Quiz 3: 1 Flashcards
What 3 structures are involved in a tri-malleolar fracture?
- medial malleolus
- lateral malleolus
- tibial plafond
What special test addresses all of these articular surfaces?
medial malleolus
lateral malleolus
tibial plafond
Shuck test
What is another name for the Shuck test?
Cotton fx
What types of mobilization would you do for a DF deficit?
- anterior and superior fibular glides
- posterior talocrural glide
- STJ eversion
What does the fibula do during DF?
- laterally distracts
- glides superiorly
- internally rotates
Why does the fibula laterally distract, glide superiorly, and internally rotate?
wider portion of the talus is wedged into the mortise
What are the component movements of ankle PF in the fibula?
- lateral approximation
- inferior glide
- ER
What is the percentage of pts overall that have PF limitations as compared to DF?
10%
What is the most unstable position for the ankle?
PF with inversion
Ecchymosis in the distal extremity is usually due to what?
distal dependent edema from the sprain
What modalities can you use for a pt with distal dependent edema from an ankle sprain?
- ice
- compression
- e-stim (hi volt or IFC)
How should you position a pt for ice/compression?
foot up the wall
Type I Salter Harris fx
- transverse
- directly through the physis
Type II Salter Harris fx
- physis
- metaphyseal fragment
Type III Salter Harris fx
- through physis and epiphysis
- intra-articular fx in the epiphysis
