Ankle Evaluation Beginning Athletic Medicine. Observe & Compare 1. Remove clothing bilaterally (use discretion) 2. Deformity 3. Bleeding 4. Scars 5. Discoloration.

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Presentation transcript:

Ankle Evaluation Beginning Athletic Medicine

Observe & Compare 1. Remove clothing bilaterally (use discretion) 2. Deformity 3. Bleeding 4. Scars 5. Discoloration 6. Coloration 7. Swelling 8. Compare bilaterally (compare to other side) 9. Observe body movement 10. Observe shoes

Palpation 1.Shaft of tibia 2.Fibula 3. Dome of the Talus 1 2 3

Palpation 4.Deltoid ligament 5. Anterior talofibular ligament 6. Calcaneofibular ligament 7. Anterior tibiofibular ligament

Palpation 8.Peroneal longus (a) and brevis (b) tendons a b a

Palpation 10. Achilles tendon9.Tibialis anterior 910

Palpation 11.Medial/Lateral Malleolus 12.Styloid Process 13. Calcaneus

Palpation 14.Tibialis Posterior 15.Flexor Digitorum Longus 16. Flexor Hallucis Longus

Palpation Tibial Artery -- A Tibial Nerve -- N A N

Palpation 17.Extensor Hallucis Longus 18. Extensor Digitorum Longus

Palpation 19. Calcaneal Bursa 19

Range of Motion Should be tested in active, passive, and resistive motions and compared bilaterally. 1. dorsiflexion 2. plantarflexion 3. inversion 4. eversion

Stress Tests Remember to compare bilaterally 1. Anterior/Posterior drawer 2. Eversion (Deltoid)--Talar Tilt 3. Inversion--Talar Tilt 4. Torsion/compression on malleoli (squeeze test) 5. Thompson test 6. Heel tap test (for fx)

Thompson Test