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Ther Ex I > Foot/Ankle > Flashcards

Foot/Ankle Flashcards

1
Q

What 3 ligaments make up the lateral ligament complex of the ankle?

A

Anterior Talofibular Ligament
Fibulocalcaneal Ligament
Posterior Talofibular Ligament

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2
Q

What is the most common ankle/foot injury?

A

Inversion Sprain

the lateral ligaments

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3
Q

How do most Inversion Sprains occur?

A

PF, Inversion + ADD

Large forces are not needed to cause injury

Usually occur with foot in an UNLOADED or NWB position prior to the injury

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4
Q

What is a 1st Degree inversion sprain?

A

Single ligament repture

Anterior Talofibular Ligament is completely torn

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5
Q

What is a 2nd Degree inversion sprain?

A

Double ligament rupture
Anterior Talofibular Ligament
and
Fibulocalcaneal Ligament

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6
Q

What is a 3rd Degree inversion sprain?

A

All 3 lateral ankle ligaments are completely torn

Anterior Talofibular Ligament
Posterior Talofibular Ligament
Fibulocalcaneal Ligament

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7
Q

What is the Talor Tilt Test?

A

It tests for ligament resistance to inversion stress

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8
Q

What is the Anterior Drawer Test (of the ankle)?

A

It assesses the integrity of the Anterior Talofibular Ligament

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9
Q

How is an inversion sprain treated?

A 
RICE
Limited movement/immobilization
Limited WB with gradual increase
Progress to concentric/eccentric contractions and proprioception ex
Avoid the motion that caused the injury
*****AVOID INVERSION****
No PF / inversion during ROM
ROM
Strengthening

3rd Degree require surgery

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10
Q

What type of exercises should be utilized in the acute stage of an inversion sprain?

A

Isometric contractions above the injury

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11
Q

What intrinsic factors can contribute to Achilles Tendonitis?

A

Decreased vascularity
Malalignment of the hindfoot or forefoot
Gastrocnemius/Soleus flexibility issues

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12
Q

What extrinsic factors can contribute to Achilles Tendonitis?

A

Variations in Training
Running Surface Changes
Poor or inappropriate footwear

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13
Q

What is Achilles Tendonitis?

A

An overuse injury resulting from repetitive microtrauma and accumulative overloading of the tendon.

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14
Q

What are the signs/symptoms of tendonitis?

A

Localized pain at the midportion, distal 1/3, and insertion on the calcaneus
Soft-tissue swelling
Crepitus

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15
Q

Why does Tendonitis rehab progress slower following immobilization?

A

Muscle atrophy / tightness

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16
Q

What is the MOI for Achilles tendon rupture?

A

Sudden forceful PF

17
Q

What is the Thompson Test?

A

Similar to the Homan Test - tests for Achilles rupture

18
Q

What is Plantar Fasciitis?

A

Inflammation of the plantar aponeurosis

19
Q

What condition can cause heel spurs?

A

Plantar Fasciitis

20
Q

Is chronic or acute Compartment Syndrome a medical emergency?

A

Acute

21
Q

What are the general rehab suggestions for Achilles Tendon Rupture?

A

Regain full ROM following immobilization
Heel-lift 3-4 weeks following immobilization
Progressive ex using Theraband
Proprioception ex
CKC ex
WB PF once complete ROM AND strengthening ex achieved w/out complication

22
Q

What are Mallet Toes?

A

Neutral MTP
Neutral PIP
Flexed DIP

23
Q

What are Hammer Toes?

A

MTP Neutral or in Extension
PIP in Flexion
DIP either flexed or extended

24
Q

What are Claw Toes?

A

Similar to hammer toes
Distinguishing factor = MTP hyperextension
PIP flexion & DIP flexion

25
Q

What combined motions cause supination and pronation of the foot/ankle complex?

A

Pronation: Dorsiflexion, eversion & ABD

Supination: Plantarflexion,inversion & ADD

26
Q

What ligament is most affected by medial or eversion ankle sprains?

A

Deltoid Ligament

27
Q

What is the position of comfort for an inversion ankle sprain during the protection phase of rehabilitation?

A

???

28
Q

What is the most important muscle to strengthen for lateral ankle instability?

A

Peronius Brevis???

29
Q

What are common sites for stress fractures of the LE?

A 
Metatarsals
Lateral Malleolus
Os Calcis
Navicular
Sesamoid
30
Q

What is Medial Tibial Stress Syndrome?

A

Shin splints

Overuse injury of the lower leg involving the distal 1/3 of the posterior medial border of the tibia

31
Q

What are the s/s of hardwar loosening after a bimalleolar fx ORIF?

A

Increased pain
Swelling
Crepitus
Motion

Ther Ex I (5 decks)

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