AT 243-Acute Care Lab
Krzyzanowicz-Spring ‘10
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3 major lateral ligaments
◦ Anterior Talofibular ligament (ATF)
 Most commonly sprained ligament
◦ Calcaneofibular Ligament (CF)
◦ Posterior Talofibular ligament (PTF)
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1 major medial ligament
◦ Deltoid ligament
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High ankle sprain (syndesmosis)
◦ Distal Tibiofibular ligament
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Closed basketweave taping
◦ Start with shaving their legs (do we really do this?)
◦ Pre-wrap
 Start at the mid-calf and work your way down
 Overlapping by half
◦ Anchor strips
 Apply 3 anchor strips
 Mid-calf
 Overlapping by half
 Apply 1 anchor strip at the mid-foot
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Closed basketweave taping
◦ Apply 3 stirrups
 With an anchor strip after each stirrup
 Medial to lateral (know the mechanism of injury)
◦ Apply 2 heel-locks (on each side)
◦ Apply 1 figure eight (on each side)
◦ Close tape job
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More cost effective way to prevent ankle
sprains
◦ Cost of an ankle brace vs. taping supplies
 $15-20 for a brace (one time cost) vs. $45 for a box of
tape
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Hundreds of different braces
◦ All have same principle
 Prevent excessive movement of the ankle
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Same as closed basketweave, but its open in
the middle
◦ Helps with “pushing” swelling
◦ Not used very often
◦ Close off with an ace wrap
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Spray/Heel-lace pad
◦ Pre-wrap from calf to mid-foot
◦ Places two anchor strips over the calf; one over
mid-foot
◦ Measures two strips of elastic tape from calf to
mid-foot
 Splits both pieces down the middle (only about 1’)
 Places strip on mid-foot-places an anchor strip
 Pulls up to calf and places anchor strip
 Repeats again
 Closes tape job
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Places anchor at the head of the metatarsals
Beginning at the 1st metatarsal
◦ Place strip of tape (1’ tape) and pull around outside
of foot; once at the medial aspect of the calcaneous
pull diagonally ending at the metatarsal head
◦ Repeat for toes 2-5
◦ Place tape strips (1.5’ tape) on the mid-foot,
starting at the metatarsal heads, pulling lateral to
medial- repeat about 3-4 times
◦ Close tape job
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Many different supports
◦ Dr. Scholls supports-over the counter
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Custom orthotics
◦ Mold of your foot
◦ Custom supports
◦ Helps in shin splints, stress fractures
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Places a 1’ anchor around the great toe; and a
1.5’ anchor around the mid-foot
Creates two fans of 3-6 pieces of tape
◦ Places one fan on the great toe, anchors it down
and then pulls to the mid-foot-anchors it down
◦ Places second fan on the great toe, anchors it down
and then pulls to the mid-foot and anchors it down
◦ Makes a figure eight around the great toe (1-2x)
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Closes tape job
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These are meant to help change the angle of
pull of the patellar tendon
More biomechanically efficient
Helps in persons with “jumpers knee” aka
patellar tendonitis
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Have athlete stand and flex their knee about
20 degrees
◦ Apply two anchor strips inferior to patellar tendon
◦ Apply two anchor strips superior to ankle
◦ Apply tape in an oblique direction, pulling medial to
lateral the entire way up the leg
 Overlapping by half
◦ Repeat, pulling lateral to medial
◦ Apply a closing strip inferior to patellar tendon and
superior to ankle
◦ Close tape job
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Many different sizes
◦
◦
◦
◦
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3
4
6
6
inch
inch
inch
inch double
Used to help push
out swelling
Must always check
pulse and capillary
bed refill!
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For the ankle
◦ Use a 6’ single wrap
◦ Starts distal to
proximal (at the toes)
◦ Medial to lateral
◦ Pulls enough force to
push out the swelling
◦ Overlaps in a weaving
manner
◦ Check pulse
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These are used to
help push out
swelling as well
◦ Used in conjunction
with an ace wrap
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Very easy to make
◦ Make a horseshoe
design out of felt