Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

OPTIM OCS: LQ > Ankle: Pathologies 4 > Flashcards

Ankle: Pathologies 4 Flashcards

1
Q

The Lauge-Hansen classification is based on this type of injury

A

Rotational MOI

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

Lauge-Hansen Classification: categories

A
  • supination external rotation (SER)
  • supination adduction (SA)
  • pronation external rotation (PER)
  • pronation abduction (PA)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Lauge-Hansen Classification: supination external rotation injury (SER)

types of injuries seen

A
  1. Injury of anterior inferior tibiofibular ligament
  2. Oblique/spiral fx of distal fibula
  3. Injury of posterior inferior tibiofibular ligament or avulsion of posterior malleolus
  4. Medial malleolus fx or injury to deltoid ligament
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Lauge-Hansen Classification: supination adduction (SA)

Types of injuries seen

A
  1. Transverse fracture of distal fibula

2. Vertical fx of medial malleolus

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

Lauge-Hansen Classification: Pronation external rotation (PER)
Types of injuries seen

A
  1. Medial malleolus fx or injury to deltoid ligament
  2. Injury of anterior inferior tibiofibular ligament
  3. Oblique/spiral fx of fibula
  4. Injury of posterior inferior tibiofibular ligament or avulsion of the posterior malleolus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Lauge-Hansen Classification: Pronation external rotation (PER)
Where might an oblique/spiral fx of the fibula occur?

A

Proximal to the tibial plafond

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Lauge-Hansen Classification: Pronation abduction (PA)

Types of injuries

A
  1. Medial malleolar fx or injury to deltoid ligament
  2. Injury of anterior inferior tibiofibular ligament
  3. Transverse or comminuted fx of fibula proximal to tibial plafond
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Danis-Weber fractures

Type A: location

A

Below level of tibial plafond (syndesmosis)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Danis-Weber fractures

Type A: occur below the level of the tibial plafond (syndesmosis) and may be associated with what type of fractures?

A

Oblique or vertical medial malleolar fractures

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

Danis-Weber classification

Type B: location

A
  • At the level of the tibial plafond (syndesmosis)

- Extend proximally in an oblique fashion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Danis-Weber classification

Type C: location

A

Proximal to level of tibial plafond

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

Danis-Weber classification

Type C: occur proximal to level of tibial plafond and often have these associated injuries

A
  • syndesmotic
  • medial malleolus fx
  • deltoid ligament injury
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Calcaneal fractures: account for (%) of fractures in the foot

A

10%

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

Calcaneal fractures: what is the primary difficulty following surgery?

A

Achieving anatomical alignment

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

Calcaneal fractures: ORIF are currently advocated for what types of fractures?

A
  • intra-articular with displacement (>1 mm)

- extra-articular fx that involve soft tissue and/or that have significant malalignment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Calcaneal fractures: What constitutes significant malalignment?

A

> 10˚ valgus

> 5˚ varus

17
Q

Calcaneal fractures: Rehab

When to begin ROM and manual therapy

A

As soon as pt is weight bearing

18
Q

Calcaneal fractures: Rehab

Manual therapy for…

A

Talocrural
Subtalar
Midfoot
Toes

19
Q

Metatarsal fractures: account for (%) of ankle/foot fractures

A

< 2%

20
Q

Metatarsal fractures: Often associated with what injury

A

Ankle sprains at the 5th MTP

21
Q

Metatarsal fractures: Why associated with ankle sprains at the 5th MTP?

A

Due to strong contraction of peroneus brevis during twisting injury

22
Q

Metatarsal fractures: how long does it need to be immobilized?

A

6-8 weeks

23
Q

Metatarsal fractures: 6-8 weeks immobilized followed by

A
  • progressive WB

- addressing impairments

24
Q

Stress fractures: common sites in the ankle

A
  • anterior tibia
  • medial malleolus
  • navicular
  • proximal 5th metatarsal
  • sesamoids
  • metatarsal shafts
25
Q

Stress fractures: how many grades

A

3

26
Q

Stress fractures: Grade 1

A

Periosteal edema on fat suppressed T2 (shin splints)

27
Q

Stress fractures: grade 1 aka

A

Shin splints

28
Q

Stress fractures: Grade 2

A

Grade 1 + marrow edema on T2 image

29
Q

Stress fractures: Grade 3

A

Grade 2 + clearly visible fracture

30
Q

Anterior tibial stress fracture:

Intervention

A

Rest
Pneumatic boot
Sometimes require protected WB

31
Q

Anterior tibial stress fracture:

Return to sport when?

A

8 mos

32
Q

navicular stress fracture: (high/low) risk for complications

A

High

33
Q

navicular stress fracture: Time to return to sport

A

8 mos

34
Q

navicular stress fracture: How long NWB in cast

A

Usually NWB in cast until healed

35
Q

Metatarsal stress fractures: treatment

A

NWB short leg cast 6-8 weeks

OPTIM OCS: LQ (43 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions