Podcast
Questions and Answers
What is the most likely diagnosis for a female athlete presenting with posterolateral ankle pain and swelling after starting a new running program?
What is the most likely diagnosis for a female athlete presenting with posterolateral ankle pain and swelling after starting a new running program?
- acute fibular fracture
- superficial peroneal nerve involvement
- peroneal subluxation (correct)
- grade II ankle sprain
Which progression is appropriate for a patient bored with simple balance exercises after a fibular fracture?
Which progression is appropriate for a patient bored with simple balance exercises after a fibular fracture?
- unilateral stance balancing on a rocker board set up to emphasize dorsiflexion/plantarflexion control
- unilateral stance balancing on a rocker board set up to emphasize inversion/ eversion control
- standing on a rocker board and tossing a ball with you (the therapist)
- standing on one foot while performing reaching movements (correct)
Which muscles are primarily responsible for controlling eversion during weight acceptance in gait?
Which muscles are primarily responsible for controlling eversion during weight acceptance in gait?
- Tibialis posterior
- Extensor digitorum longus
- Fibularis brevis (correct)
- Fibularis tertius
For a patient 14 weeks post-Achilles tendon repair, which exercise is considered the best at this stage?
For a patient 14 weeks post-Achilles tendon repair, which exercise is considered the best at this stage?
What is the typical intervention for a Grade II ankle sprain within 72 hours of injury?
What is the typical intervention for a Grade II ankle sprain within 72 hours of injury?
In treating a soccer player with lateral foot pain aggravated by hopping and resistance, which condition is likely suspected?
In treating a soccer player with lateral foot pain aggravated by hopping and resistance, which condition is likely suspected?
Which of the following best describes the expected motor control challenge following a fibular fracture during rehabilitation?
Which of the following best describes the expected motor control challenge following a fibular fracture during rehabilitation?
What is a key sign indicating that a balance exercise is not challenging enough for a patient recovering from an ankle injury?
What is a key sign indicating that a balance exercise is not challenging enough for a patient recovering from an ankle injury?
Flashcards
Post-running ankle pain cause
Post-running ankle pain cause
A possible cause of posterolateral ankle pain and swelling in a runner who is new to running, but has a history of ankle sprains/patellofemoral pain is peroneal subluxation.
Progression for fibular fracture balance exercises.
Progression for fibular fracture balance exercises.
A logical progression for a patient recovering from a fibular fracture, after initial easy exercises, would be unilateral stance balancing on a rocker board to emphasize dorsiflexion/plantarflexion control
Foot eversion muscles during gait
Foot eversion muscles during gait
The primary muscles controlling eversion of the foot and ankle during weight acceptance in gait are the fibularis tertius and brevis.
Post-Achilles repair exercise 14 weeks post-surgery
Post-Achilles repair exercise 14 weeks post-surgery
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Grade II ankle sprain intervention (72 hrs)
Grade II ankle sprain intervention (72 hrs)
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Lateral foot pain cause (soccer player)
Lateral foot pain cause (soccer player)
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Advanced Balance Exercise.
Advanced Balance Exercise.
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Intermediate Balance Exercise.
Intermediate Balance Exercise.
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Study Notes
Ankle Pain and Injury
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Possible Diagnoses (for initial presentation): Peroneal subluxation, acute fibular fracture, superficial peroneal nerve involvement, and grade II ankle sprain.
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Initial Treatment Progression (for fibular fracture recovery):
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Begin with unilateral stance balancing on a rocker board to improve dorsiflexion/plantarflexion control.
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Progress to unilateral stance balancing on a rocker board, focusing on inversion/eversion control.
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Add reaching movements while standing on one foot.
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Lastly, standing on a rocker board while tossing a ball.
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Eversion Muscle during gait: Fibularis tertius, fibularis brevis.
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Achilles Tendon Repair Exercise (14 weeks post-repair): Standing single leg heel raises with external resistance (3 sets of 12 reps).
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Grade II Ankle Sprain (72 hours post-injury): Focus on edema control, specifically grade III anterior talocrural glide/mobilizations, along with red theraband dorsiflexion exercises (3 sets of 12 reps daily).
Foot Pain (Lateral Aspect)
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Possible Diagnoses (for gradual onset lateral foot pain): Fibularis brevis tendinopathy, fibularis tertius tendinopathy, fibularis longus tendinopathy.
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Treatment for suspected tendinopathy: Unloading the affected structure by placing a wedge under the foot (either lateral or medial, based on the suspected tendon). For example, if fibularis brevis is suspected, place a medial wedge under the medial foot.
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Description
Test your knowledge on various ankle injuries and their initial treatment strategies. This quiz covers possible diagnoses, recovery exercises, and rehabilitation techniques for common ankle ailments. Perfect for students and professionals in sports medicine or physiotherapy.
