Quiz 3: 2 Flashcards
Which type of ankle sprain is considered the most severe?
high ankle sprain (syndesmotic injury)
What is done to repair a high ankle sprain?
ORIF
In a pt with a high ankle sprain, what motion do they usually lose?
DF
Name the 10 special tests for the ankle
- Anterior drawer
- Posterior drawer
- Varus
- Valgus
- Shuck
- Ankle impingement
- Kleiger
- ER
- Calcaneal tap
- Compression/distraction
Which structure is implicated?
anterior drawer
ATFL
Which structure is implicated?
posterior drawer
PTFL
Which structure is implicated?
Varus
CF
Which structure is implicated?
Valgus
Deltoid
Which structure is implicated?
Ankle impingement
- ankle impingement syndrome
- sinus tarsi
Which structure is implicated?
Kleiger
deltoid ligament
Which structure is implicated?
ER
high ankle sprain (syndesmotic injury)
Which structure is implicated?
Shuck
capsule
Which structure is implicated?
calcaneal tap
fx
Which structure is implicated?
compression/distraction
- fx
- diastasis
What is a night splint used for?
- plantar fasciitis
- keep fascia in a slightly lengthened position at night to avoid pain in the morining
What position does your foot fall into at night?
Bergman’s position
Describe Bergman’s position
slight PF and inversion
What “rules” are used to decide when to refer for radiograph?
Ottawa ankle rules
What four areas should be palpated for tenderness when following the Ottawa ankle rules?
- posterior distal fibula (6 cm proximal)
- base of 5th metatarsal
- Posterior medial malleoli
- Navicular
What do you do if your pt has tenderness in any of the areas palpated for the Ottawa ankle rules?
refer for radiograph
Ottawa ankle rules: What if the pt doesn’t have tenderness in the spots palpated?
have then take 4 steps, 2 on each foot
What percentage of ER radiographs are ankles?
10%
For a runner with a “high arch”, what is their foot alignment and what kind of shoe should they wear?
- supinated
- neutral cushioning shoe
What is the alignment and shoe for a runner with “normal arch”?
- neutral
- stability shoe
What is the alignment and shoe for a runner with “flat foot”?
- pronation
- motion control shoe
How long does the typical running shoe last?
300-500 miles