ankle injury management l.
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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
  • 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
  • Anterior/posterior tibiofibular- (aka syndesmotic ligaments)
  • Calcaneofibular-
  • Anterior talofibular
  • Deltoid
  • Peroneal retinaculum
Ant. Tibialis

Flexor hallicus longus

Flexor digitorum longus

Posterior tibialis

Extensor hallicus longus

Extensor digitorum longus

Peroneus longus

Peroneus brevis

Peroneus tertius



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


Stress fracture

Avulsion fracture

Injuries and Conditions
the end

The End