Ankle sprain
Ankle injuries are among the most common injuries presenting to primary care management. Ankle sprain patient (stretching, partial rupture, or complete rupture of at least one ligament) constitute a large percentage of these injuries.
Recurrent ankle sprains can lead to functional instability and loss of normal ankle kinematics, which can result in recurrent injury, chronic instability, early degenerative bony changes, and chronic pain
CLASSIFICATION OF ANKLE SPRAINS
1. Lateral ankle sprain
2. Medial ankle sprain
3. Syndesmotic sprain (high ankle sprain)
Grading – Ankle sprains have traditionally been classified based upon clinical signs and functional loss from grade I to grade III
Physical examination –
Physical examination of the ankle includes inspection, palpation, determination of weight-bearing ability, and injury-specific physical diagnostic tests.Ankle injuries are among the most common injuries presenting to primary care management. Ankle sprain patient (stretching, partial rupture, or complete rupture of at least one ligament) constitute a large percentage of these injuries.
Recurrent ankle sprains can lead to functional instability and loss of normal ankle kinematics, which can result in recurrent injury, chronic instability, early degenerative bony changes, and chronic pain
CLASSIFICATION OF ANKLE SPRAINS
1. Lateral ankle sprain
2. Medial ankle sprain
3. Syndesmotic sprain (high ankle sprain)
Physical examination –
• Look for swelling and ecchymosis
• Palpate the entire fibula (a syndesmotic injury may be associated with a fracture of the proximal fibula – a Maisonneuve fracture), the distal tibia, and the foot.
• Check for pain on gentle passive inversion and eversion of the ankle.
Also Below test can done
1. Squeeze test
2. External rotation stress test
3. Anterior drawer test
4. Talar tilt test
5. Deferred exam
It is tested. I learn this too from a friend.
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