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Ankle and Foot InjuriesAnkle and Foot Injuries
www.fisiokinesiterapia.biz
Bony anatomy of the ankle: Anterior aspect
Lateral aspect of ankle
1. Calcaneum
2. Talus
3. Navicular
4. Cuboid
5. Medial cuneiform
6. Intermediate cuneiform
7. Lateral cuneiform
8. Metatarsal
9. Proximal phalanx
10. Middle phalanx
11. Distal phalanx
Mechanism of InjuryMechanism of Injury
• Definition
• Pattern of Injury
• Examination
Mechanism of InjuryMechanism of Injury
• Transfer of energy from environment to patient
• Gives an idea of what injury to expect
Mechanism Mechanism Pattern of InjuryPattern of Injury
• Inversion • Lat mall• Base of 5th
• Neck of fibula• Evertion
• Med mall• Plantar flexion
• Fracture/dislocation• Fall from height
• Os calcus• Crush
ExaminationExamination
• Look• Swelling• Bruising • Deformity esp Dislocated ankle
ExaminationExamination
• Feel• Where tender• Palpable deformity• Pulses
FeelFeel
• Head of fibula• Tibial tuberosity• Feel down fibula• Feel down tibia
FeelFeel
Base of 5th
Metatarsal
FeelFeel
• Medial malleolus
• Calcaneun
• Achilles tendon
NeurovascularNeurovascular
• Check pulses
• Capillary refill
• Colour and temperature
• Check sensation
ExaminationExamination
• Move• Range of movement• Any pain on movement
• X-Ray
XX--RayRayOttawa Ankle RulesOttawa Ankle Rules
• Cannot weight bear at time of injury and in dept
• Tender at posterior margin of• Lat mall• Med mall
• Tender base of 5th metatarsal• Tender navicular