musculoskel injuries

Question 1

most commonly injured ligament in ankel

Answer 1

anterior talofibular ligament

Question 2

differences in different grade sprains in ankle

Answer 2

grade1-tear, can bear weight, no functional loss
grade 2-partial tear of ATFL and strech of CFL, more severe pain, some joint instability, significant pain w weight bear, loss of range of motion

grade3-complete tear of ATFL and CFL, partial tear of PTL. significant joint instability, loss of function, inability to bear weight

Question 3

when should xr be done for ankle injury

Answer 3

if there’s bony tenderness of posterior edge or tip of the distal 6 cm of either medial or lateral malloelus

or if pt unable to bear weight
if there’s bony tenderness over navicular bone (medial foot), base of fifth metatarsal (lateral midfoot)

Question 4

management of ankle sprains

Answer 4

PRICE: protect, rest, ice, compression, elevation

Question 5

exam for joint injury

Answer 5

inspection
palpation
range of motion (passive, active)
strength
neurovascular status

Question 6

when to do xr for knee injury

Answer 6

age 55 or older
isolated patella tenderness
tenderness of head of fibula
inability to flex knee to 90
inability to bear weight for four steps (regardless of limping)

Question 7

when should range of motion exercises be started after injury in pts with sprains and strains

Answer 7

48-72 hours

Question 8

Ottawa Ankles rules apply to

Answer 8

nonpregnant adult pts w normal mental status, who don’t have other painful injuries, and seen within 10 days of injury