THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do...

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THE ANKLE CHAPTER 18 The Ankle and Lower Leg

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Transcript of THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do...

Page 1: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

THE ANKLE

CHAPTER 18

The Ankle and Lower Leg

Page 2: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Introduction

“Have you ever sprained your ankle, or do you know anyone who has?”

What did you do for it? How long did the pain last? Do you have any problems

with that ankle?

Page 3: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Anatomy of the Ankle

What bone make up the Ankle joint?

Tibia Fibula Talus Calcaneus

Page 4: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Online Ankle Quiz

Access the following link and take the online bones of the Ankle quiz.

http://www.csuchico.edu/~sbarker/shock/Anklequiz.html

Page 5: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Anatomy of the Ankle What type of joint is

the Ankle?

The Ankle joint is a HINGE JOINT

The TALOCRURAL Joint

Page 6: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Major Ligaments of the Ankle LATERAL ASPECT

Anterior Tibiofibular

Anterior Talofibular- 3

Calcaneofibular- 6

Posterior Talofibular- 9

Page 7: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Major Ligaments of the Ankle

MEDIAL ASPECT

Posterior Talotibial Posterior

Talocalcaneal Deltoid

Page 8: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Muscles and Tendons around the Ankle

Achilles Tendon

Peroneal Tendinitis

Anterior Tibialis Tendinitis

Posterior Tibialis Tendinitis

Page 9: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Common Ankle Injuries

Inverted Ankle Sprain

Everted Ankle Sprain

Ankle Dislocation

Muscle and Tendon Strains

Page 10: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Inverted Ankle Sprain

Inversion Ankle Sprain- the foot turns inward rolling over the lateral aspect of the ankle.

Most common ankle sprain- about 85% of all ankle sprains

Page 11: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Everted Ankle Sprain

Eversion Ankle Sprain- the turns inward. The ankle rolls in medially.

Uncommon sprain due to bone support.

Occurs in about 10-15% of ankle sprains.

Page 12: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Ankle Dislocation/Fracture

Ankle Dislocation -Fracture

Medical Emergency Usually the foot is

inverted. Frequently both the

Tibia and Fibula are fractured.

Page 13: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Ankle Dislocation/Fracture - Medical Emergency

Page 14: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Muscle and Tendon Strains

Most common is the Achilles Tendon Strain.

THOMPSON Test the Achilles.

Peroneal tendon sometimes damaged with inversion ankle sprain.

Page 15: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Video on Ankle Injuries

NOTES on VIDEO:

Page 16: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Grading Scales for Sprained Ankles

GRADE I

GRADE II

GRADE III

Most common ankle sprain. Mild pain, still weight baring.

More painful, report popping sound. Can not bear weight. Stretching of lateral ligaments of the ankle.

Extreme pain. Usually complete tear of one of the ankle ligaments.

Sometimes fracture occurs also.

Page 17: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Rehab/Treatment Plan for Sprained Ankles

RICE

Modalities

Exercises

Page 18: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

RICE Rest- stay off the Ankle,

crutches may be needed

Ice- 15 minutes a 4 to 5 times a day

Compression- ace wrap with horseshoe keeps the swelling down

Elevation- keep ankle above heart level when possible, allows gravity to pump out swelling

Page 19: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Goals of RICE

Limit Swelling

Reduce pain

Return to sport/activity quicker

Page 20: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Modalities Used

COLD WHIRLPOOL- 15 minutes a couple times

a day Vasoconstrictors vessels

around ankle Stimulates pain killing

receptors Slows cell metabolism Aids in reducing swelling

Page 21: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Modalities Used HIGH VOLTAGE- Assists in activating pain killing

receptors. Assists in muscle stimulation

around ankle joint to aid in edema removal.

ULTRASOUND- Assists in edema removal. Assists in bringing digestive

enzymes to clean debris cells of the injured ankle.

