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Anterior drawer
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Eversion talar tilt
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Cotton test
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Kleiger’s test
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Squeeze test
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Bump test
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Inversion talar tilt
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Thompson’s test
Scenario:
A member of your high school's boys' basketball team rebounds a ball during a game and lands on an opposing player's foot. The athlete tries to keep playing but is unable to do so. The coach pulls the athlete from the game. The athlete hobbles off the court and sits on the bench.
Question 1
As you approach the injured athlete you observe that he is grimacing in pain and is holding his right ankle. Based on this information, what questions should you ask this athlete? Select all the questions that are appropriate.
Select all that apply.
Prompt
Response
"What did you have for lunch?"
"I don't remember. Why do you need to know that? Why don't you treat my ankle?"
"Did you hear a snap, pop, or any other noise at or near your ankle when you landed?"
"I heard a snap, but mostly I felt pain."
"Is your left or right ankle injured?"
"My right— the one I'm holding."
"Did your injured ankle roll in or roll out when you landed?"
"It rolled in."
"Have you injured this ankle before?"
"Yes."
"What happened to the ankle joint when it was injured before?"
"I messed up some of the ligaments and tendons."
"Do you want to go back into the game?"
"I do, but I'm not sure how well I'll play because I can't stand on my ankle."
"Point to the area on your foot or ankle where you are feeling pain."
The athlete points to the lateral aspect of the ankle.
"Do you have pain anywhere else besides your ankle?"
The athlete points to the distal one third of the lateral lower leg and to the lateral aspect of the foot.
"Does anyone in your family have weak or loose ankles?"
"My brother has a loose ankle, but he doesn't play any sports, so it doesn't matter."
"Did you take any medication before the game? Do you take any medications on a regular basis?"
"I took two Advil just before the game. I don't take any other medications regularly, and I don't do drugs."
"Are these sneakers new?"
"Yes. Guess how much they cost!"
Scenario:
A member of your high school's boys' basketball team rebounds a ball during a game and lands on an opposing player's foot. The athlete tries to keep playing but is unable to do so. The coach pulls the athlete from the game. The athlete hobbles off the court and sits on the bench.
Question 2
There are numerous special tests to assist you in ruling out potential conditions based on the injury mechanism.
Using your mouse, click on the test and drag it to the appropriate injury category. Please note that you may need to scroll through the toolbar to view all the available options.
Fracture
Lateral Ligamentous Injury
Medial Ligamentous Injury
Scenario:
A member of your high school's boys' basketball team rebounds a ball during a game and lands on an opposing player's foot. The athlete tries to keep playing but is unable to do so. The coach pulls the athlete from the game. The athlete hobbles off the court and sits on the bench.
Question 3
To assess the static stability of the athlete's ankle joint, you perform a laxity test as shown. This test assesses the integrity of which structure?
Click to enlarge
Click to enlarge
Calcaneofibular ligament
Anterior tibialis tendon
Anterior talofibular ligament
Anterior tibiofibular ligament
Posterior talofibular ligament
Scenario:
A member of your high school's boys' basketball team rebounds a ball during a game and lands on an opposing player's foot. The athlete tries to keep playing but is unable to do so. The coach pulls the athlete from the game. The athlete hobbles off the court and sits on the bench.
Question 4
To assess the static stability of the athlete's ankle joint, you perform a laxity test as shown. This test assesses the integrity of which structure?
Click to enlarge
Click to enlarge
Calcaneofibular ligament
Anterior tibialis tendon
Anterior talofibular ligament
Anterior tibiofibular ligament
Posterior talofibular ligament
Scenario:
A member of your high school's boys' basketball team rebounds a ball during a game and lands on an opposing player's foot. The athlete tries to keep playing but is unable to do so. The coach pulls the athlete from the game. The athlete hobbles off the court and sits on the bench.
Question 5
To assess the static stability of the athlete's ankle joint, you perform Kleiger's test. This test assesses the integrity of which structures?
Select all that apply.
Deltoid ligament
Calcaneofibular ligament
Anterior talofibular ligament
Distal anterior tibiofibular ligament
Posterior talofibular ligament
Distal posterior tibiofibular ligament
Proximal anterior tibiofibular ligament
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Question Number |
Your Score |
Possible Score |
Answer Key |
|---|---|---|---|
|
1 |
0 |
7 |
|
|
2 |
0 |
6 |
|
|
3 |
0 |
1 |
|
|
4 |
0 |
1 |
|
|
5 |
0 |
3 |
|
|
Total Points |
0 |
18 |
|
|
Percentage |
|
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