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Diagnosis Final- Ankle
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37
Aerospace Engineering
6th Grade
05/05/2013

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Cards

Term
Location of sesamoid bone
Definition
Under first MTP
Term
Talocrural Joint- Bones and movements
Definition
Tibia, Fibula, and Talus
Plantar flexion, Dorsi Flexion
Term
Subtalar Joint- Bones and Movements
Definition
Calcaneous and Talus
Inversion/Eversion
True ankle joint
Term
Position of common ankle sprains and reason why
Definition
Plantarflexion and Eversion

Lateral aspect of ankle much weaker than medial so tear is more likely. In open packed position
Term
Medial ligaments of ankle
Definition
Deltoid, Spring (calcaneonavicular),
Term
Lateral ligaments of ankle
Definition
Anterior talofubular, calcaneofibular, posterior talofibular
Term
LisFranc Dislocation
Definition
Result of Axial loading to the TMT joints that causes foot to go into dorsiflexion and toes into extension.
Term
Jones Fracture
Definition
Peroneous Breavis stronger than bone of attachment point, pulls bone out of place.

Evulsion Fx
Term
Pathomechanics, Sx, MGMT of Lateral ankle sprains
Definition
Path: Ankle in dorsiflexion and inversion, muscles aren't strong/ fast enough to prevent rolling, results in tear of ligament

Sx: Swelling, pain, non weight bearing, audible pop/tear

Mgmt: Ice, brace/tape, strengthening exercises
Term
Grades of ankle sprain
Definition
Grade 1: minor irration
Grade 2: length of ligament increased
Grade 3: torn, tensile limit exceeded
Term
Why eversion is limited in ankle
Definition
strength of deltoid ligament and longer lateral malleolus
Term
Deltoid ligament sprain Pathomechanics, Sx, MGMT, special tests
Definition
Path: external rotation of talus

Sx: localized swelling, pain along medial joint line, same as lateral

MGMT: Same

Tests: Posterior Drawer, eversion talar tilt
Term
Plantar Fascitis Pathomechanics, Sx, MGMT
Definition
Path: Poor footwear, rapid gain of weight, doing too much too soon. Swelling of plantar fascia.

Sx: stabbing pain in the morning which gets better with each step

MGMT: keep toes and achilles flexible, stretching, night splint, orthrodics
Term
Interdigital Neuroma Pathomechanics, Sx, MGMT
Definition
PAth: BFT causes shoes to compress nerve tunnel, scar tissue forms, and tunnel wears down.

Sx: hot, knife like pain, no swelling, worse with weight bearing

MGMT: ultrasound, stretch, arch pad

Tests: Erbs Point
Term
Syndesmotic sprain Pathomechanics, Sx, MGMT
Definition
Path: forced hyper dorsiflexion/hyperplantar flexion. Causes distal syndesmoses to spread

Sx: pain, swelling

MGMT: Non weight bearing while healing, immobilize
Term
5 steps of normal gait cycle
Definition
Heel contact, flat foot, mid stance, heel off, toe off
Term
Foot biomechanics
Definition
1. shock absorber through heel
2. Mobile adapter as weight travels laterally
3. Rigid lever as it travels across foot medially into big toe
Term
Supination
Definition
Rolling ankle out
Term
Pronation
Definition
Rolling ankle in
Term
Primary muscle movers dorsiflexion
Definition
Tibalias anterior, extensor digitorum longus
Term
Primary muscle movers pantar flexion
Definition
gastroc, soleus
Term
Primary muscle movers Inversion
Definition
Tibalias posterior, flexor digitorum longus
Term
Primary muscle movers Eversion
Definition
Peroneus longus and breavis
Term
Chronic instability of ankle Intrinsic

Causes, diagnosis, mgmt, tissue issue
Definition
Causes: ATF/CF laxitiy

Dx: Ant drawer, talat tilt

MGMT: 6-8 weeks rehab, surgical (?)

non-contractile
Term
Chronic Instability extrinsic

causes, diagnosis, MGMT
Definition
Causes: muscular weakness

DX: MMT, balance

MGMT: bracing, rehab

Contractile
Term
Modified ottawa ankle rules
Definition
1. cannot take more than 3 steps
2. pain on midline of distal tib and lateral fib up 6cm
3. point tender on navicular/base of 5th
Term
Medial Tibial Stress syndrome- Path, Sx
Definition
Path: over pronation, arch issues, common while growing

Sx: pain increased with exercise at shins
Term
Exertional Compartment Syndrome: path, SX

First red flag
Definition
Path: overuse results in swelling causing restricted blood flow and nerve supply

Sx: 1. Parathesia, weakness, foot drop (long progression)

Parathesia = red flag
Term
Thompsons Test
Definition
Used to detect achilles ruptures
Term
Medial compartment lower leg
Definition
Tibalis posterior, flexor hallicus longus, flexor digitorum longus
Term
Anterior compartment lower leg
Definition
Tibalis anterior, extensor hallicus longus, extensor digitorum longus
Term
Posterior compartment lower leg
Definition
Gastroc soleus
Term
Lateral compartment
Definition
Peroneus longus and breavis
Term
Dorsiflexion ROM

necessary to walk/jog
Definition
20

5 necessary to walk
10 necessary to jog
Term
Plantarflexion ROM
Definition
45
Term
Inversion ROM
Definition
30
Term
Eversion ROM
Definition
10
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