Date post: | 18-Dec-2015 |
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Risk Factors
• Poor rehab• Poor proprioception• Weak muscles• Poor ankle instability• Lack of warm up• Running on uneven
surfaces• Poor heel support
Ankle sprains
• First degree
• Second degree- partial severe tear, moderate instability, ,moderate pain
• Third degree – severe pain and swelling, total tear, gross instability
Cross leg test
• High ankle sprain• Pressure is applied to the medial side of the
knee produces pain in syndesmosis area
Inversion stress test or talar tilt -
Calcaneofibular ligament instabilityend feel it is grade three
Syndesmotic ligament
• Connects the shin to the fibula• Tender front• Pain worse if foot or leg is twisted outward• Positive squeeze test• Need surgery
Ottawa ankle rules
• Pain in the malleolar region plus• Bone tenderness distal 6 posterior edge of
tibia or tip of MM• Bone tenderness along the distal 6 cmof the
posterior edge of fibula or tip of LM• Inability to bear weight to bear weight the first
4 steps
General Rehabilitation Principles
• PRICE• NASI• ROM• Strengthening• Proprioception of the
ankle joint
Rehabilitation - PRICE
• 2nd degree – immobilization of the ankle• 3rd degree – cast immobilization for 2 to 3
weeks, surgery maybe needed
Chronic ankle pain
• Poor rehab • Functional instability• Ankle impingement• Undx fx• Post-traumatic arthritis• Osteochondritis dissecans• Syndesmotic ligament injury