1. Foot/Ankle and Lower Leg Fractures and Dislocations
Injuries, Part 2
Foot/Ankle and Lower Leg Fractures and Dislocations

2. “Before & After” BELLWORK
Using a piece of notebook paper, answer the following questions, leaving a line between each answer. Put the paper aside until the end of class. 1. How do you get a fracture? 2. How do you get a dislocation? 3. What does a fracture look like? 4. What does a dislocation look like?

3. Objective
Differentiate between common injuries and their mechanisms, signs, symptoms and treatments.

4. PROPERTY OF PIMA COUNTY JTED, 2010
Idea Wave
List ideas about the injuries that were examined yesterday.
Be ready to share.
After the “Idea Wave,” be prepared to rank your top three ideas from the class.
33. Idea Wave
each student lists 3 to 5 ideas about the assigned topic
the teacher calls on a non-volunteer to begin the "idea wave" by
sharing one idea
the student to the right of the first non-volunteer shares one idea;
then the student to the non-volunteer’s right shares one idea
the teacher directs the flow of the "idea wave" until all
different ideas have been shared by asking each student
at the end of the formal "idea wave," students will rank their top 3
ideas
PROPERTY OF PIMA COUNTY JTED, 2010

5. Dislocations Rare in ankle, but common in phalanges MOI: S/S: Rx:
Rare in ankle, but common in phalanges
MOI:
Traction or twisting
S/S:
Deformity
Possible fractures
Inability to move extremity
Rx:
Immobilize
Cold
Referral for reduction or Emergency Action Plan (EAP)

6. Acute Fractures MOI: S/S: Direct blows Twisting
Associated with avulsions/dislocations
S/S:
Localized Pain
Deformity?
Swelling
Ecchymosis
Crepitis
Pain with WB
dailymail.co.uk

7. Acute Fractures- Specialties
Avulsion Fractures
Common for ATF Ligament to fracture lateral malleolus (looks like 3rd Degree sprain)
Jones Fracture- Peroneus brevis pulls off proximal 5th metatarsal with forced inversion
Growth Plate (Epiphyseal) Fractures
Distal plated in fibula and tibia may fracture with inversion/eversion

8. Jones Fracture

9. Acute Fractures Stress Tests: Rx:
Tap Test- tibia, fibula, talus or calcaneus
Calf squeeze/compression- tibia or fibula
Rx:
RICE
Referral for x-ray
Be prepared to activate Emergency Action Plan (EAP) if open fracture or signs of shock

10. Stress Fractures Extremely common due to repetitive action
S/S: point tenderness; especially in WB position
Rx:
NWB (non-weight bearing) > week or more
Walking boot or cast possible
Out of activity 3-4 weeks
Gradual resumption of activity

11. Tibial Stress Fracture
This was picked up on a bone scan:

12. March Fracture
Stress Fracture to metatarsals due to repetitive activity
empowher.com

13. “What’s My Injury?”
With a partner, choose an injury from today’s lesson
Write a creative scenario about that injury including the etiology, pathology, and treatment for the injury
Be prepared to share with the class

14. “Before & After” CLOSURE
On your Before and After bellwork sheet, answer the following questions on the line below your “Before” answers. This will assess your new learning for the day! 1. How do you get a fracture? 2. How do you get a dislocation? 3. What does a fracture look like? 4. What does a dislocation look like?