KIN 3160 Lecture Notes - Lecture 4: Achilles Tendon, Ankle, Talar
19 Sep 2019
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Predisposing factors: anatomy of the mortise and length of malleoli; weakness of peroneal mm"s and limited motion in achilles tendon. Less stable more at risk, less ligaments, muscles not as strong. Evulsions off fracture at the end of the bone. Signs and symptoms: pain, swelling, and laxity depends on the severity of the injury, 1st, 2nd, 3rd degree. Bearing to weight bare as tolerated) and pain relivers. Physician: rule out syndesmotic sprains and osteochondral fractures of the talar dome, especially if no moi. Initial rom (restore heel to toe gait early), and joint mobilizations. Later exercises to improve strength and neuromuscular control (balance/proprioception) Moi: forced dorsiflexion and eversion, landing from jump with food abducted. Water skiing, skate boarding, foot in hole. Less than 5-10% of sprain, because of the length of our malleoli (bony block) Often there will be a fracture before the deltoid will tear. Grading scale is the same as inversion.
