1. Ankle Evaluation Beginning Athletic Medicine

2. Observe & Compare 1. Remove clothing bilaterally (use discretion) 2. Deformity 3. Bleeding 4. Scars 5. Discoloration 6. Coloration 7. Swelling 8. Compare bilaterally (compare to other side) 9. Observe body movement 10. Observe shoes

3. Palpation 1.Shaft of tibia 2.Fibula 3. Dome of the Talus 1 2 3

4. Palpation 4.Deltoid ligament 5. Anterior talofibular ligament 6. Calcaneofibular ligament 7. Anterior tibiofibular ligament 4 5 6 7

9. Palpation 8.Peroneal longus (a) and brevis (b) tendons a b a

10. Palpation 10. Achilles tendon9.Tibialis anterior 910

11. Palpation 11.Medial/Lateral Malleolus 12.Styloid Process 13. Calcaneus 11 12 13

12. Palpation 14.Tibialis Posterior 15.Flexor Digitorum Longus 16. Flexor Hallucis Longus 15 16 14

13. Palpation Tibial Artery -- A Tibial Nerve -- N A N

14. Palpation 17.Extensor Hallucis Longus 18. Extensor Digitorum Longus 17 18 17

15. Palpation 19. Calcaneal Bursa 19

16. Range of Motion Should be tested in active, passive, and resistive motions and compared bilaterally. 1. dorsiflexion 2. plantarflexion 3. inversion 4. eversion

17. Stress Tests Remember to compare bilaterally 1. Anterior/Posterior drawer 2. Eversion (Deltoid)--Talar Tilt 3. Inversion--Talar Tilt 4. Torsion/compression on malleoli (squeeze test) 5. Thompson test 6. Heel tap test (for fx)

21. Thompson Test