Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

PS200 > Ankle + lower leg injuries > Flashcards

Ankle + lower leg injuries Flashcards

1
Q

Lateral ankle sprain onset/MOI

A
  • sudden
  • rapid change of direction or awkward landing
    -> ATFL = PF + inv.
    -> CFL = DF + neutral
    -> PTFL = DF + inv.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Lateral ankle sprain subjective

A
  • painful + swollen
  • pain on WB
  • instability
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Lateral ankle sprain physical

A
  • swollen + bruised
  • decreased AROM/PROM
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Lateral ankle sprain specific tests

A

+ve anterior draw

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Lateral ankle sprain management

A
  • tape/brace
  • early mobilisation
  • decrease WB
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Chronic ankle injury onset/MOI

A
  • gradual
  • functional ankle instability from:
  • repeated LCL sprains
  • poor control of surrounding muscles
  • < proprioception
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Chronic ankle injury Mx

A
  • strength training
  • proprioception training
  • taping/bracing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Deltoid ligament sprain onset/MOI

A
  • sudden
  • ev, abduction w/ high force (often w/ fibula fracture)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Deltoid ligament sprain subjective

A

pain on lateral ankle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Deltoid ligament sprain physical

A
  • swelling/bruising
  • pain on eversion, DF + PF
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Deltoid ligament sprain specific tests

A

+ve eversion talar tilt test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Deltoid ligament sprain Mx

A

same as LCL sprain, recovery twice as long

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Achilles tendinopathy onset/MOI

A

overuse
footwear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Achilles tendinopathy subjective/agg/easing

A

agg - activity but goes away w/ warm up/comes back after cool down
ease - rest

worse in morning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Achilles tendinopathy physical

A
  • pronation on WB, IR
  • PF or heel raise reproduce pain in RSC
  • calf stretch may reproduce pain in MLT
  • local swelling, thickening of tendon
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Achilles tendinopathy Mx

A
  • stretching 15-30 secs/week (avoid DF for insertional AT)
  • heavy loading eccentric training
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Tibialis posterior subjective - agg/ease

A
  • medial ankle pain
  • agg = activities causing prolonged stretching into EV ie. running
  • ease = rest
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Tibialis posterior physical

A
  • excessive pronation
  • RSC Inv/PF painful
  • stretch = EOR passive eversion/DF painful
  • tender + swollen along tendon
  • difficulty going up on toes
19
Q

Tibialis posterior Mx

A
  • unloading
  • taping/bracing
  • EPA’s
  • stretching
  • strengthening
20
Q

FHL tendinopathy subjective/agg/ease

A
  • medial heel pain
  • agg = toe-off or forefoot WB
  • ease = rest
21
Q

FHL tendinopathy physical

A
  • RSC of toe F painful
  • stretch of toe painful
  • TOP +/- crepitus over tendon
22
Q

Plantar fasciopathy onset/MOI

A

gradual over a few months

can be due to high training load, prolonged standing or poor footwear

23
Q

Plantar fasciopathy subjective/agg/ease

A
  • pain along prox. PF + attachment to calcaneal tuberosity
  • agg = heel pain in first few steps of morning/after sitting / prolonged activity/bad shoes
  • ease = as activity continues (to point), NWB + supportive shoes
24
Q

Plantar fasciopathy 24hr pattern

A
  • AM = worst
  • DD = activity dependent
  • PM = sore by EOD
25
Plantar fasciopathy physical
- antalgic gait, excessive pronation - limited ROM of hallux - TOP of plantar heel - passive accessory movements may be stiff
26
Plantar fasciopathy Mx
- load reduction + taping - strengthening + stretching - corticosteroid injections - surgery
27
MTSS/shin splints onset/MOI
gradual increased training volume/frequency/intensity
28
MTSS/shin splints subjective/agg/ease
- deep dull ache 5cm in bottom 1/3rd of shin - pain initially decreases w/ w/u but returns later + after walking or stairs - worse morning after exercise
29
MTSS/shin splints physical
- excessive foot pronation - TOP section of medial tibial border - tender thickened soleus, deep fascia + FDL at insertion on tibial border - MLT calf tight
30
MTSS/shin splints Mx
- manage pain = ice, NSAIDs - myofascial release - taping to support tib. post - evaluate training + shoes
31
Tibial stress fracture onset/MOI
gradual
32
Tibial stress fracture subjective/agg/ease
- local pain w/ walking, at rest - agg = exercise, esp. impact activities
33
Tibial stress fracture 24hr pattern
worse at night
34
Tibial stress fracture physical
- rigid foot or excessive pronation - increase muscle fatigue + decreased absorption - TOP locally ++ - percussion/tuning fork +ve
35
Tibial stress fracture Mx
- avoid strain/repetitive loading - crutches initially if severe - exercise again when no pain on WB - modify training
36
Sever's disease onset/MOI
gradual/caused by growth spurt growth plate is injured by excessive forces
37
Sever's disease subjective/agg/ease
- paina around insertion of achilles on calcaneus - agg = worse w/ activity, impact movements - ease = loose shoes, rest
38
Sever's disease physical
- RSC PF/heel raise may reproduce pain - MLT tight calf, stretch may reproduce pain - TOP locally at insertion
39
Sever's disease Mx/prevention
- strecthing - self massage - modifying sport/training by gradually increasing load - train on sprung boards/grass rather than hard ground - appropriate footwear
40
Posterior impingement syndrome onset/MOI
gradual injury or repeated plantar flexion
41
Posterior impingement syndrome subjective/agg/ease
- ballet dancer/soccer player - deep ache in posterior ankle - agg = pushing off, PF activities - ease = rest
42
Posterior impingement syndrome physical
- swelling in back of ankle - pain in single leg heel raise - local TOP - local pain w/ PF
43
Posterior impingement syndrome Mx
- rest - manual mobilisation - NSAIDs - corticosteroids surgical removal of OS trigonium/posterior process

PS200 (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions