CM- ankle sprains
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21 terms
Terms | Definitions |
|---|---|
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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