Ankle: Pathologies 5 Flashcards
Stress fractures vs. MTSS
Similarities: both diagnoses have
- Same MOI
- Tibial tenderness
Stress fractures vs. MTSS
What might aid in diagnosing a tibial stress fx?
- Location of tibial tenderness
- unable to differentiate medial tibial pain without imaging
Stress fractures vs. MTSS
Imaging
MRI
Bone scan
Stress fractures vs. MTSS
Radiographs?
Often cannot pick up a stress fx but may show healing around the stress fx
Factors contributing to development of MTSS: women vs men
Women > men
Factors contributing to development of MTSS: 74% overall prediction accuracy with these factors
- female
- excessive pronation
Factors contributing to development of MTSS: 68% overall prediction accuracy with what test
Navicular drop test
Treatment for MTSS: low level of evidence for these interventions
- treat biomechanical faults
- relative rest
- avoid training on hard, uneven surfaces
- avoid training at higher duration, intensity, or frequency
- appropriate footwear
- gastroc/soleus flexibility
Treatment for MTSS: Low level of evidence for relative rest…
4 mos OR until activity is pain free