Ankle: Pathologies 5 Flashcards

1
Q

Stress fractures vs. MTSS

Similarities: both diagnoses have

A
  • Same MOI

- Tibial tenderness

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2
Q

Stress fractures vs. MTSS

What might aid in diagnosing a tibial stress fx?

A
  • Location of tibial tenderness

- unable to differentiate medial tibial pain without imaging

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3
Q

Stress fractures vs. MTSS

Imaging

A

MRI

Bone scan

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4
Q

Stress fractures vs. MTSS

Radiographs?

A

Often cannot pick up a stress fx but may show healing around the stress fx

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5
Q

Factors contributing to development of MTSS: women vs men

A

Women > men

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6
Q

Factors contributing to development of MTSS: 74% overall prediction accuracy with these factors

A
  • female

- excessive pronation

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7
Q

Factors contributing to development of MTSS: 68% overall prediction accuracy with what test

A

Navicular drop test

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8
Q

Treatment for MTSS: low level of evidence for these interventions

A
  • treat biomechanical faults
  • relative rest
  • avoid training on hard, uneven surfaces
  • avoid training at higher duration, intensity, or frequency
  • appropriate footwear
  • gastroc/soleus flexibility
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9
Q

Treatment for MTSS: Low level of evidence for relative rest…

A

4 mos OR until activity is pain free

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