Management Of Ankle Sprains (2) Flashcards
Where is a lateral ankle sprain least stable?
Loose packed
What is the position of a lateral ankle sprain?
Plantarflexion with inversion
Why are medial ankle sprains less common?
Due to decreased eversion ROM and bony architecture
What are the rarest type of ankle sprain?
Syndesmotic (high) ankle sprains
How do lateral ankle sprains progress?
From ATFL to CFL to PTFL
What are some symptoms in a grade 1 lateral ankle sprain?
Microscopic tearing of ATFL
No functional loss or instability
What is recovery time of a grade 1 lateral ankle sprain?
2-10 days
Are grade 1 lateral ankle sprains common in a PT clinic?
No rarely seen (self treat)
What is a grade 2 lateral ankle sprain?
Moderate function loss (swelling)
Involves ATFL and CFL
What is recovery time for a grade 2 lateral ankle sprain?
10-30 days
Where are grade 2 lateral ankle sprains most commonly seen?
Physical therapy
What is a grade 3 lateral ankle sprain?
Involves ATFL, CFL, and PTFL
Anterior capsule involvement
Unable to fully weight bear
What is the recovery time for a grade 3 lateral ankle sprain?
30-90 days
Where is a grade 3 lateral ankle sprain most commonly seen?
Ortho first
What does the anterior draw test for?
ATFL
When does the anterior drawer test have the best diagnostic accuracy?
5 days post injury compared to 2 days post injury
What does the talar tilt test for?
CFL
What are the Ottawa ankle rules?
Bone tenderness at posterior edge of lateral malleolus
Bone tenderness at posterior edge of medial malleolus
Bone tenderness at the base of 5th metatarsal
Bone tenderness at navicular
What percentage of ankle sprains are medial/eversion?
5-10%
What does a medial ankle sprain have potential for?
Mortise instability and medial malleolar fracture
What is a syndesmotic (high) ankle sprain?
Injury to anterior tibio fibular ligament (rotation and plantar flexion)
What is the recovery time for a syndesmotic (high) ankle sprain?
> 6 months (possible surgery)
What are special tests for syndesmotic (high) ankle sprain?
Syndesmotic squeeze
ER stress test
Fibular translation test
What are some manual techniques that may improve pain for an acute ankle sprain?
Thrust and non thrust techniques
What does therapeutic exercise help reduce?
Recurrent ankle sprains
What does chronic ankle instability feel like?
Giving way
What is associated with chronic ankle instability?
Repeated ankle sprains
Persistent weakness
Pain during activity
What are the two primary components of chronic ankle instability?
Mechanical instability and functional instability
What has no effect on treatment of acute ankle injuries?
Ultrasound, laser therapy, and electrotherapy
What is a prevention technique of chronic ankle instability?
Closed chain dorsiflexion
