BPK 241 Injury Scenario questions well
answered to pass
Evaluation of Musculoskeletal Injuries - correct answer ✔✔History
Observation
Examination
History 7 questions - correct answer ✔✔- What happened
- where is the injury
- Past injuries or other relevant conditions
- Aggravating/relieving factors
- Type of pain, rate of pain
- Footwear/equipment
- Medications/Allergies
Observation - correct answer ✔✔- obvious deformity
- swelling
- open wound
- redness/bruising
- position of presentation of athlete (i.e. Posture, limping, arm by side etc.)
- gait pattern
Examination (in order) - correct answer ✔✔1. AROM/PROM
2. Muscle Strength testing
3. Ligament stress tests
,4. Special tests
5. Palpation
Lab 1: Ankle - correct answer ✔✔
order of examination - correct answer ✔✔Observation
Fracture test
AROM/PROM
Muscle Strength testing
Ligament stress tests
Special tests
Palpation
Ankle Observation - correct answer ✔✔- Swelling
- Bruising
- position of ankle
- limping
- holding ankle
Ankle Fracture tests - correct answer ✔✔1. Squeeze test
- Hands over tibia proximally and squeeze
2. Tap test
- tap right over the fibula, down to the lateral malleolus
Ankle AROM/PROM - correct answer ✔✔1. DF/PF in weight-bearing (Tip toes/knee to wall)
2. INV/EVER
,3. DF/PF non-weight bearing
(stabilize distal tibia/fibula when doing DF/PF passive)
Ankle Strength Testing - correct answer ✔✔1. DF (Tibialis Anterior)
2. PF (Gastrocnemius/Soleus)
3. Inversion (Tibialis Posterior)
4. Eversion (Peroneals)
Ankle Ligament Stress Tests - correct answer ✔✔Anterior Drawer test
- slight plantar flex, stabilize top distal tibia/fibula, hold forefoot, pull up
Posterior Drawer test
- neutral position, hand under distal tibia/fibula, hold forefoot, push down
Anterior Talofibular Ligament (ATFL)
- slight plantar flex, stand on inside of injured side, place the index finger on lateral malleolus
match other finger, and invert the ankle to see the angle
Calcaneofibular Ligament (CFL)
- Same but in neutral
Deltoid Ligament
- Anterior fibres - Slight Plantar Flexion and Eversion
- Middle fibres - Neutral and Eversion
(fingers over medial malleolus and evert angle)
AITFL - WB dorsiflexion
- External rotation test: externally rotate and force dorsiflex
- Squeeze test
Ankle Palpation - correct answer ✔✔ATFL
, CFL: vertically under lateral malleolus
PTFL:
Deltoid ligament
Anterior inferior tibiofibular ligament: in between distal tibia/fibula
Ankle Injuries - correct answer ✔✔Inversion/Eversion Sprains
Inversion sprain - correct answer ✔✔HX: Roll ankle, plantar surface of foot facing medial,
usually with ankle in a plantar flexed position
AX: Pain and INCREASED laxity with any of the ATFL, CFL, PTFL, Anterior Drawer positive,
Posterior Drawer positive, restricted ROM especially in PF and INV, weak resisted eversion
Tx: POLICE, reduce weight bearing in the beginning by using crutches, later Implement ROM
(spelling the alphabet with foot and towel assisted ROM), Strengthing(Isometric exercises in all
ankle movements, isotonic towel assisted exercises), train balance(standing on one foot,
running progression, sport-specific exercise, gradual return to sport, tape
Eversion - correct answer ✔✔HX: Roll ankle, plantar surface of foot facing lateral, usually with
the ankle in a neutral position, landed on someone's foot.
