Management Of Ankle Sprains (2)

Question 1

Where is a lateral ankle sprain least stable?

Answer 1

Loose packed

Question 2

What is the position of a lateral ankle sprain?

Answer 2

Plantarflexion with inversion

Question 3

Why are medial ankle sprains less common?

Answer 3

Due to decreased eversion ROM and bony architecture

Question 4

What are the rarest type of ankle sprain?

Answer 4

Syndesmotic (high) ankle sprains

Question 5

How do lateral ankle sprains progress?

Answer 5

From ATFL to CFL to PTFL

Question 6

What are some symptoms in a grade 1 lateral ankle sprain?

Answer 6

Microscopic tearing of ATFL

No functional loss or instability

Question 7

What is recovery time of a grade 1 lateral ankle sprain?

Answer 7

2-10 days

Question 8

Are grade 1 lateral ankle sprains common in a PT clinic?

Answer 8

No rarely seen (self treat)

Question 9

What is a grade 2 lateral ankle sprain?

Answer 9

Moderate function loss (swelling)

Involves ATFL and CFL

Question 10

What is recovery time for a grade 2 lateral ankle sprain?

Answer 10

10-30 days

Question 11

Where are grade 2 lateral ankle sprains most commonly seen?

Answer 11

Physical therapy

Question 12

What is a grade 3 lateral ankle sprain?

Answer 12

Involves ATFL, CFL, and PTFL

Anterior capsule involvement

Unable to fully weight bear

Question 13

What is the recovery time for a grade 3 lateral ankle sprain?

Answer 13

30-90 days

Question 14

Where is a grade 3 lateral ankle sprain most commonly seen?

Answer 14

Ortho first

Question 15

What does the anterior draw test for?

Answer 15

ATFL

Question 16

When does the anterior drawer test have the best diagnostic accuracy?

Answer 16

5 days post injury compared to 2 days post injury

Question 17

What does the talar tilt test for?

Answer 17

CFL

Question 18

What are the Ottawa ankle rules?

Answer 18

Bone tenderness at posterior edge of lateral malleolus

Bone tenderness at posterior edge of medial malleolus

Bone tenderness at the base of 5th metatarsal

Bone tenderness at navicular

Question 19

What percentage of ankle sprains are medial/eversion?

Answer 19

5-10%

Question 20

What does a medial ankle sprain have potential for?

Answer 20

Mortise instability and medial malleolar fracture

Question 21

What is a syndesmotic (high) ankle sprain?

Answer 21

Injury to anterior tibio fibular ligament (rotation and plantar flexion)

Question 22

What is the recovery time for a syndesmotic (high) ankle sprain?

Answer 22

> 6 months (possible surgery)

Question 23

What are special tests for syndesmotic (high) ankle sprain?

Answer 23

Syndesmotic squeeze

ER stress test

Fibular translation test

Question 24

What are some manual techniques that may improve pain for an acute ankle sprain?

Answer 24

Thrust and non thrust techniques

Question 25

What does therapeutic exercise help reduce?

Answer 25

Recurrent ankle sprains

Question 26

What does chronic ankle instability feel like?

Answer 26

Giving way

Question 27

What is associated with chronic ankle instability?

Answer 27

Repeated ankle sprains Persistent weakness Pain during activity

Question 28

What are the two primary components of chronic ankle instability?

Answer 28

Mechanical instability and functional instability

Question 29

What has no effect on treatment of acute ankle injuries?

Answer 29

Ultrasound, laser therapy, and electrotherapy

Question 30

What is a prevention technique of chronic ankle instability?

Answer 30

Closed chain dorsiflexion