Ankle Sprain

Question 1

What are the MOA of types of ankle sprains?

Answer 1

Inversion, lateral lig damage
Eversion, medial lig damage
Compressive forces, consider osteochondral injury
DF/ext rotation-syndesmosis

Question 2

Important questions to ask

Answer 2

• Onset of Pain
• ability to WB
• Location and degree of pain and swelling
• Initial Mx
• Previous Hx

Question 3

Clinical examiniation

Answer 3

-Swelling bruising in area
-Pain of palpation
-active, passive, resisted movements
Functional movements
-Lunge test
-single leg stance
-Hop
Ankle sprain tests
-Anterior drawer test
Syndesmosis tests
-Squeeze test
Radiological
-X-ray if bone tenderness, base of 5th met, navicular pain or inability to WB
-MRI and CT scan

Question 4

Treatment

Answer 4

• Early mobilisation
• Ankle taping
• ankle compression
• NSAIDS
• Icing
• Rest with gradual return to activity