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Knowing Ankle Sprains: For The Athlete
Charles Caltagirone
Ankle Boney Anatomy
Tibia
Fibula
Talus
Ankle Soft Tissue Anatomy
Lateral View
MedialView
Different Kinds of Ankle SprainsLateral (Inversion) Sprains
High (Syndesmosis) Sprains
Medial (Eversion) Sprains
Different Grades of Ankle Sprains
Grade I- minimal swelling, discoloration, instability, and minimal impaired gait. Only the anterior talofibular ligament is injured.
Grade II- moderate swelling, discoloration, instability, and moderate impaired gait. The anterior talofibular and calcaneofibular ligaments are injured.
Grade III- Severe swelling, discoloration, instability, and inability to walk with proper gait. The anterior talofibular, calcaneofibular, and posterior talofibular ligaments are injured.
Lateral Ankle SprainThat has to hurt!!!
Lateral Ankle Sprains Anatomy Can happen in any sport
Commonly called “Rolling Ankle”
Usually effects the anterior Talofibular Ligament (ATF)
Can effect the Calcaneofibular ligament (CF) and Posterior Talofibular Ligament (PTF)
Anterior Talofibular Ligament
Calcaneofibular Ligament
Posterior Talofibular Ligament
Causes of Lateral Ankle Sprains
The foot is placed in forced inversionand plantar flexion
It can be from an unstable/irregular surface
Also caused by forced trauma
Symptoms Swelling* Pain* Discoloration* Redness Warmth Inability to walk Ankle Instability
*The most common symptoms
Ouch!!!
Treatment R.I.C.E- Rest, Ice, Compression, Elevation
Performing therapeutic exercises
Taping techniques
Ankle Braces
This is called a closed basket weave
High Ankle SprainOH NOOO!!!!!!
High Ankle Sprain Anatomy
Occurs to syndesmosis joint
Anterior Tibiofibular Ligament (Anterior TibFib)
Posterior Tibiofibular Ligament (Posterior TibFib)
The posterior TibFib ligament is not shown here, but it would be in the same spot just on the posterior aspect of the leg.
Causes of High Ankle Sprains The foot is placed in extreme eversion
and dorsal flexion
Opposite what a typical ankle sprain
Usually from landing on another players foot
Symptoms Pain on the syndesmosis joint Swelling (over the joint)* Discoloration* Deformity Redness Inability to walk Pain in eversion and dorsal flexion
*Most common symptoms
Symptoms are at the syndesmosis joint.
Treatment R.I.C.E.
Therapeutic exercises- differ from lateral ankle exercises because one wants to avoid eversion and dorsal flexion exercises.
Tape Application
This is an example similar to a high ankle tape application. The purpose is to help the tibia and fibula stay together at the syndesmosis joint.
Medial (Eversion) Ankle Sprain
At least I caught the ball
Medial Ankle Sprain Anatomy
Posterior Tibiotalor
Tibiocalcaneal
Anterior Tibiotalor
Tibionavicular
Deltoid ligament
Causes of Medial Ankle Sprains
The foot is placed in extreme eversion
Usually occurs with a high ankle sprain
Generally more serious than a lateral ankle sprain
Symptoms Swelling* Discoloration* Pain* Redness Warmth Inability to walk*
*Most common symptoms
Notice the eversion of the ankle
Treatment R.I.C.E.
Therapeutic exercise- Avoiding eversion exercises
This injury is usually serious and a tape application will not work
Common exercises performed with therabands
Conclusion Ankle sprains can range from not serious to very serious
They can also occur at different areas of the ankle depending on the mechanism
For non serious ankle sprains the individual can be taped and return to activity
For serious ankle sprains the individual may need surgery
They are very treatable and many athletes have come back to have excellent careers after
Here are some helpful links about ankle sprains:
Lateral ankle High ankle Medial ankle