Page 22: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Rehab Exercises

Range of Motion ABC’s One leg Stands BAPS Board Towel Curls Toe Pickups Toe Rises Theraband

Page 23: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Taping Vs. Wrapping

TAPING- Psychologically better

feeling to the athlete Tight fitting at first Tape looses a large

percentage of its support within the first 15-20 minutes of competition

Page 24: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Taping Vs. Wrapping

WRAPPING- Purpose in wrapping is

injury prevention. Wrapping will not

eliminate sprained ankle, but it does minimize the severity of the sprain.

Page 25: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Ankle Braces

ANKLE BRACES- Many varieties and types. Lace Up Hinged Air Casts All offer different levels of

support. Large and competitive

business market for ankle braces.

Page 26: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Ankle Braces

Page 27: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Ankle Braces

Page 28: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Ankle Braces

Page 29: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Video on Cramer Ankle Brace

Notes on Video:

Page 30: THE ANKLE CHAPTER 18 The Ankle and Lower Leg. Introduction Have you ever sprained your ankle, or do you know anyone who has? What did you do for it? How.

Questions Over Ankle

Notes:


Sacred Heart Parish › wp-content › ... · 2017-03-30 · the same bad result as wishing a sprained ankle would heal, Please Give Generously healing needs the practice of penance.

Sacred Heart Parish › wp-content › ... · 2017-03-30 · the same bad result as wishing a sprained ankle would heal, Please Give Generously healing needs the practice of penance.

Treatment Considerations - talusinc.comtalusinc.com/library/pdf/ClinicalMassageTherapySamplePages.pdf · EDEMA EDEMA 18 Edema is a local or ... a cut, a sprained ankle, the pinprick

Treatment Considerations - talusinc.comtalusinc.com/library/pdf/ClinicalMassageTherapySamplePages.pdf · EDEMA EDEMA 18 Edema is a local or ... a cut, a sprained ankle, the pinprick

Sprained Ankle Grade II

Sprained Ankle Grade II

Presented by Marcus Strutz, DC - Back To Chiropractic Notes.pdf · Pt Education:Sprained Ankle Pts often have a hard time understanding a sprained low back or neck, so use a sprained

Presented by Marcus Strutz, DC - Back To Chiropractic Notes.pdf · Pt Education:Sprained Ankle Pts often have a hard time understanding a sprained low back or neck, so use a sprained

JIMMY RHP HERGET 49 - MLB Pressboxpressbox.mlb.com/documents/1/4/0/303801140/Herget_Lopez.pdf · -- On disabled list with a sprained left ankle, August 5-September 6, 2010; included

JIMMY RHP HERGET 49 - MLB Pressboxpressbox.mlb.com/documents/1/4/0/303801140/Herget_Lopez.pdf · -- On disabled list with a sprained left ankle, August 5-September 6, 2010; included

issue - Maddington Physiotherapy Centre...is common to see simple injuries, such as a sprained ankle, left untreated. It is also common to see these untreated injuries giving rise

issue - Maddington Physiotherapy Centre...is common to see simple injuries, such as a sprained ankle, left untreated. It is also common to see these untreated injuries giving rise

MergedFile - physioandclimbphysioandclimb.com/wp-content/uploads/2017/03/RockandIce.pdf · a sprained ankle in one treatment with an 85 percent success rate—the athlete can come

MergedFile - physioandclimbphysioandclimb.com/wp-content/uploads/2017/03/RockandIce.pdf · a sprained ankle in one treatment with an 85 percent success rate—the athlete can come

BELL WORK Have you ever had an emergency, such as a broken bone, insect bite, sprained ankle, nosebleed, poisoning, etc.

BELL WORK Have you ever had an emergency, such as a broken bone, insect bite, sprained ankle, nosebleed, poisoning, etc.

