Grade 2 Lateral Ankle Sprain CAT Flashcards
1
Q
Which ligaments are implicated with a lateral ankle sprain?
A
- Anterior talofibular ligament (ATFL)
- Calcaneofibular (CFL)
- Posterior talofibular ligament (PTFL)
2
Q
Anterior talofibular ligament (ATFL)
A
- Anterior translation of talus on tibia
- Inversion of talus and calcaneus
- Becomes tight during plantar flexion
3
Q
Calcaneofibular (CFL)
A
Resists inversion of talus in midrange of talocrural motion
4
Q
Posterior talofibular ligament (PTFL)
A
- Resists posterior translation of talus
- Strongest of lateral ligaments
5
Q
Of the lateral ankle ligaments, which one is most likely to be damaged by an inversion ankle sprain?
A
ATFL
6
Q
Clinical presentation
A
- Pain or tenderness along lateral aspect of ankle
- Pain will limit strength assessment
- AROM should be used to rule out achilles tendon rupture
- Antalgic gait due to pain
- Ecchymosis and edema may be present
7
Q
Role of imaging in lateral ankle sprain
A
Not usually used due to cost
8
Q
Test for ATFL
A
Anterior drawer test
9
Q
Test for CFL
A
Talar tilt
10
Q
How to test for possible neurovascular complications with ankle sprain?
A
Distal pulses and sensory testing
11
Q
Additional findings commonly associated with lateral ankle sprain
A
- Proprioceptive deficits
- Possible osteochondral or chondral injuries for talar dome
- Neurovascular disruption
- Achilles tear
12
Q
Management of grade 2 lateral ankle sprain
A
- RICE
- Proprioceptive training
- ROM
- Strengthening
- Stability
- Transverse friction massage
13
Q
Timeline for recovery for ankle sprain
A
- 2-6 weeks
- Taping or bracing for athletes
