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What happened before and after?

What happened before and after?. He did not pass his boards. What is the most commonly injured joint?. Ankle is the most commonly sprained joint. How many ankle injuries occur each day?. 25,000 ankle sprains per day. ¼ of all sports related injuries Most common sports related problems.

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What happened before and after?

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  1. What happened before and after?

  2. He did not pass his boards

  3. What is the most commonly injured joint?

  4. Ankle is the most commonly sprained joint

  5. How many ankle injuries occur each day?

  6. 25,000 ankle sprains per day ¼ of all sports related injuries Most common sports related problems

  7. What are the risk factors?

  8. Risk Factors • Poor rehab • Poor proprioception • Weak muscles • Poor ankle instability • Lack of warm up • Running on uneven surfaces • Poor heel support

  9. Name how ankle sprains are classified?

  10. Ankle sprains • First degree • Second degree- partial severe tear, moderate instability, ,moderate pain • Third degree – severe pain and swelling, total tear, gross instability

  11. Name three tests used in ankle injuries

  12. Ankle Stress test • Inversion stress test or talartilt - • Cross leg test • Anterior drawer test

  13. Cross leg test • High ankle sprain • Pressure is applied to the medial side of the knee produces pain in syndesmosis area

  14. Inversion stress test or talar tilt - Calcaneofibularligament instabilityend feel it is grade three

  15. Anterior Drawer test Excessive anterior displacement of talus onto the tibia

  16. How can you tell if there is a third degree sprain?

  17. Grade three (96%) • Swelling • Hematoma • Pain on palpation • Positive anterior drawer

  18. Functional Ankle instability Balance Impairments

  19. Balance Error Scoring System • Time-in balance test • Foot lift test

  20. What is the BESS Test

  21. Balance Error Scoring System BESS Three stance conditions and two surface conditions

  22. Time-in balance test 60 seconds

  23. Foot lift test Single leg tests touch calf

  24. High ankle sprain Syndesmotic ankle sprain

  25. Syndesmotic ligament • Connects the shin to the fibula • Tender front • Pain worse if foot or leg is twisted outward • Positive squeeze test • Need surgery

  26. Ottawa

  27. Ottawa ankle rules • Pain in the malleolar region plus • Bone tenderness distal 6 posterior edge of tibia or tip of MM • Bone tenderness along the distal 6 cmof the posterior edge of fibula or tip of LM • Inability to bear weight to bear weight the first 4 steps

  28. Treatment depends on the grade

  29. General Rehabilitation Principles • PRICE • NASI • ROM • Strengthening • Proprioception of the ankle joint

  30. Cryotherapy • Standard • Intermittent • Outcomes

  31. Rehabilitation - PRICE • 2nd degree – immobilization of the ankle • 3rd degree – cast immobilization for 2 to 3 weeks, surgery maybe needed

  32. How soon can ankles be rehabilitated?

  33. 85% rehab is possible in as little as 7 to 10 days

  34. Ligament Tightening Surgery

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