CM- ankle sprains

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Created by:

csheerer  on December 17, 2011

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CM- ankle sprains

high ankle sprains
ATFL, PTFL, ITFL, interosseous ligament, interosseous membrane injuries
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high ankle sprains ATFL, PTFL, ITFL, interosseous ligament, interosseous membrane injuries
inversion and plantarflexion common mechanism of ankle sprains
dorsiflexion loss of ....... is noted with many ankle sprains
anterior talofibular ligament first ligament injured with ankle sprain
anterior drawer test tests anterior talofibular ligament. an abnormal exam would be an asymmetric increased motion or lack of endpoint.
talar tilt test tests integrity of calcaneofibular ligament (usually injured when foot is dorsiflexed and inverted)
talus inversion ATF pulled tight
pulls distal fibula anterior
proximal fibula moves posterior- becomes locked
anterolateral to posteromedial fibular motion with gait is.....
fibroblasts NSAIDS can inhibit production of ....... which is why they are discouraged for many ankle sprains
proprioception the goal when rehabilitating an ankle sprain is to restore.......
swing test test used to look for talar dysfunction
anterior talofibular ligament sprain NOT a cause of chronic pain after an ankle sprain
talar dome fracture injury to articular cartilage and subchondral bone which can lead to a defect in the talar surface. occassionally a loose body separates and is found within the joint (OCD). if untreated can lead to DJD
shepherd's fracture mechanism is forceful plantar flexion. may be confused with os trigonum. posterior impingment of the ankle. frequently missed fracture and complication is prolonged pain and tendinitis
forceful plantar flexion MOI for shepherd's fracture
high ankle sprains injury of tibiofibular ligaments (injured mortise joint). MOI is forceful external rotation of ankle. pain with WB. LESS swelling than regular ankle sprain
external rotation test detects high ankle sprains or injuries to the anterior or posterior tibiofibular ligaments
squeeze test tests for high ankle sprains. peformed by compressing the tibia and fibula together on the mid leg. pain is felt at the mortise joint of the ankle
midfoot sprains pain in forefoot. twist of midfoot injuries ligaments- also reproduces pain. ligaments that connect navicular, cuboid, cuneiforms to proximal metatarsals.
cast treatment for high ankle sprains (usually 2 weeks)
flat soled shoe treatment for midfoot sprains

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csheerer