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Ankle Injury Management. Module J2. Bones and Prominent Boney Features. Calcaneus Talus Cuboid Navicular Cuneiforms Tibia Fibula. Articulations. Ankle Mortice

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Presentation Transcript
bones and prominent boney features
Bones and Prominent Boney Features
  • Calcaneus
  • Talus
  • Cuboid
  • Navicular
  • Cuneiforms
  • Tibia
  • Fibula
articulations
Articulations
  • Ankle Mortice
  • Distal Tibiofibular- is a fibrous articulation. It is between the lateral malleolus and the distal end of the tibia. Reinforced by ankle ligaments
  • Subtalar- Consists of the articulation between the talus and the calcaneous.
  • Transverse Tarsal
ligaments
Ligaments
  • Anterior/posterior tibiofibular- (aka syndesmotic ligaments)
  • Calcaneofibular-
  • Anterior talofibular
  • Deltoid
  • Peroneal retinaculum
muscles
Ant. Tibialis

Flexor hallicus longus

Flexor digitorum longus

Posterior tibialis

Extensor hallicus longus

Extensor digitorum longus

Peroneus longus

Peroneus brevis

Peroneus tertius

Gastrocnemius

Soleus

Muscles
other structures
Other structures
  • Anterior tibial artery
  • Deep peroneal n.
  • Superficial peroneal n
  • Posterior tibial n.
anterior drawer test
Anterior Drawer Test
  • Used to determine the extent of an injury to the ATF ligament primarily and the other lateral ligaments secondarily.
  • Have athlete sit on the edge of a treatment table
  • ATC grasps the lower tibia in 1 hand and the calcaneus in the palm of the other
  • Tibia is then pushed backward as the calcaneus is pushed forward
  • Positive sign= the foot slides forward, sometimes making a clunking sound as it reaches its end point. Generally indicates a tear in the ATF
talar tilt test
Talar Tilt test
  • Used to determine the extent of inversion or eversion injuries
  • Foot positioned at 90° to the lower leg and stabilized, the calcaneus is inverted
  • Excessive motion of the talus indicates injury to the CF and possibly the ant/posterior talofibular ligaments as well
kleiger s test
Kleiger’s test
  • Used primarily to determine injury to the deltoid ligament. It can also, however, indicate injury to structures that support the distal ankle syndesmosis, including the ant/posterior tibiofibular ligaments and the interosseous membrane
  • Athlete should be seated with legs over the table
  • One hand stabilizes the lower leg while the other holds the medial aspect of the foot
  • Rotate laterally
  • Pain over the deltoid ligament indicates injury, and pain over the lateral malleolus indicates injury to the syndesmosis
tap test
Tap test
  • Tinel’s sign
  • Malleolus fx
injuries and conditions
1st° ankle

2nd° ankle

3rd° ankle

Sprain- dislocation

Anterior tibial strain

Peroneal strain

Fracture

Stress fracture

Avulsion fracture

Injuries and Conditions
the end

The End

Questions???