Is manual therapy an effective treatment for sprained ankles?wellnesscarechiro.com/wp-content/uploads/chapter-9-Ankle-Pain-ocr.pdf · Is manual therapy an effective treatment for

Is manual therapy an effective treatment for sprained ankles?wellnesscarechiro.com/wp-content/uploads/chapter-9-Ankle-Pain-ocr.pdf · Is manual therapy an effective treatment for

 · Web viewSmall plastic bag with word “ice” on a slip of paper inside (bug sting, sprained ankle)

 · Web viewSmall plastic bag with word “ice” on a slip of paper inside (bug sting, sprained ankle)

HAMPTON PHYSICAL THERAPYFoot And Ankle Injuries he most commonly reported injuries in the foot/ankle region are ankle sprains. A Sprained ankle simply means that the liga- ments (the

HAMPTON PHYSICAL THERAPYFoot And Ankle Injuries he most commonly reported injuries in the foot/ankle region are ankle sprains. A Sprained ankle simply means that the liga- ments (the

Rehabilitation consultation and ethics · Babbs went to her regular doctor for treatment and was diagnosed as having a sprained ankle. The doctor recommended Babbs avoid work activity

Rehabilitation consultation and ethics · Babbs went to her regular doctor for treatment and was diagnosed as having a sprained ankle. The doctor recommended Babbs avoid work activity

CONNECTION - newsletter.jrninc.com · own teammate, and sprained her right ankle! She did not play the rest of the tourney. She is diagnosed with a "high ankle sprain" and is now

CONNECTION - newsletter.jrninc.com · own teammate, and sprained her right ankle! She did not play the rest of the tourney. She is diagnosed with a "high ankle sprain" and is now

Sprained Foot & Ankle Treatment

Sprained Foot & Ankle Treatment

Saints Peter Paul - stsppchurch.orgstsppchurch.org › wordpress › wp-content › uploads › 2020 › 02 › March-1-2020.pdfhoping a sprained ankle will heal on its own while still

Saints Peter Paul - stsppchurch.orgstsppchurch.org › wordpress › wp-content › uploads › 2020 › 02 › March-1-2020.pdfhoping a sprained ankle will heal on its own while still

Sprains and strains - cyh.sa.gov.au · You may have overstretched, or even torn, the ligaments which fasten the bones of your ankle to your leg. We say that you have 'sprained' your

Sprains and strains - cyh.sa.gov.au · You may have overstretched, or even torn, the ligaments which fasten the bones of your ankle to your leg. We say that you have 'sprained' your

Lisfranc Injuries in Athletes - pdfs.semanticscholar.org · any athlete who complains about a sprained ankle or foot needs to be thoroughly examined. Distracting injuries such as

Lisfranc Injuries in Athletes - pdfs.semanticscholar.org · any athlete who complains about a sprained ankle or foot needs to be thoroughly examined. Distracting injuries such as

Foot Health Facts - Empire Foot and Ankle Center...Sprained ankles oen result from a fall, a sudden twist or a blow that forces the ankle joint out of its normal position. Ankle sprains

Foot Health Facts - Empire Foot and Ankle Center...Sprained ankles oen result from a fall, a sudden twist or a blow that forces the ankle joint out of its normal position. Ankle sprains

The OMM Standardized Question · •Includes Osgood-Schlatter syndrome, Sprained ankle, Lateral Femoral Patellar Tracking Syndrome. Signs of Cranial Dysfunction •Bulging or sunken

The OMM Standardized Question · •Includes Osgood-Schlatter syndrome, Sprained ankle, Lateral Femoral Patellar Tracking Syndrome. Signs of Cranial Dysfunction •Bulging or sunken

Once a prized prospect in the motocross - We Went Fast · sprained an ankle practicing. His doctor prescribed him Norcos, an opioid with acet-aminophen and hydrocodone. He went to

Once a prized prospect in the motocross - We Went Fast · sprained an ankle practicing. His doctor prescribed him Norcos, an opioid with acet-aminophen and hydrocodone. He went to