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Ankle Injuries: Types and Evaluation

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Questions and Answers

What is the most common mechanism of injury for an inversion sprain?

Eversion sprain

Rotation

Compression

Lateral ligament complex (correct)

What acronym is used for initial management of ankle injuries to prevent mild sprains from appearing severe?

RICE

POLICE (correct)

PRICE

ROMP

Which ligament is described as the weakest of all ligaments in the ankle?

ATFL (correct)

Deltoid ligament

Medial ligament complex

Syndesmosis

Which factor is identified as the largest risk factor for injury recurrence?

Previous injury (D) Signup and view all the answers

What would be an indication that could differentiate between a ligament sprain and a fracture based on onset of pain?

Pain and swelling occurring immediately after weight-bearing (D) Signup and view all the answers

Which injury type is more common, according to the text?

Inversion sprains (C) Signup and view all the answers

What is the most common mechanism of injury for lateral ankle sprains?

Forced plantar flexion and inversion (B) Signup and view all the answers

Which ligament is most commonly injured in lateral ankle sprains?

Anterior talofibular ligament (ATFL) (D) Signup and view all the answers

What is the recommended initial treatment for an acute lateral ankle sprain?

PRICE (Protection, Rest, Ice, Compression, Elevation) (A) Signup and view all the answers

Which physical examination finding is suggestive of a syndesmotic injury?

Positive squeeze test (A) Signup and view all the answers

What is the recommended rehabilitation approach for a grade 2 lateral ankle sprain?

Early protected weight-bearing and functional rehabilitation (C) Signup and view all the answers

Which intervention is most effective for preventing recurrent lateral ankle sprains?

Proprioceptive and balance training exercises (B) Signup and view all the answers

What is the most likely cause of a peroneal tendon dislocation?

Forceful passive dorsiflexion with retinaculum rupture (D) Signup and view all the answers

What is the primary goal of rehabilitation for a patient with a peroneal tendon dislocation?

Prevent recurrent dislocation (B) Signup and view all the answers

Which of the following is NOT a common finding in the 'difficult' ankle?

Ankle impingement (D) Signup and view all the answers

When evaluating a 'difficult' ankle, which of the following should be the first step?

Determine the quality of the initial rehabilitation (A) Signup and view all the answers

Which of the following is the most common cause of a 'difficult' ankle?

Inadequate initial rehabilitation (D) Signup and view all the answers

A patient presents with a history of a severe ankle sprain several months ago. Which of the following should be the first step in the physical examination?

Palpate for tenderness (B) Signup and view all the answers