AX: Pain and increased laxity with one or both Deltoid ligament tests, positive Anterior drawer
test, restricted ROM especially into EVER, weak resisted inversion
Tx: POLICE, reduce weight bearing in the beginning by using crutches, later Implement ROM
(spelling the alphabet with foot and towel assisted ROM), Strengthing(Isometric exercises in all
ankle movements, isotonic towel assisted exercises), train balance(standing on one foot,
running progression, sport-specific exercise, a gradual return to sport, tape
answered to pass
Evaluation of Musculoskeletal Injuries - correct answer ✔✔History
Observation
Examination
History 7 questions - correct answer ✔✔- What happened
- where is the injury
- Past injuries or other relevant conditions
- Aggravating/relieving factors
- Type of pain, rate of pain
- Footwear/equipment
- Medications/Allergies
Observation - correct answer ✔✔- obvious deformity
- swelling
- open wound
- redness/bruising
- position of presentation of athlete (i.e. Posture, limping, arm by side etc.)
- gait pattern
Examination (in order) - correct answer ✔✔1. AROM/PROM
2. Muscle Strength testing
3. Ligament stress tests
,4. Special tests
5. Palpation
Lab 1: Ankle - correct answer ✔✔
order of examination - correct answer ✔✔Observation
Fracture test
AROM/PROM
Muscle Strength testing
Ligament stress tests
Special tests
Palpation
Ankle Observation - correct answer ✔✔- Swelling
- Bruising
- position of ankle
- limping
- holding ankle
Ankle Fracture tests - correct answer ✔✔1. Squeeze test
- Hands over tibia proximally and squeeze
2. Tap test
- tap right over the fibula, down to the lateral malleolus
Ankle AROM/PROM - correct answer ✔✔1. DF/PF in weight-bearing (Tip toes/knee to wall)
2. INV/EVER
,3. DF/PF non-weight bearing
(stabilize distal tibia/fibula when doing DF/PF passive)
Ankle Strength Testing - correct answer ✔✔1. DF (Tibialis Anterior)
2. PF (Gastrocnemius/Soleus)
3. Inversion (Tibialis Posterior)
4. Eversion (Peroneals)
Ankle Ligament Stress Tests - correct answer ✔✔Anterior Drawer test
- slight plantar flex, stabilize top distal tibia/fibula, hold forefoot, pull up
Posterior Drawer test
- neutral position, hand under distal tibia/fibula, hold forefoot, push down
Anterior Talofibular Ligament (ATFL)
- slight plantar flex, stand on inside of injured side, place the index finger on lateral malleolus
match other finger, and invert the ankle to see the angle
Calcaneofibular Ligament (CFL)
- Same but in neutral
Deltoid Ligament
- Anterior fibres - Slight Plantar Flexion and Eversion
- Middle fibres - Neutral and Eversion
(fingers over medial malleolus and evert angle)
AITFL - WB dorsiflexion
- External rotation test: externally rotate and force dorsiflex
- Squeeze test
Ankle Palpation - correct answer ✔✔ATFL
, CFL: vertically under lateral malleolus
PTFL:
Deltoid ligament
Anterior inferior tibiofibular ligament: in between distal tibia/fibula
Ankle Injuries - correct answer ✔✔Inversion/Eversion Sprains
Inversion sprain - correct answer ✔✔HX: Roll ankle, plantar surface of foot facing medial,
usually with ankle in a plantar flexed position
AX: Pain and INCREASED laxity with any of the ATFL, CFL, PTFL, Anterior Drawer positive,
Posterior Drawer positive, restricted ROM especially in PF and INV, weak resisted eversion
Tx: POLICE, reduce weight bearing in the beginning by using crutches, later Implement ROM
(spelling the alphabet with foot and towel assisted ROM), Strengthing(Isometric exercises in all
ankle movements, isotonic towel assisted exercises), train balance(standing on one foot,
running progression, sport-specific exercise, gradual return to sport, tape
Eversion - correct answer ✔✔HX: Roll ankle, plantar surface of foot facing lateral, usually with
the ankle in a neutral position, landed on someone's foot.
AX: Pain and increased laxity with one or both Deltoid ligament tests, positive Anterior drawer
test, restricted ROM especially into EVER, weak resisted inversion
Tx: POLICE, reduce weight bearing in the beginning by using crutches, later Implement ROM
(spelling the alphabet with foot and towel assisted ROM), Strengthing(Isometric exercises in all
ankle movements, isotonic towel assisted exercises), train balance(standing on one foot,
running progression, sport-specific exercise, a gradual return to sport, tape
