Inversion Sprain of the Ankle - Rehab My Patient
8 hours ago Which of the following conditions could occur along with a sprain of the lateral ligaments of the ankle following an inversion ankle sprain? A. Avulsion fracture of the lateral malleolus B. Subluxing peroneal tendon C. Nerve and blood vessel damage D. All of the above >> Go To The Portal
An inversion ankle sprain tends to be one of many common injuries to high-intensity athletes participating in football, basketball, netball and soccer. It tends to occur when the foot is forced into an inversion position beyond muscular and ligamentous control. Due to the excessive force, ligament failure might occur.
Full Answer
What is an inversion ankle sprain?
Inversion Sprain of the Ankle. An inversion ankle sprain tends to be one of many common injuries to high-intensity athletes participating in football, basketball, netball and soccer. It tends to occur when the foot is forced into an inversion position beyond muscular and ligamentous control.
What is the mechanism of ankle sprain in this 21-year-old female?
A 21-year-old female is referred to physical therapy after sustaining a grade I ankle sprain two days ago in a marching band competition. The patient's description of the mechanism of injury is consistent with inversion and plantar flexion.
When is physical therapy indicated for a Grade III ankle sprain?
A patient who was casted for 3 weeks following a Grade III right ankle sprain has been referred to physical therapy for mobility exercises. Examination shows a loss of 10 degrees of dorsiflexion. The patient will have the MOST difficulty in:
What happens when you roll your ankle the first time?
When rolling your ankle the first time, you will have sharp pain and will be unable to weight bear on your foot (depending on the severity of the damage). Your ankle will swell up, and it is likely to bruise.
What is ankle inversion associated with?
Inversion ankle sprains are also associated with injury to surrounding musculature and can be associated with injury to the capsule surrounding the joint, or even a fracture if the injury is severe enough.
What injuries can occur as a result of an inversion of the ankle?
The most common associated finding with lateral ligament injuries was bone bruising (76%) followed by deltoid ligament injury (50%). The overall incidence of bone bruising was 50%. Thirty percent of ankles had tendon pathology, 27% had deltoid ligament injury, and 22% had occult fractures.
Which ligament is most commonly injured with an inversion ankle sprain?
The three ligaments that compose the lateral complex are the anterior talofibular (ATFL), the calcaneofibular (CFL), and posterior talofibular (PTFL) and they tend to be injured in this order with the anterior talofibular ligament being injured most commonly.
What is the most common way to sprain an ankle inversion or eversion?
Inversion Sprain: An inversion sprain is the most common and occurs when you roll your ankle outward, which stretches or tears the ligaments on the outside of your ankle. Eversion Sprain: Less common than inversion sprains, these occur when you roll your ankle inward.
Why is inversion sprain most common?
Inversion injuries are far more common than eversion injuries due to the relative instability of the lateral joint and weakness of the lateral ligaments compared to the medial ligament.
What muscles are involved in an inversion ankle sprain?
The fibularis longus and fibularis brevis are two muscles that help to evert the foot and protect against inversion ankle sprains. Because of this, when the ankle is sprained often the fibularis muscles are strained.
What is an inversion sprain?
Inversion ankle sprains — occurs when you twist your foot upward and the ankle rolls inward.
What is the most common ankle injury?
The most common ankle injuries are sprains and fractures, which involve ligaments and bones in the ankle. But you can also tear or strain a tendon.
What is the most common ankle sprain?
Ankle sprain - Series—Type I ankle sprain The most common type of sprain is an inversion injury, where the foot is rotated inward. Ankle sprains can range from mild, to moderate, and severe. Type 1 ankle sprain is a mild sprain. It occurs when the ligaments have been stretched or torn minimally.
What is inversion eversion?
0:031:43Inversion and Eversion | Plantarflexion and Dorsiflexion of the FootYouTubeStart of suggested clipEnd of suggested clipSo to begin inversion. Is really quite simple it's just pointing your foot in toward. The midline ofMoreSo to begin inversion. Is really quite simple it's just pointing your foot in toward. The midline of the body. So again inversion in toward the midline of the body eversion is just the opposite.
