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What is the criterion for ankle sprain grading?
location of tenderness
edema and ecchymosis
weight bearing ability
ligament damage
instability
How many grades of ankle sprains are there?
3
What is the location of tenderness for a grade 1 ankle sprain?
anterior talofibular ligament (ATFL)
Describe the edema and ecchymosis for a grade 1 ankle sprain
slight and local
Describe the patient’s weight bearing ability for a grade 1 ankle sprain
full or partial
Describe the ligament damage for a grade 1 ankle sprain
stretched
Describe the instability for a grade 1 ankle sprain
none
What is the location of tenderness for a grade 2 ankle sprain?
anterior talofibular ligament (ATFL)
calcaneofibular ligament (CFL)
Describe the edema and ecchymosis for a grade 2 ankle sprain
moderate and local
Describe the patient’s weight bearing ability for a grade 2 ankle sprain
difficulty without crutches
Describe the ligament damage for a grade 2 ankle sprain
partial tear
Describe the instability for a grade 2 ankle sprain
none or slight
What is the location of tenderness for a grade 3 ankle sprain?
anterior talofibular ligament (ATFL)
calcaeofibular ligament (CFL)
posterior talofibular ligament (PTFL)
Describe the edema and ecchymosis for a grade 3 ankle sprain
significant and diffuse
Describe the patient’s weight bearing ability for a grade 3 ankle sprain
impossible without significant pain
Describe the ligament damage for a grade 3 ankle sprain
complete tear
Describe the instability for a grade 3 ankle sprain
definite