Upload
mikko
View
55
Download
0
Tags:
Embed Size (px)
DESCRIPTION
Ch. 17 Foot, Ankle, and Lower Leg Injuries. Ankle Sprain. MOI: 85 % inversion, 15% eversion Deltoid stronger than lateral ligaments Fibula longer than tibia S/S: pain, swelling, discoloration, decreased ROM 1 st degree: ligament stretched 2 nd degree: ligament partially torn - PowerPoint PPT Presentation
Citation preview
CH. 17 FOOT, ANKLE, AND LOWER LEG INJURIES
Ankle Sprain
MOI: 85% inversion, 15% eversion Deltoid stronger than lateral ligaments Fibula longer than tibia
S/S: pain, swelling, discoloration, decreased ROM 1st degree: ligament stretched 2nd degree: ligament partially torn 3rd degree: ligament completely torn,
surgery
Ankle Sprain
Treatment: RICE, use horseshoe, crutches if needed Taped, braced
before return to participation
Rehab Increase ROM Increase strength Increase
proprioception
Arch Sprain
MOI: overuse, fatigue, training on hard surfaces, wearing improper shoes
S/S: pain over arch, swelling Treatment: RICE, Arch pad Rehab
Increase strength of intrinsic muscles Stretching Achilles
Turf Toe
MOI: Hyperextension or hyper flexion of first metatarsophalangeal joint
S/S: swelling, pain with flexion or extension
Treatment: RICE, tape, walking boot
Rehab: strengthen toe muscles
Plantar Fasciitis
Plantar fascia attaches at calcaneus to the heads of the metatarsals; support for longitudinal arch of foot
MOI: overuse, improper footwear, tight Achilles, running on hard surfaces
S/S: pain in arch of foot, swelling Treatment: RICE, massage, correct
mechanics
Achilles Tendon Rupture
MOI: forced dorsiflexion, blunt force, or sudden forceful contraction of gastroc
S/S: extreme pain, difficulty walking, no plantar flexion, swelling, obvious deformity
Achilles Tendon Rupture
Treatment Surgery Immobilized 6
weeks Rehab
Slow progression of ROM
Isometric strength
Jones Fracture
Fracture of fifth metatarsal
MOI depends on type of fx
S/S: pain over 5th metatarsal
Treatment: RICE, refer to physician
Shin Splints
Medial tibial stress syndrome S/S: pain over anterior portion of
lower leg Treatment: RICE, switch to cross
training Rehab: stretch gastroc and soleus Figure out what is causing shin
splints and fix Shoes Training Surface Running mechanics
Anterior Compartment Syndrome MOI: contusion, fracture, infection,
excessive exercise S/S: pain, increased with movement,
touch, pressure, or stretching, numbness and weakness may develop
Treatment: Acute needs medical attention immediately; surgery required to relieve pressure
Rehab Exercises
For intrinsic foot muscles-towel curl
Theraband-four ways Dorsiflexion Plantar flexion Inversion Eversion
Balance Stretching
Special Tests
Anterior Drawer: tests anterior talofibular ligament
Tinel’s Sign: tests entrapment of tibial nerve
Thompson Test: tests integrity of Achilles tendon