foot and ankle cases - clinical reasoning/tissue healing

ottawa ankle rules

a fracture screening tool to rule in an x ray based on palpation or ability to WB 4 steps

true

locations of ottawa ankle rules include the lat and med malleolus, base of 5 and navicular

t or f

false

locations of ottawa ankle rules include the lat and med malleolus, base of 5 and cuboid

t or f

true

when classifying multidimensional pain it should describe pain location, how long its been, cause, and mechanism

t or f

false

when classifying multidimensional pain it should describe location, how bad it is, cause, and mechanism

t or f

inflammation

in ligaments the ___ phase involves injury site filling w WBC and see ECM production

proliferation

in ligaments the _____ phase start laying collagen fibers and ground substance to replace blood clot

remodelling

in ligaments the ____ phase starts revascularizing and collagen turns to type 3 and it becomes more normal

grade 1

-___ ligaments injury is the disruption of some collagen fibers w min swelling, but normal ranges and end feels

grade 2

____ ligament injury is the disruption of considerable proportion of collagen fibers w significant tenderness and inc joint play on lig stress

grade 3

_______ ligament injury is the complete disruption of all collagen fibers where there is immediate then no pain leading to a significant deficit

ATFL

when doing PF and inversion ___ is stressed

PTFL

when doing DF and inversion ____ is stressed

CFL

when doing inversion ___ is stressed

tendons

helps attach muscles to bone but have less blood supply than it

true

tendons require progressive overloading to help stim BF into it for healing

t or f

false

tendons require overloading to help stim BF into it for healing

t or f

tendinopathy

occurs when tendon is overused or when there is an excessive amt of load on a tendon causing it to damage the tendon

tendon dysrepair

occurs when there is more overload to a tendon w reactive tendinopathy w a dec chance of returning to normal tendon w signs of inflammation

degenerative tendinopathy

occurs when there is more overload to a tendon w tendon dysrepair w a very low or impossible chance to return to normal tendon

true

interventions targeting pain/structure are unlikely to improve load capacity in tendons

t or f

false

interventions targeting pain/structure are likely to improve load capacity in tendons

t or f

load capacity

people w tendinopathies should involve interventions that target rehab in ___

true

in tendinopathy it is often first seen as reactive or reactive on degenerative

t or f

false

in tendinopathy it is often first seen as dysrepair or dysrepair on degenerative

t or f

true

degenerative tendinopathy does not transmit tensile loads

t or f

false

degenerative tendinopathy can still transmit tensile loads but weakly

t or f

true

in people w degenerative tendinopathy it should rehab the load capacity in the normal part of tendon rather than the whole of degenerative

t or f

false

in people w degenerative tendinopathy it should rehab the load capacity in the whole of tendon

t or f

true

people w tendinopathies can have varying overlapping pain, poor fxn, and visible pathologies

t ro f

false

people w tendinopathies can have all have overlapping pain, poor fxn, and visible pathologies

t ro f