Ankle Injury Management - PowerPoint PPT Presentation

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Ankle Injury Management

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Ankle Injury Management Module J2 Bones and Prominent Boney Features Calcaneus Talus Cuboid Navicular Cuneiforms Tibia Fibula Articulations Ankle Mortice Distal ... – PowerPoint PPT presentation

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Title: Ankle Injury Management


1
Ankle Injury Management
  • Module J2

2
Bones and Prominent Boney Features
  • Calcaneus
  • Talus
  • Cuboid
  • Navicular
  • Cuneiforms
  • Tibia
  • Fibula

3
Articulations
  • Ankle Mortice
  • Distal Tibiofibular- is a fibrous articulation.
    It is between the lateral malleolus and the
    distal end of the tibia. Reinforced by ankle
    ligaments
  • Subtalar- Consists of the articulation between
    the talus and the calcaneous.
  • Transverse Tarsal

4
Ligaments
  • Anterior/posterior tibiofibular- (aka syndesmotic
    ligaments)
  • Calcaneofibular-
  • Anterior talofibular
  • Deltoid
  • Peroneal retinaculum

5
Ligaments
6
Muscles
  • Ant. Tibialis
  • Flexor hallicus longus
  • Flexor digitorum longus
  • Posterior tibialis
  • Extensor hallicus longus
  • Extensor digitorum longus
  • Peroneus longus
  • Peroneus brevis
  • Peroneus tertius
  • Gastrocnemius
  • Soleus

7
Other structures
  • Anterior tibial artery
  • Deep peroneal n.
  • Superficial peroneal n
  • Posterior tibial n.

8
(No Transcript)
9
Anterior Drawer Test
  • Used to determine the extent of an injury to the
    ATF ligament primarily and the other lateral
    ligaments secondarily.
  • Have athlete sit on the edge of a treatment table
  • ATC grasps the lower tibia in 1 hand and the
    calcaneus in the palm of the other
  • Tibia is then pushed backward as the calcaneus is
    pushed forward
  • Positive sign the foot slides forward, sometimes
    making a clunking sound as it reaches its end
    point. Generally indicates a tear in the ATF

10
Talar Tilt test
  • Used to determine the extent of inversion or
    eversion injuries
  • Foot positioned at 90 to the lower leg and
    stabilized, the calcaneus is inverted
  • Excessive motion of the talus indicates injury to
    the CF and possibly the ant/posterior talofibular
    ligaments as well

11
Kleigers test
  • Used primarily to determine injury to the deltoid
    ligament. It can also, however, indicate injury
    to structures that support the distal ankle
    syndesmosis, including the ant/posterior
    tibiofibular ligaments and the interosseous
    membrane
  • Athlete should be seated with legs over the table
  • One hand stabilizes the lower leg while the other
    holds the medial aspect of the foot
  • Rotate laterally
  • Pain over the deltoid ligament indicates injury,
    and pain over the lateral malleolus indicates
    injury to the syndesmosis

12
Tap test
  • Tinels sign
  • Malleolus fx

13
Injuries and Conditions
  • 1st ankle
  • 2nd ankle
  • 3rd ankle
  • Sprain- dislocation
  • Anterior tibial strain
  • Peroneal strain
  • Fracture
  • Stress fracture
  • Avulsion fracture

14
The End
  • Questions???
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