MSK- Lower Limb/ Ankle

Question 1

Applied Biology- Joints

Answer 1

Distal tibiofibular joint
talocrural joint
subtalar

Question 2

Applied Biology- Ligaments

Answer 2

AITFL
PITFL
inferior tranverse lig
interosseous
deltoid
ATFL
PTFL
CFL
medial talocalcaneal lig
lateral talocalcaneal lig

Question 3

Pathologies commonly

Answer 3

lateral ankle sprain
medical ankle sprain
high ankle sprain
Achilles tendinosis
Achilles rupture
sever’s disease
shin splints
tarsal tunnel syndrome

Question 4

Ottawa rules

Answer 4

lateral malleoli
medial malleoli
base of 5th
navicular
inability to WB both immediates and for 4 steps during initial assessment

Question 5

Shin splint classifications and differences

Answer 5

Periostitis: hurts during but eases
stress fracture: constant pain
compartment syndrome: progressively worsens with exercises

Question 6

Interventions for sprains (Lateral, medial and high)

Answer 6

manage pain
manage swelling
bracing/ taping
crutches (if neccesry)
strengthening
proprioception
restore ROM
cross friction massage as tolerated

Question 7

Interventions for achilles tendiopathy?

Answer 7

avoid aggravating activities
eccentric eccentric
increase heel height
stretching
manage pain
taping
night splint
manage inflammation

Question 8

Interventions for Achilles rupture

Answer 8

-cast immobilization in maximum plantarflexion for 4 weeks, followed by 4 weeks of gradually reduced plantarflexion
-progressive ROM and strengthening post immobilization
- proprioception

Question 9

Interventions for Sever’s Disease

Answer 9

Manage pain
decrease parapmeters of aggravting activity
foot orthotics
stretching
heel lift

Question 10

Intervention for periostitis

Answer 10

avoidance of aggravting activities
manage inflammation
manage pain
tapin
orthotics
stretching
strengthening
walk-run
address alignment and biomechanical isses

Question 11

Intervention stress fracture

Answer 11

Intial period of rest
avoidance of aggravating activites
crutches
gradual progressive loading
walk-run program

Question 12

Intervention for progressive compartment syndrome

Answer 12

rest, soft tissue mobilization
surgical- interosseous membrane

Question 13

Compartments (muscles/nerve)- Anterior

Answer 13

extensor hallucis longus
extensor digitorum
tib ant
peroneaus tertius

nerve- deep peroneal nerve ( webbing between 1st and 2nd digits)

Question 14

Compartments (muscles/nerve)- lateral

Answer 14

peroneal brevis and longus

nerve- superficial peroneal nerve ( full dorsum of the foot except the webbing b/w 1st and 2nd digits)

Question 15

Compartments (muscles/nerve)- posterior superficial

Answer 15

gastroc
soleus
plantaris

nerve- sural nerve (lateral side of leg and foot to 5th metatarsal)

Question 16

Compartments (muscles/nerve)- posterior deep

Answer 16

tib post
FHL
FDL
popliteus

nerve- tibial nerve (plantar aspect of foot)