melissa -Ankle/Foot Assignment

Question 1

What combined motions cause supination and pronation of the foot/ankle complex?

Answer 1

1. Sup = PF, inv, ADD
2. Pro = dorsi, evr, ABD

Question 2

If a patient tore both the anterior talofibular and the calcaneofibular ligaments, what grade of injury would this best represent according to the Leach scale?

Answer 2

second degree sprain

Question 3

What ligament is most affected by medial or eversion ankle sprains?

Answer 3

Deltoid ligament

Question 4

What is the position of comfort for an inversion ankle sprain during the protection phase of rehabilitation?

Answer 4

Immobilized in neutral or in slight dorsi and eversion

Question 5

For lateral ankle instability, what is the most important muscle to strengthen?

Answer 5

everters

Question 6

What type of testing is utilized to identify an Achilles rupture?

Answer 6

Thomas test (absence of reflective PF with the pt in prone with the knee flexed or the knee extended and the foot over the edge of the table and the calf squeezed)

Question 7

What is the difference between acute and chronic compartment syndrome?

Answer 7

Acute is a medical emergency chronic is usually associated with exercise.

Question 8

What are common sites for stress fx of the LE?

Answer 8

Metatarpals, lateral malleolus, os calcis, navicular, and sesamoid

Question 9

What types of interventions are appropriate for patients suffering from a stress fx?

therapeutic agents to relieve pain and swelling not at risk pt?

Answer 9

• relative rest
• specific leg ankle and foot stretching
• strengthening exercise.
• For very active people you can include low impact aerobic exerciese

Question 10

What types of interventions are appropriate for patients suffering from a stress fx?

For at- risk stress fractures

Answer 10

1. usually they use a brace.
2. Starting them in submaximal isometric exercises are encouraged.
3. AROM and light concentric and eccentric loads are added as pain allows,
4. closed-chain activities are deferred until radiographic images show stable bone healing.

Question 11

What syndrome? Shin splints (don’t use this term, per shank) pain over the distal and middle thirds of the tibia along the posterior medial border.

Answer 11

medial tibial stress syndrome

Question 12

What are the grades associated with MTSS?

Answer 12

• grade 1 – muscle soreness and minor soft tissue inflammation and is experienced after activities
• grade 2 – mild or moderate soft tissue inflammation, pain felt both during and after an activity but does not affect the actual performance
• grade 3 – significant soft tissue inflammation and bone microfractures, pain felt before, during and after and affects the pt’s ability to perform activities
• grade 4 – pain defines as actual stress fracture, pain so significant no activity can be attempted.

Question 13

MTSS grade 1

Answer 13

muscle soreness and minor soft tissue inflammation and is experienced after activities

Question 14

MTSS - grade 2

Answer 14

mild or moderate soft tissue inflammation, pain felt both during and after an activity but does not affect the actual performance

Question 15

MTSS - grade 3

Answer 15

significant soft tissue inflammation and bone microfractures, pain felt before, during and after and affects the pt’s ability to perform activities

Question 16

MTSS- grade 4

Answer 16

pain defines as actual stress fracture, pain so significant no activity can be attempted.

Question 17

what toe deformity affects the MTP hyperextension, PIP flexion, and DIP flexion

Answer 17

Claw toe

Question 18

what toe deformity affects the MTP is either in neutral or extension, PIP is held in flexion, and the DIP is either in flexion or extension

Answer 18

Hammer toe –

Question 19

wha toe deformity affects MTP in neutral, PIP in neutral, and a flexed DIP

Answer 19

Mallet toe –

Question 20

Post a bimalleolar fracture with ORIF and post immobilization, what s/s would indicate to you that hardware loosening may be occurring?

Answer 20

• Increasing pain
• selling
• crepitus
• motion