Ankle Sprain - Grade II GOLD Flashcards
What is the most significant cause of ankle sprains?
Inversion trauma, involving the lateral ligament complex.
What does the lateral ligament complex of the ankle resist?
Varus Stresses
What ligaments compose the lateral ligament complex?
Anterior Talofibular Ligament (ATFL)
Calcaneofibular Ligament (CFL)
Posterior Talofibular Ligament (PTFL)
Which ligament is located on the medial side of the ankle and what forces does this ligament resist?
Deltoid ligament, resist valgus stress.
What forces do the ATFL resist?
Inversion of the talus and calcaneus
Anterior translation of the talus on the tibia
What forces do the CFL resist?
Inversion of the talus
What forces do the PTFL resist?
Posterior translation of the talus
Which ligament of the lateral ligament complex is most likely to sustain injury during a lateral ankle sprain.
ATFL
What is often attributed to recurrent ankle sprains?
Combination of:
- residual ligament laxity
- decreased proprioceptive responses
Likely clinical presentation?
- significant pain and tenderness along the lateral aspect of the ankle
- Antalgic gait pattern
- Pain with passive inversion + plantar flexion
- Ecchymosis
- Moderate - Severe edema
What special tests can be done to confirm diagnosis?
Anterior Drawer Test: ATFL
Talar Tilt Test: CFL
Medical Management ?
RICE
Resistive exercises should include strengthening to what muscle group during rehab?
Peroneal muscles
How long should a patient use crutches?
Use crutches until the patient can tolerate full weight bearing, unless stated otherwise by referring physician.
For a patient returning to recreational competitive athletics a period consisting of what intervention should be implemented?
Supportive bracing or taping to prevent recurrence of injury
