Evaluationof the Ankle

andLower Leg

HISTORY

Remember the questions from

lecture #2?

OBSERVATION

Remember what to look for from lecture

#2?

PALPATION

Let’s break the body up into 4 areasLateralAnteriorMedialPosterior

Use Bony Landmarks to Identify StructuresStart from proximally and work distally

Lateral

Head of FibulaPeroneus Long.Peroneus Brev.

Shaft of Fibula

Lateral

Shaft of FibulaAnt Tib-Fib LigInterosseousMembrane

Lateral Malleolus

CFLATL

Lateral

Shaft of FibulaSuperior Peroneal Ret.

Base of 5th MT

Anterior

Anterior TibialShaft

Anterior

Dome of Talus

Anterior

Ant Tibial ShaftTibialis AntExt Hallicus LongExt Digit Long

Dome of TalusExtensor RetDorsal Pedis

Medial

Medial

Medial MalleolusDeltoid Ligament

Sustenaculum TaliSpring Ligament

Medial

Medial MalleolusFlex Hallicus LongFlex DigitorumLongTibialis Posterior

Posterior

Posterior

Posterior

Gastroc-SoleusAchilles TendonCalcanealBursae

STRESS

BoneJointMuscle / TendonNerveVascular

Evaluating an InjuryWhere is

It?

What Does itDo?

How Does itGet Damaged?

How doI test it?

Bones

BONE – Bump Test

Bone –Squeeze Test

Joints

How would orientation influence

tests?

JOINTS –

Anterior Drawer Test

Inversion Talar Tilt

EversionTalar Tilt

Kleiger’sTest

Squeeze Test -Revisited

Where’s the pain?

RANGE OF MOTION

Axis of Rotation

Motion Available

MUSCLE

Muscle Actions

Thompson Test

NERVE

Dermatomes

L4L5S1S2

Dermatomes

L4L5S1S2

VASCULARPosterior Tib

Dorsal Pedis

Homan’s Sign

Questions?