Ankle conditions

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amills1
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266122
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Ankle conditions
Updated:
2014-03-20 22:25:32
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Ankle conditions
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Ankle conditions
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  1. what are the two classifications for shi splints
    • anterior
    • posterior
  2. shin splints etio
    • overuse
    • running on hard surfaces
    • running on tip toes
    • excessive jumping
    • muscle imba
    • improper shoes
    • unconditioned
    • lack of warm up
  3. anterior shin splints etio
    • most common
    • overuse of ant tib
    • hypo mobile gs
    • weak ant tib
  4. postereior shin splints etio
    • tight gs
    • weak or inflammed post tib
  5. sx shin splints
    • pain medial/lower leg
    • increase sx with wb
    • pain with and before and after activity 
    • tight inflexible gs
  6. sns distinguishing anterior vs posterior shin splints
    • with anterior pain increases with active DF and stretched PF
    • with posterior pain increased with passive DF withe eversion
  7. median survival rate of TAA
    5-10 years
  8. reasons for TAA
    • advanced OA, RA< JRA
    • avascular necrosis of talus
  9. absolute TAA contras
    • active/chronic infection
    • OP
    • significant talus avascular necrosis
    • peripheral neuropathy resulting in decreased sensation or paralysis
    • impaired vascular supply
    • long term corticosteriod use
  10. relative TAA contras
    • hx of infection
    • varus/valgus hidn foot >20
    • <20 total arc of DF/PF
  11. general achilles tendon repair precautions
    • limited resisted PF
    • limit Dflexion stretch
    • slow to unilateral WB
  12. ankle ligament reconstruction etio
    • 3rd degree of ATF and CF ligaments
    • for patients with high impact activity
  13. T/F ankle lig reconstruction uses a graft and doesn't directly repair dmged tissue
    • false
    • both are used
  14. modified brostrom procedure is a graft or direct surgery?
    • direct
    • repaired ligaments overlap one another and retinaculum is pulled over to help support
  15. how much ROM is retained with modified brostrom procedure
    full
  16. 3 reasons a reconstruction with augmentation (graft) is done over direct
    • deterioration of torn ligs
    • if previous direct procedure failed
    • for larger patients
  17. s/p management ankle lig reconstruction
    • early s/p wb with ankle immobed
    • sometimes early protected rom
  18. types of grafts for ankle lig repair
    • older- peroneus brevous tendon
    • newer- gracilis or bone-patellar
  19. plantar fascitis etio
    too much stress/strain on plantar fascia
  20. plantar fascitis can be idiopathic T/F
    True
  21. risk factors for plantar fascitis
    • tight G/S
    • obesity
    • high arch
    • flexible pes planus
    • repetitive impact activity
    • long rest period (sleeping)
    • PF pain or restriction when extending toes
    • extending toes during push off
  22. which might develop at heel with plantar fascitis
    • heel spur
    • pt avoids heel strike during loading if has a heel spur
  23. what are the two general types of surgical repairs for achilles tendon
    primary and delayed
  24. delayed or primary achilles repair uses tendon grafts
    delayed
  25. which have a better prognosis for achilles repair nonoperative or operative
    operative
  26. in what position is the foot immobed s/p achilles repair
    P/F or neutral
  27. general precautions achilles repair
    • cautious with PF strengthening or stretching
    • no unilateral WB until FWB with 0 pain bilaterally
  28. this injury occurs with landing on an inverted and PF'd foot
    • Lateral sprain
    • aka inversion sprain
  29. what 3 ligaments are involved with a lateral ankle sprain
    • anterior talofibular 
    • posterior talofibular
    • calcaneofibular
  30. risk factors of lateral ankle sprain
    • stepping on someone's foot
    • having a hindfoot varus (calcaneus turned toward inside) ? check with diane
    • past sprains 
    • weak muscles especially peroneals
  31. SNS lateral sprain
    • bruise
    • swelling
    • intol WB
    • instability
  32. this is the strongest ligament of the lateral ligament
    posterior talofibular
  33. intrinsic achilles tendinitis causes
    • rear foot valgus
    • G/S and H/S stiffness or shortening
    • forefoot valgus
  34. extrinsic achilles tendinitis causes
    • running mechanics
    • type and fit of foot wear
    • running surface
  35. common achille tendinitis causes
    • overuse
    • progressing activity too quickly
    • transition of high to low heeled shoes followed by a lot of walking
    • tight foot musculature
  36. sns achillies tendintis
    • pain with palpation
    • crepitus with ankle ROM
    • pain with DF PROM
    • decrease DF ROM
    • tendernesss
    • visible edema
  37. whats the tarsal tunnel
    fibro osseous tunnel formed by flexor retinaculum, medial wall of calcaneous, posterior talus, distal tibia, and medial malleolous
  38. TTS tarsal tunnel syndrome definition
    tibial nerve travels thru tarsal tunnel and becomes compressed behind medial malleolus under retinacular lig
  39. TTS etio
    • sprain
    • OA
    • DM
    • flat or fallen arches
    • enlarged/abnormal structures ie
    • -varicose veins
    • -ganglion cyst
  40. sns tts
    • shooting foot pain
    • numbness
    • tingling or burning
    • pain at medial ankle or PF side of foot
    • positive tinel's sign

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