Ortho ankle & foot

Question 1

What is the most commonly injured collateral ligament in an ankle sprain?

Answer 1

anterior talofibular

Question 2

presentation of ankle sprain

Answer 2

pop –> swelling, pain, inability to bear weight

Question 3

Grade I ankle sprain

Answer 3

tenderness & swelling

weight bear as tolerated, PT

Question 4

Grade II ankle sprain

Answer 4

tenderness & swelling, decreased ROM,possible instability

immobilize with air splint, PT

Question 5

Grade III Ankle Sprain

Answer 5

significant swelling & tenderness

instability

immobilization, PT, possible surgery

Question 6

when would you order ankle films?

Answer 6

pain along lateral or medial malleolus

Question 7

when would you order foot films for an ankle sprain

Answer 7

navicular or 5th metatarsal pain

Question 8

tenderness of tarsometatarsal joint

Answer 8

lisfranc injury

Question 9

Mechanism of lisfranc injury

Answer 9

severe plantar flexion of foot

Question 10

Stress Fx

Answer 10

overuse injury causedby repetitive stress

Question 11

Sever disease

Answer 11

inflammation of calcaneal growth plate

tenderness over apophysis

Question 12

positive calcaneal compression test

Answer 12

Sever disease

Question 13

syndesmostic ankle sprain

Answer 13

high ankle sprain

Question 14

pain is more proximal than lateral ankle sprains

Answer 14

syndesmotic ankle sprain (high ankle sprain)

Question 15

Tx for syndesmotic ankle sprain

Answer 15

immobilization, nonweightbearing, surgical mgmt

Question 16

Tarsal Tunnel Syndrome

Answer 16

compression of posterior tibial nerve in tarsal tunnel

Question 17

paresthesias and pain medial aspect of ankle, heel, foot

Answer 17

tarsal tunnel syndrome