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Lower Limb > Tibiofibular sydesmosis > Flashcards

Tibiofibular sydesmosis Flashcards

1
Q

5 Facts about Tibiofibular sydesmosis

A
  • Less common than lateral ankle sprain
  • Occurs on 1-18% of all ankle sprains
  • can be accompainied by lesion of deltoid ligament, lateral or medial malleolus #
  • Difficult to elevate
  • longer recovery time
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2
Q

What is the mechanism of injruy

A

-external foot rotation

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3
Q

Whats sports is external rotation likely to occur

A
  • rugby
  • football
  • skiing
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4
Q

What sports is dorsiflexion likely to occur

A
  • running

- jumping

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5
Q

Give an example for skiing

A

ski sticks in snow causing external roatation of leg and roatation of body in opposite direction

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6
Q

Give an example for rugby

A

Blow to lateral let when player laying prone on pitch (usually occurs during pile up)

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7
Q

Give 4 symptoms

A
  • Anteriolateral ankle pain
  • pain on up side of lower leg
  • Pain on external rotation of foot
  • altered walking - crutches
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8
Q

Give 6 signs

A
  • Tenderness on AITFL + PITFL
  • Altered gait
  • Ottawa ankle rules
  • pain (more proximal than ATFL injury)
  • active or passive ER of foot
  • Active or passive DF
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9
Q

What investigations would take place

A

-X-Ray - AP, Lateral, bilateral weight baring

MRI - investigation of choice

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10
Q

What conservative treatment would you use

A

-PRICE
-NWB
-Brace/taping
-Heel lift to minimise DF when WB allowed
-ROM exercises
-strengthening
stretching
-proprioceptive exercises
-gradual loading
-single leg vertical jump
-single leg cross over hop
-box jumps
trampet

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11
Q

What treatment would you use during acute stage?

A
  • POLICE
  • NWB
  • Bracing / taping
  • STM
  • avoid ER and DF
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12
Q

What treatment would you used during sub acute stage

A

-ROM exercises
-Stretches
-PWB - FWB
-ankle strengthening
-proximal muscle strengthening
-proprioception
bike
pool

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13
Q

what treatment would you consider at sport specific stage

A
  • Drills
  • agaility
  • balance training
  • plyometrics
  • progressive return to learning
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14
Q

when would you consider return to play?

A

-high ankle sprain take twice as long to recover than lateral ankle sprain

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15
Q

What 3 indications are there for surgery

A
  • instability on radiograph
  • # requiring fixation
  • ligament tears
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16
Q

What would you consider post op

A
  • 6-8 weeks NWB

- followed by 1-2 weeks FWB with protection boot

17
Q

what is a sydismosis

A

jonit where the rough edges of two bones are held together by thick connective ligaments

18
Q

what is ankle syndesmosis more commonly know as

A

high ankle sprain

Lower Limb (17 decks)

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