The Ankle Anatomy & INJURIES
Bone Stability Tibia, Fibula, Talus Form the “Ankle Mortise” Very stable joint Most injured joint
Difference in Stability
Ankle Ligaments (lateral side)
Ankle ligaments (medial side)
Ankle Muscles Extensor / Flexor digitorum Extensor / Flexor hallux Tibialis Anterior – Dorsiflex and invert Tibialis Posterior – Plantarflex and invert Peroneal longus/brevis – Plantarflex and evert Gastrochnemius/soleus – Plantarflex
Ankle Injuries Sprains Strains Contusions Fractures Dislocations / Subluxations Tendonitis Bursitis
Inversion Sprains Most common sports injury Plantarflexion and Inversion
Eversion Sprains Injure the Deltoid Ligament Less common than Inversion Sprains Usually results in an ankle fracture or knee injury
“High Ankle Sprain” Syndesmotic Joint Tibiofibular ligaments Injury mechanism – ankle external rotation Very long recovery time Difficult rehab (weight bearing)
Kicking injuries?
Running Injuries
Lifting Injuries
Contact Sport Injuries
Care for Ankle Injuries R – rest I - ice C – compression E - elevation
Ankle Rehabilitation Decrease Swelling Increase ROM –Passive / Active ROM Increase Strength –Isometric followed by isotonic Increase Weight Bearing Increase Achilles Flexibility Increase Function Return to Activity