Lateral Ligament ankle sprain Flashcards
1
Q
What is the mechanism of injury for a lateral ligament ankle sprain
A
- activities requiring rapid changes of direction
- inversion + plantarflexion
2
Q
What are the symptoms of a lateral ligament ankle sprain?
A
- snap, crack or tear
- swelling
- bruising
- pain
- decrease ROM
3
Q
What are the SIGNS of a lateral ligament ankle sprain
A
- swelling
- bruising
- decrease ROM
- pain
- decrease strength
- gait
4
Q
what are the 3 grades of laxity
A
grade 1 - no abnormal laxity
grade 2 - degree of laxity but firm end point
grade 3 - gross laxity, no definate end point
5
Q
What investigation would take place
A
- xray
- MRI
- Bone scan
6
Q
what detrmins an x-ray?
A
ottowa ankle rules
7
Q
what are the ottowa ankle rules?
A
pain on ;
- posterior edge of lateral malleolus
- posterior edge of medial malleolus
- base of 5th metatarsal
- navicular
- inability to weight bare
8
Q
what are you ruling out with a bone scan
A
- talar dome fracture
- fibula fracture
- 5th metatarsal fracture
- bone bruising
- osteochondral lesion talus
9
Q
what are the aims of treatment ?
A
- restore full ROM
- Muscle strengthening
- proprioception
- functional exercises
- sport specific exercises
- decrease pain and swelling
