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MSK 1 > Ankle Classification/Diagnoses > Flashcards

Ankle Classification/Diagnoses Flashcards

(73 cards)

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1
Q

Inversion Ankle Sprain

Location of Symptoms

A

-pain, swelling over lateral ankle

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2
Q

Eversion Ankle Sprain

Location of Symptoms

A

-pain, swelling on medial ankle

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3
Q

Cuboid Syndrome

Location of Symptoms

A
  • lateral plantar pain
  • feels like rock in shoe
  • pain is constant and lasts longer than normal healing processes of lat ankle sprain
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4
Q

Cuboid Syndrome

Mechanism of Injury

A
  • plantarflexion + inversion injury

- minor subluxation of calcaneocuboid alignment that irritates the ligaments, cuboid and peroneus longus

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5
Q

Tendon Injury–Achilles Rupture

Location of Symptoms

A
  • sudden pain over post ankle/leg

- balled up muscle

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6
Q

Tendon Injury–Posterior Tibial Tendonitis

Location of Symptoms

A
  • pain at medial malleoli along tendon

- pain medial ankle but can progress to lateral ankle if not treated

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7
Q

Tibial Stress Syndrome/Fracture

Location of Symptoms

A
  • Pain along post medial tibia or ant lat
  • proximal 2/3 of tibia

-“shin splints”

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8
Q

Posterior Tibial Nerve Entrapment

Location of Symptoms

A
  • local edema

- burning pain and paresthesia to sole of foot

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9
Q

Plantar Fasciitis

Location of Symptoms

A
  • pain on heel of foot
  • pain plantar surface of foot
  • pain in morning but eases with movement
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10
Q

OA/DJD

Location of Symptoms

A
  • Pain and stiffness in foot/ankle
  • swelling
  • stiff in morning

(foot OA less common)

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11
Q

Bursitis

Location of Symptoms

A
  • calcaneal/retrocalcaneal bursitis=tender/painful at calcaneous
  • subcalcaneal bursitis=tender under heel on plantar surface

(rule out plantar fasciitis, heel spur)

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12
Q

Sprain

Agg Factors

A
  • WB
  • walk
  • jump
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13
Q

Cuboid Syndrome

Agg Factors

A
  • pain in terminal stance

- single leg hop

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14
Q

Tendon Injury

Agg Factors

A
  • achilles/post tib: unable to stand on toes

- achilles: push off with gait

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15
Q

Tibial Stress Syndrome/Fracture

Agg Factors

A
  • walking
  • standing on toes
  • push off
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16
Q

Posterior Tibial Nerve Entrapment

Agg Factors

A
  • walking

- prolonged standing

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17
Q

Plantar Fasciitis

Agg Factors

A
  • walking
  • jumping
  • WB in morning
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18
Q

OA/DJD

Agg Factors

A
  • walking
  • jumping
  • WB
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19
Q

Bursitis

Agg Factors

A
  • rubbing of heel by shoe
  • repetitive irritation
  • running
  • walking
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20
Q

Sprain

Ease Factors

A
  • ice
  • NSAIDs
  • decr WB
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21
Q

