most common injury gross and functional anatomy of the ankle joint
TRANSCRIPT
P. Longus
P. Brevis
P. Tertius
Ext. Digitorum Longus
Ext. Hallucis Longus
Tib. Anterior
Tib. Posterior
Flex. Digitorum Longus
Flex. Hallucis LongusAchilles
Tendon
Anterior Inf. Tib-fib.
Ant. Talofibular.
Post. Talofib.
Calcaneofibular
P. Brevis
Base 5
Lateral Structures Ankle
Subjective: Information that is gathered from the athlete.
Objective: Observable or measurable findings.
PAIN RESPONSE OF DAMAGED TISSUE
1. Damaged muscle and ligaments are painful when stretched.
2. Damaged muscle is painful to contract.
FIELD ASSESSMENT
Ankle Sprains - General
Mechanism of Injury
Pain …… where?
Hear/feel anything?
Injured before?
Continue with activity?
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4
PALPATIONAnterior Inferior Tibiofibular Ligament
Anterior Talofibular
Base of 5th Metatarsal
Calcaneofibular Lig.
INVERSION SPRAINSOne area of tenderness.
No sensation of tearing or feeling
unstable.
Full ROM with discomfort on active plantar flexion and inversion.
.. 2
.. 2
Stand athlete to check for pain in ankle or leg.
Walk to the sideline if athlete can walk
without a limp.
INVERSION SPRAIN
At least two areas of pain.
Hear/feel of tearing.
Painful ankle.
Limitation of pl. flexion and inversion.
2..
…2
Check to see if the athlete can stand.
Determine where the pain is located (leg pain
N.W.B.).
If they can walk, but limp, remove N.W.B.
EVERSION SPRAIN• Least common sprain.
• Most fractures happen in eversion.
• Stability of the medial ankle depends upon the Deltoid Ligament and the lateral malleolus.
EVERSION• Slight medial tenderness.
• Pain and slight limitation on active eversion.
• Stand to determine if there is leg pain.
• Walk off playing surface if not antalgic.
ANKLE SPRAIN SEVERE
Rigid, high footwear.
Unable to continue on with the activity.
Leg pain on standing.
THE MINOR SPRAIN
Can this athlete return to play during this contest?
Definition… Discomfort versus pain?Pain changes the way you do things!
Dissect the sport into its’ components starting from the most simple on the ankle and progress to the most difficult. If they can perform the test without pain… then return. (Following taping?)
PREPARE FOR RETURN
Aside from the ‘formal’ rehabilitation, the athlete must work on maintaining conditioning and doing whatever sport skills they can.