Ankle and Knee Injuries in Athletic Training Presented by Liz Miller AT, ATC Prize Questions About Me • Graduated in 2010 • Prosthetist and Orthotist – Gait analysis – Injury specific knowledge – Bedside manner Anatomy and Gait Analysis Back to the Basics… Foot Ankle Ankle cont… Ankle cont… Leg Knee Prize Questions #1 • What type of bone is the Patella? Answer #1 • Sesamoid Gait Analysis Gait Analysis cont… Injuries Fractures & Dislocations • Stress Fractures • ‘True’ Fractures – Mechanism/Appearance • Dislocations Stress Fractures • Overuse/stress condition • Common in inexperienced and nonconditioned • Training Errors • Nutritional deficiencies Stress Fractures cont… • Calcaneus • Tibia & Fibula – Runners – Ballet Dancers Why? (prize question #2) • MTSS – Medial Tibial Stress Syndrome – AKA ‘Shinsplints’ – Compartment Syndrome vs. SF ‘True’ Fractures • • • • • • Talus Calcaneus Ankle Tibia Fibula Osteochondral/ Osteochondritis Dissecans • Patella Sprains and Strains • Sprain – Ligaments • Bone to Bone • Strains – Tendons • Muscle to bone Grading and Treatment • Grade 1 – Stretched, no tear • Grade 2 – Partial Tear • Grade 3 – Full Tear – Great Instability • RICE – – – – Rest Ice Compression Elevation Sprains of the Ankle • Syndesmotic Sprain • Inversion Ankle Sprain • Eversion Ankle Sprain Sprains of the Knee • • • • MCL LCL ACL PCL Prize Question #3 • How do you treat Sprains and Strains? Answer #3 • RICE – Rest – Ice – Compression – Elevation Other Conditions of the Ankle and Lower Leg • Achilles Tendon Rupture • Compartment Syndrome • Shin Bruise – Osteomyelitis Other Conditions of the Knee • Meniscus Lesion/Injury • Peroneal Nerve Contusion • Patellar Subluxation/ maltracking • Osgood-Schlatter