The Ankle Anatomy & INJURIES Bone Stability Tibia, Fibula, Talus Form the “Ankle Mortise” Very stable joint Most injured joint.

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Presentation transcript:

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