Injuires Part 3 Flashcards
What’s the different grades for a LAS
Grade 1- mild pain and patient can walk without crutches
Grade 2- moderate pain and patients have pain with walking
Grade3 -serve pain and patent can not place any weight on it
What is a cuboid subluxation and what’s the signs and symptoms
Occur with hyperplantarflexion and inversion make the cuboid for move inferior and medial
Dull Pain on the lateral side of foot worded with plantar flexion and inversion
What’s the special test for a cuboid subluxation
Compression the metatarsals to heighten the bones
What’s the MOI for medial ankle sprains and what’s the special test
Hyperplantarflexion with hypereversion
Kleigers test
Everison Talar tilt
What the signs and symptoms for medial ankle sprain
Similar to the grading for LAS
What is syndesmotic ankle sprain referred to
High ankle sprain
What’s the MOI and signs and symptoms for syndesmotic ankle sprain
Forced dorsiflexion and hyper-eversion occurs with lateral or medial ankle sprain
Severe pain with ER, difficulty ambulating, effusion at mortise, ecchymosis
What’s the special test for syndesmotic ankle sprain
Tibial torsion
Kleigers test
What the MOI for LAS and what’s the special test
Hyperplantarflexion and hyperinversion
Anterior drawer (ATF ligament) Inversion Talar tilt (CF ligament)
What the MOI for a posterior ankle dislocation
Common in plantarflexed
Tibiofibular syndensmosis or fracture of lateral malleous
What’s the MOI for anterior ankle dislocation
While the foot is fixed and a posterior force applied to tibia or with forced dorsiflexion
What the MOI for lateral ankle fracture
Inversion, eversion, or ER/IR of ankle
Fracture of either or both malleoi or the distal fibula
What’s the MOI for superior ankle dislocation
Patient should be evaluated for concomitant calcaneal fracture
When talus is driven upward into mortise
What’s the urgent care for ankle dislocation
- Asses for concomitant Fx
- Splint joint above and below
- asses distal pulses and sensory
- call 911 and monitor for shock
What’s the MOI and signs and symptoms for tibial and fibular stress fracture
Overuse
Distal 1/3- runners
Mid 1/3- dancers
Signs and symptoms : Point tender Antalgic gait Potential crepitus Pain and swelling
What’s the special test for a stress fracture to the tib-fib
Percussion/bump
Compression
Tuning fork
What’s the MOI for a tibial fracture and signs and symptoms
Violent direct trauma to distal 1/3
Severe pain Swelling Tenderness Ecchymosis Antalgic gait Deformity
What’s the special test for a tibial fracture
Percussion/bump
Compression
Torsion
What’s the MOI for a fibular fracture and signs and symptoms
Direct blow
Same as tibial fracture
What is the most common lower extremity fracture
Mid 1/3 fibular fracture
What’s the special test for a fibular fracture
Percussion /bump
Compression
Torsion
What are the different types of tendiopathy
Peroneal tendon
Tibialis anterior
Tibialis posterior
Achilles’ tendon
What is peroneal tendiopathy common with
Pes cavus
What is tibialis anterior tendiopathy common with
Downhill running
What is tibialis posterior common with
Hypermobile or pronated feet
What is Achilles’ tendon tendinopathy common with
Overuse, friction from poor fitting shoes
What are the signs and symptoms for tendiopathy
Pain Dull ache Tenderness Mild swelling Weakness
What is the most common tibial stress syndrome
Posterior compartment deep
What’s the MOI for tibial stress syndromes and signs and symptoms
Repetitive microtrauma
Tenderness, soreness or pain along aspects of the lower leg
Mild swelling
What’s the percent of runners injury due to shin splints and lower leg pain
10-15% of running injuries
60% of lower leg pain
What’s does the anterior compartment of compartment syndrome associate with and what does the deep posterior associate with
Numbness and 1 and 2 web space
Numbness of 4 and 5 metatarsal
