Sprains and Strains of the Foot/Ankle and Lower Leg

Injuries, Part 1

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“Before & After” BELLWORK

Using a piece of notebook paper, answer the following questions, leaving a line between each answer. Put the paper aside until the end of class.

1. How do you get a strain?2. How do you get a sprain?3. What does a strain look like?4. What does a sprain look like?

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ObjectivesDifferentiate between common injuries and their mechanisms, signs, symptoms and treatments.

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3 PART INTERVIEW• Find a partner. One person assumes

the role of the interviewer and one is the interviewee.

• The interviewer asks the assigned questions and notes the answers on paper.

• Switch roles and repeat the process.• When time is called, be prepared to

share the results of your interview with the class.

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Questions................1. Have you ever had a foot/ankle or

lower leg injury or was someone you know injured? What was the injury?

2. What was the etiology/mechanism?

3. What was the pathology?

4. What was the treatment?

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Lateral Ankle Sprains

MOI:

Anterior Talofibular-plantarflexion and inversion

Calcaneofibular-inversion

Posterior Talofibular-severe inversion or dislocation (rare)

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• http://www.burlingtonsportstherapy.com/wp-content/uploads/2009/08/ankle-sprain1.gif

Medial Ankle Sprains

• http://www.gotpaindocs.com/deltoid_lig_strain.htm

MOI:

Deltoid- eversion and dorsiflexion

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High Ankle

• http://www.google.com/imgres?imgurl=http://www.examiner.com/images/blog/EXID21867/images/syndesmosis.jpg&imgrefurl=http://www.examiner.com/sports-medicine-in-toledo/what-is -a-high-ankle-sprain&usg=__fUhvZEGQ909KKL3zfA0hKmEZBvA=&h=234&w=300&sz=7&hl=en&start=0&zoom=1&tbnid=F7_SZLj2Fftp1M:&tbnh=146&tbnw=174&ei=5PL4TZ1_kMKwA6iEnN8F&prev=/search%3Fq%3Dhigh%2Bankle%2Bsprain%2Bpictures%26um%3D1%26hl%3Den%26biw%3D1259%26bih%3D625%26tbm%3Disch&um=1&itbs=1&iact=hc&vpx=340&vpy=93&dur=359&hovh=187&hovw=240&tx=148&ty=88&page=1&ndsp=18&ved=1t:429,r:1,s:0&biw=1259&bih=625

Anterior Inferior Tib/fib- excessive

dorsiflexion or plantarflexion

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General Ankle Sprain Signs/Symptoms

• Swelling• Pain with WB (weight bearing)• Instability• Ecchymosis (bruising/discoloration)• Anterior Drawer Test- ATF ligament• Talar Tilt Test- CF and Deltoid ligaments• Kleiger’s Test- Tib/fib ligament

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General Ankle Sprain Acute Care

• RICE with horseshoe• NSAIDs• Crutches?• Referral

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Acute Muscle Strains• MOI:

o Due to violent contraction/twisting of footo Awkward landing

• S/S:o Pain with ROM or RROMo Possible pain with WBo Swelling or crepitus

• Rx:o RICEo Taping/bracingo Monitor for acute compartment syndrome

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Achilles Tendon Strain/Rupture

• http://www.empowher.com/media/reference/achilles-tendon-rupture

• S/S: Pain/inability to plantarflexo Feels like they were “kicked in

calf”o Positive Thompson Testo Deformity

• Rx:o RICEo Referral is rupture is suspected

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“What’s My Injury?”

• With a partner, choose an injury from today’s lesson

• Write a creative scenario about that injury including the etiology, pathology, and treatment for the injury

• Be prepared to share with the class

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“Before & After” BELLWORK

Answer the following questions on the blank lines below your Bellwork answers to assess new learning.

1. How do you get a strain?2. How do you get a sprain?3. What does a strain look like?4. What does a sprain look like?

Turn in for credit.

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