evaluation-ankle and lower leg
DESCRIPTION
Evaluation-Ankle and Lower Leg. Ms. Bowman. Anatomy Review-Bones. Talus Tibia Fibula Tibia and Fibula are connected by a syndesmosis. Anatomy Review-Ligaments. Anterior tibiofibular ligament Posterior tibiofibular ligament Anterior talofibular ligament - PowerPoint PPT PresentationTRANSCRIPT
Evaluation-Ankle and Lower Leg
Ms. Bowman
Talus Tibia Fibula
Tibia and Fibula are connected by a syndesmosis
Anatomy Review-Bones
Anterior tibiofibular ligament Posterior tibiofibular ligament Anterior talofibular ligament Posterior talofibular ligament Calcaneofibular ligament Deltoid Ligament
Anterior tibiotalar ligament Posterior tibiotalar ligament Tibionavicular ligament Tibiocalcaneal ligament
Anatomy Review-Ligaments
Anatomy Review-
Muscles Muscles of the lower leg
are divided into compartments Anterior Compartment
Tibialis anterior Extensor hallucis
longus Extensor digitorum
longus Lateral Compartment
Peroneus longus Peroneus brevis
Deep Posterior Compartment Tibialis posterior Flexor digitorum
longus Flexor hallucis longus
Superficial Posterior Compartment Gastrocnemius Soleus
Anatomy Review-
Muscles
Onset-acute, chronic Type of pain-how are symptoms affecting
athletic participation or ADLs MOI Changes in activity or conditioning regimen Pmhx
History
Weight bearing vs. non-weight bearing Edema Redness Deformity Discoloration Bilateral comparison Muscle tone
Inspection
When palpating, check for deformity,
alignment, edema, crepitus, and pain Bones Muscles Ligaments Tendons Pulses
Posterior tibial artery Dorsalis pedis artery
Palpation
Measured with goniometer AROM, PROM, and RROM Dorsiflexion, Plantar Flexion, Inversion, and
Eversion
ROM Testing
Anterior Drawer Test-anterior talofibular
ligament Talar Tilt Test-Calcaneofibular ligament,
anterior talofibular ligament, posterior talofibular ligament
Kleiger’s Test-Deltiod ligament, syndesmosis pathology
Ligamentous Testing
Lower quarter screen (will learn once we get
to the hip) Dermatomes Myotomes
Neurological Testing
Bump Test Squeeze Test Thompson Test
Special Testing