Which ligament of the foot is most at risk for injury from inversion?
The lateral ligaments are involved in an inversion ankle sprain and hence most commonly damaged. These ligaments are on the outside of the ankle, which includes the anterior talofibular (ATFL), calcaneofibular (CFL) and posterior talofibular ligaments (PTFL). Injury to the ATFL is the most common.
What muscles cause inversion of the foot?
There are two muscles that produce inversion, tibialis anterior, which we've seen already, and tibialis posterior. The other muscle that can act as a foot invertor is tibialis anterior, which inserts so close to tibialis posterior that it has almost the same line of action.
What is symmetrical joint involvement?
symmetrical joint involvement. A male patient who injured his back lifting a heavy object reports that he has low back pain. He is diagnosed with a lumbar strain. He is afraid to continue activities of daily living and especially walking because he has pain with these activities.
What is a positive Trendelenburg test?
Continue acetaminophen and order physical therapy. A positive Trendelenburg's test could be used to identify a child with: scoliosis. Osgood-Schlatter disease.
Cause
An inversion ankle sprain tends to be one of many common injuries to high-intensity athletes participating in football, basketball, netball and soccer. It tends to occur when the foot is forced into an inversion position beyond muscular and ligamentous control. Due to the excessive force, ligament failure might occur. Chi…
Mechanism
- As with the majority of joints in the body, specific ligaments work to prevent any excessive movement of that joint. When it comes to the ankle, the calcaneofibular ligament and anterior talofibular ligament are the main restraints. Since sprains commonly occur when the foot is in plantar flexion, the ATF tends to be the one injured the most. This mechanism might occur whe…
Function
- Ankle joints have two bones that pivot and glide over each other, the talus and the tibia. There is a thick covering surrounding the entire ankle joint that keeps all of the joint fluid within the ankle joint. Synovial fluid and the smooth cartilage lining the end of the bone in the joint let the ankle joint move with a minimal amount of friction.
Clinical significance
- There are three main ankle ligaments that can be affected during an ankle sprain namely the anterior talofibular ligament (ATFL), calcaneofibular ligament (CF) and the posterior talofibular ligament (PTFL). All three ligaments are located on the outside of the ankle where the main bony bump is. When you roll over the outside of your ankle, the ligaments at the side can be sprained …
Symptoms
- When rolling your ankle the first time, you will have sharp pain and will be unable to weight bear on your foot (depending on the severity of the damage). Your ankle will swell up, and it is likely to bruise. Sometimes the bruising can be very severe with a lot of the foot turning purple. You may need to use crutches for up to 2 weeks to aid your walking.
Prognosis
- 75% of all ankle sprains are recurring, which means that if you sprain your ankle once there is a much higher chance of spraining the ankle again. That is because the damage and stretch to the ligaments will mean the ankle is not supported as well in future, making rolling the ankle more likely.
Sports
- Certain sports are also more prone to problems. Sports that involve a lot of twisting such as netball, basketball, or field sports are wear problems can occur. You may notice that basketball players wear high sided trainers well thats to provide support to the ankle joint. Also sports that are on uneven ground can be problematic, especially fields that are poorly maintained. It is easy …
Treatment
- When an injury first occurs, you need to refrain from using the ankle and provide it with the time it needs to heal. Elevate the foot to allow the swelling to reduce. Avoid all sport unless you can comfortable weight bear on the ankle. Gentle walking is fine if you can, but if you cannot you should use a crutch or two crutches. Apply ice to the affected area for 5-10 minutes at a time thr…
Prevention
- Endurance and agility activities should slowly be introduced to allow you time to return to your normal functions in athletic and functional activities. Strengthening should focus on eversion and dorsiflexion, since these muscles are the ones responsible for resisting any inversion sprains. On returning to sport, it may be advisable to wear an ankle brace or support to give your ankle extra …
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