Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 34 views

    ANKLE Injuries

    Uploaded by

    Sumanth Kaiwar
    1. The document discusses the anatomy of the ankle joint, including bones, ligaments, tendons and muscles. 2. It describes the different types of ankle sprains that can occur from inversion, eversion, and external rotation injuries and the ligaments most commonly involved. 3. Guidelines are provided for assessing ankle sprains on the field, including evaluating pain on palpation, range of motion, ability to bear weight, and determining if the athlete can return to play or needs further treatment.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd

    ANKLE Injuries

    Uploaded by

    Sumanth Kaiwar
    34 views51 pages
    1. The document discusses the anatomy of the ankle joint, including bones, ligaments, tendons and muscles. 2. It describes the different types of ankle sprains that can occur from inversion, eversion, and external rotation injuries and the ligaments most commonly involved. 3. Guidelines are provided for assessing ankle sprains on the field, including evaluating pain on palpation, range of motion, ability to bear weight, and determining if the athlete can return to play or needs further treatment.

    Copyright

    © © All Rights Reserved

    Available Formats

    PPT, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    1. The document discusses the anatomy of the ankle joint, including bones, ligaments, tendons and muscles. 2. It describes the different types of ankle sprains that can occur from inversion, eversion, and external rotation injuries and the ligaments most commonly involved. 3. Guidelines are provided for assessing ankle sprains on the field, including evaluating pain on palpation, range of motion, ability to bear weight, and determining if the athlete can return to play or needs further treatment.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    34 views51 pages

    ANKLE Injuries

    Uploaded by

    Sumanth Kaiwar
    1. The document discusses the anatomy of the ankle joint, including bones, ligaments, tendons and muscles. 2. It describes the different types of ankle sprains that can occur from inversion, eversion, and external rotation injuries and the ligaments most commonly involved. 3. Guidelines are provided for assessing ankle sprains on the field, including evaluating pain on palpation, range of motion, ability to bear weight, and determining if the athlete can return to play or needs further treatment.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 51

    BONY ANKLE JOINT

    F
    T

    Ta
    Flex. Hallucis
    Achilles Longus
    Tendon
    Flex. Digitorum
    Longus
    P. Longus
    P. Brevis Tib. Posterior
    P. Tertius Tib. Anterior
    Ext. Digitorum Ext. Hallucis
    Longus Longus
    SYNOVIAL JOINTS
    LATERAL LIGAMENTS
    MEDIAL ANKLE

    Tibia Talus
    Deltoid Navicular
    Ligament

    Calcaneus Sustentaculum
    Tali
    ANKLE MOVEMENT AND
    THE EFFECTS ON
    LIGAMENTS

    Plantar Neutral Dorsi


    INVERSION
    SPRAIN
    BOTH INVERSIONS?

    A B
    INVERSION SPRAIN

    85% of all sprains


    Happens during
    loading and unloading
    of the ankle.
    What ligament is the
    first line of defence?

    Depends on ankle position


    Peroneus Brevis
    Base 5th
    Lateral Structures Ankle
    Post.
    Anterior Inf. Tib-fib.
    Talofib.
    Ant. Talofibular.
    Calcaneofibular
    P. Brevis

    Base 5
    MANDATE ON
    PLAYING SURFACE

    HOW SEVERE IS THE


    INJURY.

    HOW DO WE REMOVE
    THEM FROM THE FIELD
    ASSESSMENT
    S. Subjective
    O. Objective
    A. Analysis
    P. Plan
    Subjective: Information
    that is gathered from
    the athlete.

    Objective: Observable
    or measurable findings.
    WEIGHT BEARING

    OR

    NON-WEIGHT
    BEARING
    PAIN RESPONSE OF
    DAMAGED TISSUE
    1. Damaged muscle and
    ligaments are painful
    when stretched.
    2. Damaged muscle is
    painful to contract.
    PAIN RESPONSE .. Con’t

    3. Both structures are


    painful if palpated at
    the site of tear.
    FIELD ASSESSMENT
    Ankle Sprains - General
    Mechanism of Injury
    Pain …… where?
    Hear/feel anything?
    Injured before?
    Continue with activity?
    PALPATION
    Anterior Inferior
    Tibiofibular Ligament
    1
    2 Anterior Talofibular
    3 Calcaneofibular Lig.

    Base of 5 th
    4
    Metatarsal
    INVERSION SPRAINS
    One area of tenderness.
    No sensation of tearing
    or feeling unstable.
    Full ROM with discomfort
    on active plantar
    flexion and inversion.
    .. 2
    .. 2
    Stand athlete to check
    for pain in ankle or
    leg.
    Walk to the sideline if
    athlete can walk
    without a limp.
    INVERSION SPRAIN

    At least two areas of pain.


    Hear/feel of tearing.
    Painful ankle.
    Limitation of pl. flexion
    and inversion.
    2..
    …2

    Check to see if the


    athlete can stand.
    Determine where the pain
    is located (leg pain
    N.W.B.).
    If they can walk, but limp,
    remove N.W.B.
    EVERSION SPRAIN
    • Least common sprain.
    • Most fractures happen in
    eversion.
    • Stability of the medial
    ankle depends upon the
    Deltoid Ligament and the
    lateral malleolus.
    EVERSION
    • Slight medial tenderness.
    • Pain and slight limitation
    on active eversion.
    • Stand to determine if
    there is leg pain.
    • Walk off playing surface if
    not antalgic.
    ANKLE SPRAIN
    SEVERE

    Rigid, high footwear.


    Unable to continue on
    with the activity.
    Leg pain on standing.
    Eversion and
    External Rotation
    of the ankle
    without Deltoid
    Ligament tear.
    3. Fracture 1. Deltoid

    2. Ant. Inf.
    Tib-fib.
    Hockey Player
    Inversion
    Minimal Pain
    Mild swelling
    Mild bruising
    Return in five
    days
    Day 6
    THE MINOR SPRAIN
    Can this athlete return to
    play during this contest?

    Definition… Discomfort
    versus pain?
    Pain changes the way
    you do things!
    Dissect the sport into its’
    components starting from
    the most simple on the
    ankle and progress to the
    most difficult. If they can
    perform the test without
    pain… then return.
    (Following taping?)
    NON-RETURNING
    ATHLETE
    C.I.C.E.R.
    Crutches for proper gait.
    Referral for physio.

    Prepare for return.


    PREPARE FOR RETURN

    Aside from the ‘formal’


    rehabilitation, the athlete
    must work on maintaining
    conditioning and doing
    whatever sport skills they
    can.
    WHEN DO I KNOW
    THAT I AM READY
    TO RETURN?????
    WALK
    Pain
    JOG

    FIGURE 8

    SHUTTLE RUN
    Figure 8 and Shuttle Run
    FIGURE 8
    ½ Speed

    SHUTTLE
    ¾ Speed
    R
    L

    25 m
    ???

    You might also like