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Ankle Injuries
Histories for ankle injuries
Question | Answer |
---|---|
Turf Toe (1st Metatarsophalangeal Joint Sprain) | 1st MTP joint Hyperextension (mainly when ankle is DFLEXED) 1st MTP joint P! |
Sesamoiditis | Overuse or direct trauma to plantar aspect of 1st MTP. Abmornal foot posture Generalized p! around great toe Sudden snap or pop during running P! occurs w/ big toe hyperEXT during terminal stance and pre-swing |
Hallux Valgus | Deformity occurs over time |
Hallux Rigidus | P! w/ climbing stairs, going up hills, during pre-swing and wearing shoes |
Plantar Fasciitis | insidious onset of P1 that originates in plantar heel and prgresses distally. More p! w/ prolonged standing after non WB. p1 decreases w/ activity. Pts usually don't seek help until condition is chronic |
Interdigital Neuroma | P! originating from plantar foot and radiating into toes. p! migrates proximally, and decreased when pt is barefoot |
Navicular Stress Fx and Accessory Navicular | Insidious onset of p! located over dorsum or medial longitudinal arch p! radiate to 1st and 2nd ray or cubois. Increase p! w/ activity decrease w/ rest. |
Metatarsal Fx | Sudden change in distance, duration or type of exercise. P! over forfoot radiate into toes. Gradual progressive onset of symptoms related to activity. Actue fx: will have sudden onset of symptoms. Mild swelling. |
Lateral Ankle Sprain | Subtalar inversion, lantar flexion or DFLEX. P! on lateral side of ankle |
Medial Ankle Sprain | MOI: subtalar eversion/ talocrual rotation. P! around medial malleolus |
Syndesmosis Sprain | WB on leg w/ sudden External ROT. P! arises proximal to malleoli |
Ankle Fx/Dislocation | High force involving inversion and plantar FLEX. Exquisite pain |
Peroneal Tendon Subluxation/Dislocation | Sudden strong contraction of peroneals. P! is area of posterior malleolus. Snap or pop |
Rerocalcaneal Buritis | P! arising from POST Calcaneus |
Achilles Tendinitis | insidious onset of pain, repetitive stress to ankle and leg |
Achilles Tendon Rupture | Sudden ecentric achilles tendon loading. Pt may report the sensation of being shot, kicked or hit with racquet |
Acute Compartment Syndrome | A direct blow to lower leg. p! reported may be diproportinate to apparent injury severity |
Chronic functional Compartment Syndrome | Anterior lower leg P! increases w/ activity and decreases w/ rest. Muscule cramping, burning tightness Symptoms radiate onto ankle and dorsum of foot. Slop- Foot gait w/ significant anterior compartment involvement. |
Tibial Stress Fx | Increase in duration, frequency intensity of training. Change is surface & shoe wear |
Fibular Fx | Abduction or lateral rotation force |
Traumatic Tibial Fx | Significant force to Tibia |