Ankle Guided Notes

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Ms. Bowman
Anatomy Review-Bones

 Talus
 Tibia
 Fibula
 Tibia and Fibula are
connected by a
syndesmosis
Anatomy ReviewLigaments







Anterior tibiofibular ligament
Posterior tibiofibular ligament
Anterior talofibular ligament
Posterior talofibular ligament
Calcaneofibular ligament
Deltoid Ligament




Anterior tibiotalar ligament
Posterior tibiotalar ligament
Tibionavicular ligament
Tibiocalcaneal ligament
Anatomy ReviewMuscles

 Muscles of the lower leg
are divided into
compartments
 Anterior Compartment
 Tibialis anterior
 Extensor hallucis
longus
 Extensor digitorum
longus
 Lateral Compartment
 Peroneus longus
 Peroneus brevis
 Deep Posterior
Compartment
 Tibialis posterior
 Flexor digitorum longus
 Flexor hallucis longus
 Superficial Posterior
Compartment
 Gastrocnemius
 Soleus
Anatomy Review-Muscles

History

 Onset-acute, chronic
 Type of pain-how are symptoms affecting athletic
participation or ADLs
 MOI
 Changes in activity or conditioning regimen
 Pmhx
Inspection

 Weight bearing vs. non-weight bearing
 Edema
 Redness
 Deformity
 Discoloration
 Bilateral comparison
 Muscle tone
Palpation

 When palpating, check for deformity, alignment,
edema, crepitus, and pain
 Bones
 Muscles
 Ligaments
 Tendons
 Pulses
 Posterior tibial artery
 Dorsalis pedis artery
ROM Testing

 Measured with goniometer
 AROM, PROM, and RROM
 Dorsiflexion, Plantar Flexion, Inversion, and
Eversion
Ligamentous Testing

 Anterior Drawer Test-anterior talofibular ligament
 Talar Tilt Test-Calcaneofibular ligament, anterior
talofibular ligament, posterior talofibular ligament
 Kleiger’s Test-Deltiod ligament, syndesmosis
pathology
Neurological Testing

 Lower quarter screen (will learn once we get to the
hip)
 Dermatomes
 Myotomes
Special Testing

 Bump Test
 Squeeze Test
 Thompson Test
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