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What type of joint is the ankle joint
hinge
What movements does the ankle joint do
dorsiflexion and plantar flexion
ATF
anterior talofibular ligament
CF
Calcaneofibular ligament
PTF
posterior talofibular ligament
Medial ankle ligament
deltoid ligament
High ankle ligament
anterior and posterior inferior tibiofibular ligaments
Plantar flexion
pushing or pointing the toes and the ball of the foot down towards the ground
Dorsiflexion
Standing on the heel of the foot, with the toes pointed up towards the sky
Lateral ankle sprain
injury to the ATF, CF, and PTF
Lateral ankle sprain MOI
plantar flexion and inversion (ankle rolls out)
Lateral ankle sprain S/S
feels pop, effusion over lateral ankle, pain over ligaments
Syndesmosis
the strong fibrous joint connecting the fibula to the tibia
Weber A fractures
below syndesmosis, non-operative
Weber B fractures
level with syndesmosis, careful eval
Weber C fractures
above syndesmosis, surgical intervention
Medial ankle injuries
injury to the medial ligament (deltoid ligament)
Medial ankle injuries MOI
Eversion (ankle rolls inward)
Medial ankle injuries S/S
high force required, foot planted on ground + eversion, pain over medial ankle ligaments
High ankle sprains
injury to ligaments above the mortise to the syndesmosis
high ankle ligaments
AITFL (Anterior inferior tibiofibular ligament), PITFL (Posterior inferior tibiofibular ligament), and interosseous membrane
High ankle sprains MOI
forced external rotation and dorsiflexion
High ankle sprains
high force required, pain above ankle mortise, instability
Most common ankle sprains
lateral
Ottawa ankle rules
rules to determine if an x-ray is need for an ankle injury
Ankle dislocation
abnormal seperation between the tibiotalar joint
Why are ankle dislocations an emergency
they can be limb threatening
Ankle dislocation MOI
high impact forces
Ankle dislocations S/S
gross deformity and inability to bear weight