ATHT 141 Exam 2 Lecture 2 Ankle Injuries

Inversion Ankle Sprain Grade 1 MOI: Forceful plantarflexion and inversion H: “Rolled my ankle” O: Inflammation, disability, possible ecchymosis P: Point tenderness, palpable inflammation, no joint laxity S: Anterior drawer, inversion test M: RICE, limited weight bearing 1 to 2 days, strength, ROM, proprioception

Inversion Ankle Sprain Grade 2 MOI: same H: “Rolled my ankle” “Felt a pop” O: Inflammation, avoids weight bearing activities, ecchymosis P: Palpable inflammation, point tenderness, joint laxity S: Anterior drawer, talar tilt M: RICE, progress to weight bearing between 5-10 days, protective immobilization, inflammation control, strength, ROM, proprioception

Inversion Ankle Sprain Grade 3 MOI: same H: “Rolled my ankle” “Pop” “Severe pain” O: No weight bearing, a lot of inflammation, ecchymosis P: Palpable inflammation, point tenderness, joint laxity S: Same M: Refer, Same

Eversion Ankle Sprain 5-10% of ankle sprains MOI: Eversion, dorsiflexion H: “Rolled ankle outward” O: Avoid weight bearing, inflammation, ecchymosis P: Point tenderness S: Eversion Talar Tilt M: Refer, Same

Syndesmotic (High) Ankle Sprain MOI: Eversion and dorsiflexion H: Severe pain while weight bearing O: Avoid weight bearing, some inflammation P: Point tenderness S: Kleiger’s test, Squeeze test M: Same, takes months to heal