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MSK 2 > Management Of Ankle Sprains (2) > Flashcards

Management Of Ankle Sprains (2) Flashcards

1
Q

Where is a lateral ankle sprain least stable?

A

Loose packed

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2
Q

What is the position of a lateral ankle sprain?

A

Plantarflexion with inversion

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3
Q

Why are medial ankle sprains less common?

A

Due to decreased eversion ROM and bony architecture

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4
Q

What are the rarest type of ankle sprain?

A

Syndesmotic (high) ankle sprains

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5
Q

How do lateral ankle sprains progress?

A

From ATFL to CFL to PTFL

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6
Q

What are some symptoms in a grade 1 lateral ankle sprain?

A

Microscopic tearing of ATFL

No functional loss or instability

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7
Q

What is recovery time of a grade 1 lateral ankle sprain?

A

2-10 days

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8
Q

Are grade 1 lateral ankle sprains common in a PT clinic?

A

No rarely seen (self treat)

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9
Q

What is a grade 2 lateral ankle sprain?

A

Moderate function loss (swelling)

Involves ATFL and CFL

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10
Q

What is recovery time for a grade 2 lateral ankle sprain?

A

10-30 days

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11
Q

Where are grade 2 lateral ankle sprains most commonly seen?

A

Physical therapy

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12
Q

What is a grade 3 lateral ankle sprain?

A

Involves ATFL, CFL, and PTFL

Anterior capsule involvement

Unable to fully weight bear

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13
Q

What is the recovery time for a grade 3 lateral ankle sprain?

A

30-90 days

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14
Q

Where is a grade 3 lateral ankle sprain most commonly seen?

A

Ortho first

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15
Q

What does the anterior draw test for?

A

ATFL

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16
Q

When does the anterior drawer test have the best diagnostic accuracy?

A

5 days post injury compared to 2 days post injury

17
Q

What does the talar tilt test for?

A

CFL

18
Q

What are the Ottawa ankle rules?

A

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

19
Q

What percentage of ankle sprains are medial/eversion?

A

5-10%

20
Q

What does a medial ankle sprain have potential for?

A

Mortise instability and medial malleolar fracture

21
Q

What is a syndesmotic (high) ankle sprain?

A

Injury to anterior tibio fibular ligament (rotation and plantar flexion)

22
Q

What is the recovery time for a syndesmotic (high) ankle sprain?

A

> 6 months (possible surgery)

23
Q

What are special tests for syndesmotic (high) ankle sprain?

A

Syndesmotic squeeze

ER stress test

Fibular translation test

24
Q

What are some manual techniques that may improve pain for an acute ankle sprain?

A

Thrust and non thrust techniques

25
Q

What does therapeutic exercise help reduce?

A

Recurrent ankle sprains

26
Q

What does chronic ankle instability feel like?

A

Giving way

27
Q

What is associated with chronic ankle instability?

A

Repeated ankle sprains

Persistent weakness

Pain during activity

28
Q

What are the two primary components of chronic ankle instability?

A

Mechanical instability and functional instability

29
Q

What has no effect on treatment of acute ankle injuries?

A

Ultrasound, laser therapy, and electrotherapy

30
Q

What is a prevention technique of chronic ankle instability?

A

Closed chain dorsiflexion

MSK 2 (21 decks)

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