Non-Traumatic Ankle Conditions

Question 1

Where is pain felt in Medial Tibial Stress Syndrome?

Answer 1

Distal 2/3 of the medial tibia

Question 2

Both Tibial Stress Fractures and Medial Tibial Stress Syndrome share what type of aggravating and relieving factors in common?

Answer 2

Both Report:

• Pain worse with activity
• Relief with rest

Question 3

Where is palpable pain felt in Medial Tibial Stress Syndrome?

Answer 3

Palpation:

• 5 consecutive cm of the posteromedial tibia

Question 4

In MTSS, which muscles are tight/strong

Answer 4

• Plantar Flexors
• Tibialis Posterior

(same for stress fracture)

Question 5

Main difference between MTSS and Tibial Stress Fracture?

Answer 5

Palpation of tibial stress fracture is more localized! (not along 5 cm of tibia)

Question 6

What is Sever’s Disease?

Answer 6

Calcaneal Apophysitis in Children, secondary to tight plantar flexors creating pull of the achilles tendon on the calcaneus

Question 7

Age range for Sever’s Disease?

Answer 7

8-15 y/o

Question 8

Motions (during examination) that reproduce pain in Sever’s Disease?

Answer 8

Pain with Passive DF

Question 9

Pain can be reproduced with palpation of what area in Sever’s Disease?

Answer 9

Pain with palpation distal to the Achilles insertion.

Question 10

Special Test that may be provocative in Sever’s Disease?

Answer 10

• Squeeze test on calcaneus
• Single limb stance

Question 11

What is Os Trigonum?

Answer 11

Failure of the Talus to Fuse completely (7% of pop.)

Question 12

Pain may be felt in which regions in Os Trigonum?

Answer 12

Posterior Ankle

Question 13

Which motion is most affected in Os Trigonum?

Answer 13

• Decreased and Painful PF ROM

Question 14

How can Os Trigonum be differentiated from Sever’s Disease?

Answer 14

No Pain Reproduced With:

• Palpation of Achilles Tendon or Calcaneus
• Passive DF

Question 15

Activities/Sports in which Os Trigonum is Painful?

Answer 15

• Runners
• Ballet Dancers