ankle sprain

Question 1

name the 3 joints at the ankle

Answer 1

the talocrural joint, subtalar joint, inferior tibia fibula joint

Question 2

Name the 3 lateral ligaments

Answer 2

ATFL, PTFL, CFL

Question 3

Name the medial ligaments

Answer 3

Deltoid (tibiotalor, tibiocalcanal, tibinavicular), spring & tibio spring ligaments

Question 4

name the syndesmosis ligaments

Answer 4

AITFL, PITFL, interosseous membrane.

Question 5

artery

Answer 5

tibial artery

Question 6

most common injury?

Answer 6

ATFL

Question 7

champions league study: how many ankle sprains per season?

Answer 7

4-5

Question 8

what percent were syndesmosis injuries?

Answer 8

3%

Question 9

what is the RTP for
1. lateral
2. medial
3. syndesmosis

Answer 9

1. 15
2. 14
3. 43

Question 10

what’s the MOI for lateral ankle sprain?

Answer 10

• Inversion and internal rotation.
• irrespective of sagittal plane of motion.
• can be DF or PF position.

Question 11

what’s the MOI for syndesmosis injury ?

Answer 11

DF and external rotation of the foot

Question 12

Clinical Ax?

Answer 12

ottawa rules

Question 13

what’s the sensitivity and specificity of Ottawa rules?

Answer 13

sens 96.4-99%
spec 26.3- 47.9 %

Question 14

if the tests are negative what are the chances of a fracture?

Answer 14

less than 1%

Question 15

what are the 2 zones assessed?

Answer 15

malleolar and midfoot

Question 16

testing for syndesmosis injury, what is the test for sensitivity and specificity?

Answer 16

sensitivity: palpation of syndesmosis.
specificity: squeeze test

Question 17

what’s the gold standard?

Answer 17

arthroscopy

Question 18

whats the treatment or rehab ?

Answer 18

ROAST

Question 19

what are the 5 assessment criteria?

Answer 19

MOI, WB status, previous Hx, palpation of ligaments, palpation of bones.