibia
  • fibula
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8
Q

Osseous impingement: May be the direct result of

A
  • Anterior ankle capsule traction with repetitive minor trauma
  • results from PF during activity
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9
Q

Osseous impingement: Once the spur forms, DF may cause what?

A
  • entrapment of bordering soft tissue
  • contact with opposing bony structures
  • causes chronic pain during activity
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10
Q

Posterior impingement: occurs when?

A

Talus and/or neighboring soft tissue become compressed between the tibia and calcaneus with repetitive or extreme PF

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11
Q

Posterior impingement: What may initiate posterior impingement?

A
  • acute inversion ankle injuries

- overuse injuries involving trauma in ankle PF

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12
Q

Heel pain: posterior heel pain differential dx

A
  • retrocalcaneal bursitis
  • haglund’s deformity
  • Achilles tendinopathyh
  • S1 radiculopathy
  • Sever’s disease
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13
Q

Heel pain: What is Sever’s disease?

A

Abnormal stress at the epiphysis

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14
Q

Heel pain: Plantar heel pain differential dx

A
  • plantar fascia microtrauma
  • tibial nerve entrapment
  • fat pad atrophy
  • heel spur
  • stress fx
  • TTS
  • subtalar hypomobility
  • systemic problems
  • S1 radiculopathy
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15
Q

Heel pain: Systemic issues that may cause plantar heel pain

A
  • Reiter’s syndrome
  • gout
  • RA
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16
Q

Plantar fasciitis: what tissue may be affected?

A
  • plantar fascia
  • plantar ligament
  • bone spur
  • adverse nerve tension
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17
Q

Plantar fasciitis: potential causes

A
  • recent weight gain
  • recent change in activity
  • overuse
  • dec GSC flexibility
18
Q

Plantar fasciitis: Pain most often where

A

At attachment of central slip

19
Q

Plantar fasciitis: Onset

A

Insidious

20
Q

Plantar fasciitis: Pain worse after period of

A

NWB

21
Q

Plantar fasciitis: Pain gradually improves at first with activity but worsens after

A

Prolonged activity

22
Q

Plantar fasciitis: Pain with (toe motion)

A

DF of 1st MTP

23
Q

Plantar fasciitis: Sharp pain with palpation, (does/does not) refer/travel

A

Does not

24
Q

Plantar fasciitis: Strong association with

A

BMI in nonathletic population

25
Q

Plantar fasciitis: risk factors

Weak association with

A
  • increased age
  • decreased ankle DF
  • decreased 1st MTP extension
  • prolonged standing
26
Q

Plantar fasciitis: risk factors

Inconclusive

A
  • static foot posture

- dynamic foot motion

27
Q

Plantar fasciitis: Risk factors

No association with

A
  • height in nonathletic population

- height, weight, and BMI in athletic population

28
Q

Plantar fasciitis: Commonly accompanies strength deficits where?

A

Intrinsic and extrinsics

29
Q

Plantar fasciitis: In nonathletes, the pain is often from irritation of

A

Medial calcaneal nerve

30
Q

Plantar fasciitis: In nonathletes, the pain is often from irritation of the medial calcaneal nerve. Palpation at the nerve should be (better/worse) than palpation of MCT

A

Worse

31
Q

Plantar fasciitis: In nonathletes, the pain is often from irritation of the medial calcaneal nerve. Palpation of the nerve often worse with what special testing positions

A

SLR

Slump

32
Q

Plantar fasciitis: for treatment, focus on

A
  • foot intrinsic
  • foot extrinsic
  • LQ biomechanics
33
Q

Plantar heel pain: (%) will report improvement in symptoms within 1 year

A

80%

34
Q

Plantar heel pain: Evidence for use of dexamethasone or acetic acid through iontophoresis in the short term

A

Moderate evidence

35
Q

Plantar heel pain: Moderate evidence that ionto should be used how long for pain relief and improved function

A

Short term 2-4 weeks

36
Q

Plantar heel pain: Evidence
Calf muscle and/or PF specific stretching can be used to provide short term pain relief and improvement in calf flexibility

A

Moderate

37
Q

Plantar heel pain: Calf stretching

Moderate evidence to use for short term (how long) pain relief and improvement in flexibility

A

2-4 mos

38
Q

Plantar heel pain: Evidence

Calcaneal low dye taping

A

Weak

39
Q

Plantar heel pain: Weak evidence for calcaneal low dye taping to provide (short/long) term relief

A

Short term 7-10 days

40
Q

Plantar heel pain: Evidence

Prefabricated or custom foot orthoses

A

Strong

41
Q

Plantar heel pain: Strong evidence to support use of prefabricated or custom foot orthoses for (short/long) term relief

A

Short term - 3 mos

42
Q

Plantar heel pain: evidence

Use of prefabricated or custom foot orthoses for long term > 1 year management

A

NO evidence to support

OPTIM OCS: LQ (43 decks)

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