ms. bowman. talus tibia fibula tibia and fibula are connected by a syndesmosis anatomy...
TRANSCRIPT
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Evaluation-Ankle and Lower Leg
Ms. Bowman
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Talus Tibia Fibula
Tibia and Fibula are connected by a syndesmosis
Anatomy Review-Bones
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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
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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
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Anatomy Review-Muscles
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Onset-acute, chronic Type of pain-how are symptoms affecting
athletic participation or ADLs MOI Changes in activity or conditioning regimen Pmhx
History
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Weight bearing vs. non-weight bearing Edema Redness Deformity Discoloration Bilateral comparison Muscle tone
Inspection
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When palpating, check for deformity,
alignment, edema, crepitus, and pain Bones Muscles Ligaments Tendons Pulses
Posterior tibial artery Dorsalis pedis artery
Palpation
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Measured with goniometer AROM, PROM, and RROM Dorsiflexion, Plantar Flexion, Inversion, and
Eversion
ROM Testing
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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
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Lower quarter screen (will learn once we get
to the hip) Dermatomes Myotomes
Neurological Testing
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Bump Test Squeeze Test Thompson Test
Special Testing