Injuiees Part 2

Question 1

What does extra-articular mean

Answer 1

Not involving joints (avulsion fracture)

Question 2

What’s the signs and symptoms and MOI for calcaneal fracture

Answer 2

Signs and symptoms- pain in heel and can’t bear weight, swelling and ecchymosis of heel and ankle

MOI- violent fall from a height

Question 3

What are the special test for calcaneal fracture

Answer 3

• percussion

- hoffa’s

Question 4

What is MOI for calcaneal apophysitis and what type of patient is it common in

Answer 4

MOI: repetitive stress in area

Common in adolescent athletes

Question 5

What’s the signs and symptoms for calcaneal apophysitis

Answer 5

• pain and swelling in heel
• limping or walking on ties
• difficulty in daily activity

Question 6

What is the special test for calcaneal apophysitis

Answer 6

• pain when both sides of heel is squeezed

- refer for appropriate follow-up

Question 7

What is MOI for Talar fracture and what is it

Answer 7

MOI- associated with hyperdorsiflexion

Uncommon but often result in avascular necrosis

Question 8

What’s the signs and symptoms for Talar fracture and special test

Answer 8

Signs and symptoms-serve ankle pain with ROM, effusion and tenderness of the talus and subtalar joint

Special test - percussion

Question 9

What are the different classification for Talar fractures

Answer 9

Type1- non displaced Talar neck fracture

Type2- displaced with subluxation if subtalar joint

Type3-displaced with dislocation of body from ankle mortise

Type4- displaced with subluxation or dislocation of talonavicular joint

Question 10

What is the MOI for phalangeal fracture

Answer 10

• dropping heavy object on foot
• kicking or stubbing
• may accompany dorsal dislocation of DIP or PIP

Question 11

What is the signs and symptoms for phalangeal fracture and special test

Answer 11

Signs and symptoms- pain, swelling, tenderness, LOF, ecchymosis

Special test-percussion and axial compression with torsion

Question 12

What’s the MOI for an acute jones fracture

Answer 12

Traumatic plantarflexion/ inversion

Question 13

What’s the MOI for chronic jones fracture

Answer 13

Persistent repetitive overexposure to mechincal stresses

Question 14

What’s the signs and symptoms for jones fracture and special test

Answer 14

Signs and symptoms- heal slowly, pain, swelling and point tenderness at base of 5th

Special test- percussion and axial compression with torsion of 5th phalange

Question 15

What is Lisfranc (mid foot) Injury

Answer 15

Result if midfoot bones are fracture or ligaments that support joints are sprained

Question 16

What’s the MOI for Lisfranc injury

Answer 16

Falling forward in hyperplantarflexed and hypertorsion at midfoot during fall

Question 17

What does intra-articular mean

Answer 17

Involving joints (more serve)

Question 18

In what sports is Lisfranc injury common in

Answer 18

Football and soccer

Question 19

What are the special test for Lisfranc injury

Answer 19

Midfoot drawer

Midfoot torsion

Question 20

What is trigonum syndrome

Answer 20

Accessory bone that may develop behind talus; connected by fibrous band

Question 21

What’s the MOI for trigonum syndrome

Answer 21

• plantarflexion and inversion ankle sprain
• repetitive plantarflexion
• common in ballet and soccer players
• causes compression btw tibia and calcaneus

Question 22

What’s the signs and symptoms for trigonum syndrome

Answer 22

• aching pain in back of ankle while plantarflexing

- point tenderness in back of heel