Quiz 3: 2 Flashcards

1
Q

Which type of ankle sprain is considered the most severe?

A

high ankle sprain (syndesmotic injury)

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2
Q

What is done to repair a high ankle sprain?

A

ORIF

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3
Q

In a pt with a high ankle sprain, what motion do they usually lose?

A

DF

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4
Q

Name the 10 special tests for the ankle

A
  1. Anterior drawer
  2. Posterior drawer
  3. Varus
  4. Valgus
  5. Shuck
  6. Ankle impingement
  7. Kleiger
  8. ER
  9. Calcaneal tap
  10. Compression/distraction
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5
Q

Which structure is implicated?

anterior drawer

A

ATFL

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6
Q

Which structure is implicated?

posterior drawer

A

PTFL

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7
Q

Which structure is implicated?

Varus

A

CF

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8
Q

Which structure is implicated?

Valgus

A

Deltoid

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9
Q

Which structure is implicated?

Ankle impingement

A
  • ankle impingement syndrome

- sinus tarsi

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10
Q

Which structure is implicated?

Kleiger

A

deltoid ligament

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11
Q

Which structure is implicated?

ER

A

high ankle sprain (syndesmotic injury)

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12
Q

Which structure is implicated?

Shuck

A

capsule

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13
Q

Which structure is implicated?

calcaneal tap

A

fx

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14
Q

Which structure is implicated?

compression/distraction

A
  • fx

- diastasis

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15
Q

What is a night splint used for?

A
  • plantar fasciitis

- keep fascia in a slightly lengthened position at night to avoid pain in the morining

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16
Q

What position does your foot fall into at night?

A

Bergman’s position

17
Q

Describe Bergman’s position

A

slight PF and inversion

18
Q

What “rules” are used to decide when to refer for radiograph?

A

Ottawa ankle rules

19
Q

What four areas should be palpated for tenderness when following the Ottawa ankle rules?

A
  1. posterior distal fibula (6 cm proximal)
  2. base of 5th metatarsal
  3. Posterior medial malleoli
  4. Navicular
20
Q

What do you do if your pt has tenderness in any of the areas palpated for the Ottawa ankle rules?

A

refer for radiograph

21
Q

Ottawa ankle rules: What if the pt doesn’t have tenderness in the spots palpated?

A

have then take 4 steps, 2 on each foot

22
Q

What percentage of ER radiographs are ankles?

A

10%

23
Q

For a runner with a “high arch”, what is their foot alignment and what kind of shoe should they wear?

A
  • supinated

- neutral cushioning shoe

24
Q

What is the alignment and shoe for a runner with “normal arch”?

A
  • neutral

- stability shoe

25
Q

What is the alignment and shoe for a runner with “flat foot”?

A
  • pronation

- motion control shoe

26
Q

How long does the typical running shoe last?

A

300-500 miles