Ankle: Pathologies 3 Flashcards

1
Q

Peroneal tendinopathy is most often associated with what injury?

A

Lateral ankle sprains

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2
Q

Peroneal tendinopathy: (%) of peroneal dysfunction occurs with ankle sprains

A

95%

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3
Q

Peroneal tendinopathy SHOULD be suspected after

A

Lateral ankle sprain

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4
Q

Peroneus brevis injuries occur where?

A
  • Lateral and posterior

- 2-3 cm distal to lateral malleolus

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5
Q

Peroneus longus injuries occur where?

A
  • in the cuboid tunnel OR

- base of 1st MTP

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6
Q

Peroneal tendinopathy: Swelling?

A

Not typical

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7
Q

Peroneal tendinopathy: Location of pain

A
  • Posterior or distal to lateral malleolus

- around cuboid

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8
Q

Peroneal tendinopathy: typical foot characteristics

A
  • varus hindfoot
  • forefoot varus
  • limited ankle DF
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9
Q

Peroneal tendinopathy: In addition to lateral ankle sprain, may also have a history of

A

chronic lateral ankle pain and instability

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10
Q

Peroneal tendinopathy: Pain in what phase of gait

A

Terminal stance

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11
Q

Peroneal tendinopathy: pain with what movements?

A
  • Unilateral heel raise
  • passive DF and inversion
  • resisted PF/eversion
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12
Q

Peroneal tendinopathy: Risk factors

A
  • age related degeneration
  • inflammatory arthritis
  • HTN
  • DM
  • obesity
  • less frequently - acute traumatic rupture
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13
Q

Peroneal tendinopathy: Differential dx

A
  • Achilles tendinopathy
  • high ankle sprain
  • sinus tarsi syndrome
  • posterior ankle impingement
  • cuboid fx
  • fibular fx
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14
Q

With peroneal tendinopathy, need to strengthen what group?

A

Evertors

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15
Q

Peroneal tendinopathy: what type of insert may be helpful?

A

Lateral heel wedge

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16
Q

Posterior tibial tendinopathy

May need foot orthosis to decrease

A

Pronation

17
Q

Posterior tibial tendinopathy:

Consider immobilization in short leg cast for (duration)

A

2-3 weeks

18
Q

Salter Harris fractures occur in which group

A

Children

19
Q

Salter Harris fx: involves what structures

A

Growth plate in long bones

20
Q

Salter Harris fx: How many types?

A

5

21
Q

Salter Harris fx: Type 1

A
  • Fx through the physis

- no involvement of the bone of the epiphysis or metaphysis

22
Q

Salter Harris fx: Type 2

A
  • Fx involving part of the metaphysis

- extends to the physis

23
Q

Salter Harris fx: Type 3

A
  • fx involves the epiphysis

- extends into the physis

24
Q

Salter Harris fx: Type 4

A

Fracture involves the epiphysis, metaphysis, and extends into the physis

25
Q

Salter Harris fx: type 5 involves only the

A

Physis

26
Q

Salter Harris fx: Type 5

A

Compressive deformity of the growth plate

only involves the physis