Ch 5- The Ankle and Lower leg
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| What forms the ankle mortise? | show 🗑
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| Where is the interosseous membrane lie? | show 🗑
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| show | calcaneal tubercle
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| What type of joint is the talocrural joint? | show 🗑
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| show | A joint separated by a space filled with synovial fluid
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| show | anterior talofibular (ATF), calcaneofibular (CF), posterior talofibular (PTF)
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| show | anterior tibiotalar (ATT), tibiocalcaneal (TC), posterior tibiotalar (PTT) , and tibionavicular (TN)
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| What kind of support does the deltoid ligament provide? | show 🗑
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| show | A relatively immobile joint in which two bones are bound together by ligaments
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| show | inversion and eversion
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| What are the four compartments of the lower leg? | show 🗑
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| What muscles lie in the anterior compartment of the lower leg? | show 🗑
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| What action do the muscles of the anterior compartment contribute to? | show 🗑
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| What is the name of the pulse that can be found on the anterior aspect of the ankle? | show 🗑
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| show | Peroneus longus and Peroneus brevis
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| What action do the muscles of the lateral compartment contribute to? | show 🗑
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| What nerve does the lateral compartment contain? | show 🗑
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| What muscles lie in the superficial posterior compartment of the lower leg? | show 🗑
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| What action do the muscles of the superficial posterior compartment contribute to? | show 🗑
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| What muscle lies in the deep posterior compartment of the lower leg? | show 🗑
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| show | primary adductor of the forefoot while also assisting in plantarflexion and inversion
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| show | subtendinous calcaneal, subcutaneous calcaneal
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| show | The athlete's ability to sense the position of one or more joints
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| What structures should be inspected on the lateral side of the lower leg? | show 🗑
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| What structures should be inspected on the anterior side of the lower leg? | show 🗑
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| show | medial malleolus, medial longitudinal arch
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| What structures should be inspected on the posterior side of the lower leg? | show 🗑
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| What fibular structures should be palpated? | show 🗑
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| show | lateral malleolus, calcaneofibular ligament, ATF, PTF, peroneal retinaculum, peroneal tubercle, cuboid, base of the fifth metatarsal, peroneus tertius
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| show | anterior tibial shaft, tibialis anterior, extensor hallucis longus, extensor digitorum longus, dome of the talus, extensor retinacula, sinus tarsi
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| What medial structures should be palpated? | show 🗑
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| What posterior structures should be palpated? | show 🗑
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| show | 70 degree range, 20 degrees of dorsiflexion and 50 degrees of plantar flexion
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| What is the range of active inversion and eversion? | show 🗑
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| show | centered on the lateral malleoulus
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| show | over the talocrural joint line, centered between the malleoli
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| show | ATF
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| What ligament does the talar tilt test ? | show 🗑
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| What does a positive kleiger's test implicate? | show 🗑
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| show | gross fracture or stress fracture of the fibula when pain is described along the fibluar shaft. syndesmosis sprain when pain is described at the distal tibiofibular joint
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| What are the pain characteristics of an inversion ankle sprain? | show 🗑
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| show | Inversion, plantarflexion, or talar rotation in any combination
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| show | findings include swelling around the lateral joint capsule, which may spread to the dorsum of the foot and into the sinus tarsi. ecchymosis may be present around the lateral malleolus
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| show | anterior portion of the distal tibiofibular ligaments
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| What is the MOI of a syndesmotic ankle sprain? | show 🗑
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| show | swelling possibly present over the distal tibiofibular syndesmosis
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| What are the pain characteristics of an eversion ankle sprain? | show 🗑
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| What is the MOI of a eversion ankle sprain? | show 🗑
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| What would you find on inspection of a eversion ankle sprain? | show 🗑
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| show | along the shaft of the tibia or fibula; localized during or after exercise; may be described as a localized "ache" while at rest
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| What is the MOI of a lower leg stress fracture? | show 🗑
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| What would you find on inspection of a lower leg stress fracture? | show 🗑
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| What does a positive bump test implicate? | show 🗑
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| show | posterior aspect of the talus, anterior to the achilles tendon
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| What is the MOI of os trigonum syndrome? | show 🗑
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| show | swelling possibly observed anteromedial and anterolaterl to the achilles tendon.
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| What are the pain characteristics of an achilles tendinitis? | show 🗑
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| What is the MOI of an achilles tendinitis? | show 🗑
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| show | Possible visible edema along the length of the tendon; the tendon on the involved leg may appear thicker than on the opposite leg
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| What are the pain characteristics of an achilles tendon rupture? | show 🗑
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| show | Forceful plantarflexion with eccentric loading, usually the result of eccentric loading or plyometric contraction of the calf muscle
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| What would you find on inspection of an achilles tendon rupture? | show 🗑
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| show | achilles tendon rupture
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| show | Behind the lateral malleolus in the area of the superior peroneal retinaculum, across the lateral malleolus, length of the peroneal tendons, and, in some cases, at the site of the inferior peroneal retinaculum
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| show | forceful dorsiflexion and eversion or plantarflexion and inversion
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| What would you find on inspection of subluxating peroneal tendons? | show 🗑
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| show | Numbness is possibly described in the dorsum of the foot, especially in the web space between the first and second toes. anterolateral portion of the lower leg, which is described as "achy", "sharp", or "dull". other complaints such as muscle tightness,
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| What is the MOI of anterior compartment syndrome? | show 🗑
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| show | The anterolateral compartment may appear shiny and swollen. In advanced cases, possible discoloration of the dorsum of the foot may be present.
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| What does a positive homan's sign implicate? | show 🗑
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Created by:
gunrock
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