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32 Cards in this Set
- Front
- Back
in a sprain, what kind of tissue is affected?
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Ligamentous
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in a strain, what kind of tissue is affected?
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muscle
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strain or sprain:
Result of sudden trauma that tears ligament and joint capsule |
Sprain
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strain or sprain:
Occurs as a result of a sudden stretch on a muscle that is actively contracting. |
strain
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maybe want to look at mech of injury slide... don't think it will be that important but who knows
16 |
yaya
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When the foot plantar flexes, it loses its snug mortise, talucrural fit. It becomes susceptible to inversion, collapse...what kind of sprain is this?
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inversion
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most common ligament sprained?
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anterior talo-fibular ligamet
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foot plantar flexes, and damges the ATFL what is the next likely ankle ligament to be injured?
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calcaneofibular ligament
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“I heard a pop”- a snap commonly occurs at time of acute event
Difficulty with weight bearing or applying stress to involved area Pain Edema Ecchymosis may often occur 24-48 hours after injury this describes what? |
sprain
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Snap or tearing sensation may also occur
Pain or swelling may not be noted on the day of injury with mild injury what would you see this in? |
strain
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with a sprain or strain, what should you do in your palpation first? what would this show?
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Palpate area for site of maximal tenderness
palpate the bone first (followed by soft tissue) tenderness of bone can show fracture |
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Strain vs rupture
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rupture is a complete separation of the muscle and its insertion
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Plastic deformation of the tissue without tearing
what degree strain? **** |
0
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Partial tear but no instability or opening of joint on stress maneuvers
what degree strain? **** |
I
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Partial tear with some instability indicated by partial opening of joint on stress maneuvers
what degree strain? **** |
II
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Complete tear with complete opening joint on stress
what degree strain? **** |
III
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when is the anterior drawer test positive for the ankle?
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positive in 2nd and 3rd degree sprain
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you perform a talar tilt test and it is positive, what does this mean?
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3rd degree tear in the ankle
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according to the Ottawa Criteria, when do you need to take an ankle series of x-ray?
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pain in the malleolar zone and any of these findings:
bone tenderness at A bone tenderness at B inability to bear weight immediately and in the emergency department (or physician's office). |
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according to the Ottawa criteria, when do you get a foot series of x-rays?
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if a patient has pain in the midfoot zone and any of these findings:
bone tenderness at C bone tenderness at D inability to bear weight immediately and in the emergency department (or physician's office). |
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what is a high ankle sprain?
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disruption of syndesmosis; should be 5mm or less
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patient continues to have swelling and pain in the area of the ankle after weeks of it occurring. What is a possible cause?
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Osteochondritis Dessicans- chip fracture of talus, may be undiagnosed, but prevents normal healing of ankle.
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patient has a complete rupture of a muscle. What should you do?
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send to an orthopedic surgeon
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patient has a grade III sprain what should you do?
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send to orthopedic surgeon
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should severe grade II sprains see an orthopedic surgeon?
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probably
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Treatment of inversion ankle sprain?
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PRICEM
Protect with crutches/splinting as necessary Relative rest- active range of motion exercises as soon as pain permits Ice helps reduce inflammation. Compression- ACE wrap or U-shaped Compression pad Elevation- of extremity above heart. Manipulation/Manipulation |
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you have a patient with a grade I sprain, do you brace? grade II?
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Grade I: you can, but don't have to
Grade II: you absolutely have to |
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if a patient has a grade II or I sprain, what is the most appropriate OMT treatment?
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indirect myofacial release
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what is stage 1 for acute rehab for inversion ankle sprains?
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RICE
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what is stage 2 for acute rehab for inversion ankle sprains?
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Subacute (Pain-free range of motion)
Initiate non-weight bearing exercises Proprioceptive training (Biomechanical Ankle Platform system Board, Wobble-Board-seated) |
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what is stage 3 for acute rehab for inversion ankle sprains?
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Restorative
Single-leg balance Heel raises/toe raises Pronation and supination exercises |
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what is stage 4 for acute rehab for inversion ankle sprains?
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Activity and function
Initiate agility drills Frontal plane reactive drill Heel and toe walking Return to sport training |