-Affect any age group.
-Most of them inversion injury (incomplete tear of lateral ligaments.
-Complete rupture mean:
1-Fail to heal.
2-Instability of ankle.
-Signs and symptoms:
1-Pain.
2-Instability to weight bear in some cases.
3-Swelling.
4-Ecchymosis & bruising.
5-Palpation of ligaments especially ATFL is tender.
-Ottowa ankle rule: Institutions to determine on which patients ankle radiographs should be ordered.
1-No weight bearing X4 staps at time of injury.
2-Bony tendernes around medial and lateral malleolus.
3-Positive squeeze test.
4-stress test.
-Squeeze test: fibula and tibia pushed together by exminer at about the shin creating pain at ankle.
-Stress test: grasp the heel and forcibly put gently invert the foot, feeling for opening up thenlateral side of the ankle between tibia and talus.
Treatment:
-PRICE
-Pain control.
-Rest.
-Ice.
-Compression.
-Elevation.
--Fractures may require surgical fixation.
Orthopaedic examination made easy
-Javad parvizi
by:Zaid Hjab
زيد حجاب
5. Signs and symptoms
1. Pain.
2. Instability to weight bear in some cases.
3. Swelling.
4. Ecchymosis & bruising.
5. Palpation of ligaments especially ATFL is tender.
6.
7. -Ottowa ankle
rule
Institutions to determine on
which patients ankle
radiographs should be
ordered.
• No weight bearing X4 staps at time
of injury.
• Bony tendernes around medial and
lateral malleolus.
• Positive squeeze test.
• stress test.
8. Squeeze test
fibula and tibia pushed
together by examiner
at about the shin creating
pain at ankle.
9. Stress test
• grasp the heel and forcibly
put gently invert the foot,
feeling for opening up the
lateral side of the
ankle between tibia and
talus.
