Ankle Eval

HOPS

history, observation, palpitations, specific tests

History

location, mechanism, type of pain, previous injury, unusual sensations

Observations

Discoloration, obvious deformity, abrasions, bruises, swelling, bilaterally compare

Boney palpation extra

to rule out fractures

Boney palpations

proximal tibfib, distal tibfib, dome of talus, calcaneus, tarsals, metatarsals, phalanges, base of 1st met, base of 5th met, med malleolus, lat malleolus

Soft tissue palpation extra

least pain to most pain

soft tissue palpations

ant tib, post tib, peroneal longus, peroneal brevis, peroneal tertius, EHL, EDL, FHL, FDL, gastroc, soleus, plantar fascia, ext retinaculum, retro calcanea bursa, CF lig, ATF lig, PTF lig, Atibfib lig, Ptibfib lig, interosseous lig, deltoid lig, achilles tendon,

specific tests

active range of motion, passive range of motion

active range of motion

looking for pain, they do the movements

passive range of motion

looking for pain and boney blocks, you move them

special tests

ant drawer, post drawer, side to side, bowstring, eversion, squeeze, pound, thompson, inv @ 0, inv @ 30, inv @ dorsi,

active resistive testing types

concentric and eccentric

concentric ART

push against me into the range of motion

eccentric ROM

resist me while in range of motion

Ankle ROM

dorsi flex, plantar flex, inversion, eversion