Ankle Sprain

Question 1

What ligament does an ankle sprain usually involve?

Answer 1

1. ATAF
   *anterior talofibular ligament
   *Calcaneofibular ligament

Question 2

What does a high ankle sprain involve?

Answer 2

1. Syndesmosis and subtalar joint

Question 3

What ligaments of the ankle are on the lateral part of the foot?

Answer 3

1. Anterior talofibular ligament
2. Posterior talofibular ligament
3. Calcaneofibular ligament

Question 4

What ankle ligaments are on the medial side of the foot?

Answer 4

1. Deltoid

Question 5

How will a patient present with an ankle sprain

Answer 5

1. Swelling
2. Point tenderness over ligaments
3. Difficulty with WB

Question 6

If you’re suspecting a patient has an ankle sprain what tests can you conduct

Answer 6

1. Squeeze test
   *tibia and fibula at mid calf
   *pain will indicate syndesmosis injury
2. External rotation test
   *ankle is Dorsiflexion, externally rotate it
   * pain will indicate syndesmosis injury
3. Subtalar joint injury
   *tender at sinus tarsi

**1,2 need surgery

Question 7

What are some labs to order?

Answer 7

1. Can be diagnosed with H&P
2. Radiographs
   *swelling, inability to bear weight, tenderness over bone
3. MRI
   *asses the severity of the sprain

Question 8

What is the treatment?

Answer 8

1. NSAIDS, ice, elevation, ROM
2. Bracing
3. WBAT