Cuboid Syndrome

Ease Factors

A
  • rest

- avoid prolonged terminal stance

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22
Q

Tendon Injury

Ease Factors

A

-avoid WB

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23
Q

Tibial Stress Syndrome/Fracture

Ease Factors

A
  • ice
  • massage
  • NSAIDS

-if fracture=pain at rest

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24
Q

Post Tibial Nerve Entrapment

Ease Factors

A
  • NWB

- avoid pronation

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25
OA/DJD | Ease Factors
- rest - NSAIDS - increased movement
26
Plantar Fasciitis | Ease Factors
-stretch -massage -ice NSAIDS
27
Bursitis | Ease Factors
- rest - ice - NSAIDS - shoes that don't rub
28
Inversion Sprain | History
- plantarflexion + Inversion injury - check integrity of superficial peroneal nerve - weak lateral collateral ligaments
29
Eversion Sprain | History
- stress on medial collateral ligaments (deltoid) - due to excessive eversion - can be accompanied with talus or medial malleoli fracture
30
Cuboid Syndrome | History
- plantarflexion + inversion -->sublux of cuboid laterally and posteriorly - more common in pts with history of ankle sprains and over pronation during gait - forefoot valgus - tight peroneus longus
31
Tendon Injury--Achilles Rupture | History
- MOI: explosive push off at terminal plantarflexion - men>women - 30-40 years old - history of chronic achilles tendonitis
32
Tendon Injury--Post Tib tendonitis | History
- Hx of over pronation - flat foot - tender midfoot (esp with toe raises) - loss of arch
33
Tendon Injury Risk Factors
- Diabetes - Obesity - RA - Women over 50 (post tib dysfunction)
34
Tibial Stress Syndrome/Fracture | History
- inflam of contractile portoin of post tib - irritation of interosseous membrane due to overpronation - periostitis - overuse - recent increase in activity
35
Periostitis
over use stresses of ant tib at origin attachment | -it is eccentrically over worked with achilles is tight
36
Posterior Tib Nerve Entrapment | History
- worse at end of day - flat foot - post tib dysfunction - Hx deltoid ligament sprain
37
Plantar Fasciitis | History
- obesity - overuse - acute (step on hard object) - occupational (prolonged stand/walk)
38
OA/DJD | History
- over weight - OA in other joints - family Hx - history of microtrauma to ankle/foot - forefoot valgus - flat foot - overpronation - decr ROM all directions
39
Bursitis | History
- excessive running (rubbing on post calc) | - tightness/restriction of achilles tendon
40
Sprain | Neurodynamic Testing
-PF/Eversion + SLR | common peroneal
41
Tendon Injury | Neurodynamic Testing
-DF/Inversion + SLR | sural nerve--achilles tendonitis
42
Tibial Stress Syndrome/Fracture | Neurodynamic Testing
-PF/Inversion + SLR | common peroneal
43
Post Tib N Entrapment | Neurodynamic Testing
SLR with tibial nerve tension
44
Plantar Fasciitis | Neurodynamic Testing
-DF/Eversion + SLR | tibial
45
Sprain | Neurological Exam
-inversion: check superficial peroneal nerve
46
Post Tib Nerve Entrapment | Neurological Exam
-sole of foot
47
Sprain | ROM
- inversion, eversion | - DF, PF
48
Cuboid Syndrome | ROM
- pn with PF + inversion | - midtarsal mobility reproduces Sx
49
Achilles Rupture | ROM
- unable to PF | - check DF
50
Post Tibial Tendonitis | ROM
- pn with inversion and PF (resisted motion) - pn with passive eversion - pn with active PF + eversion
51
Tibial Stress Syndrome/Fracture | ROM
- PF, DF (passive/active) | - ankle pron/sup
52
Post Tib N Entrapment | ROM
- PF, DF | - Inv, Ever
53
Plantar Fasciitis | ROM
- df may be limited | - pain with df + great toe extension
54
OA/DJD | ROM
- Capsular pattern | - decr PF and DF
55
____* DF needed for normal gait mechanics
10*
56
Bursitis | ROM
- bursitis won't cause decr motion | - but check for tight gastroc/soleus causing burisitis
57
Sprain--ATFL | Special Tests
-ant drawer
58
Sprain--Calcaneofibular lig | Special Tests
-talar tilt
59
Sprain--Deltoid lig | Special Tests
-Klieger
60
Cuboid Syndrome | Special Tests
check for misplaced cuboid
61
Tendon Injury--Achilles Rupture | Special Tests
-Thompson
62
Post Tib N Entrapment | Special Tests
-Tinel
63
OA/DJD | Special Tests
- rule out other conditions | - check for loss of motion
64
Sprain | Palpation
-Palp over ligament affected
65
Cuboid Syndrome | Palpation
-over calcaneocuboid causes pain
66
Tendon Injury | Palpation
- pain over tendon | - ball of muscle in calf
67
Tibial Stress Fracture | Palpation
-tuning fork
68
Post Tib Nerve Entrapment | Palpation
-post tib nerve
69
Plantar Fasciitis | Palpation
pn with pressure over plantar fascia
70
OA/DJD | Palpation
compression through joint + rotary movement reproduces symptoms
71
Bursitis | Palpation
-post calcaneous tender
72
Muscle Length/Strength Testing of Ankle/Foot Disorders
- peroneus longus - peroneus brevis - tibialis ant - gastrocnemius - soleus
73
Outcome Measure
-LEFS

MSK 1 (15 decks)

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