Ankle Diseases, Injuries And Treatments (Msq Drill 179)

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1. Does the deltoid complex have a superficial and a deep layer?
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2. What grade is: laxity and abnormal motion on exam is present, weight bearing very difficult
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3. What grade :  gross instability, unable to weight bear
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4.   Grade 1 – no laxity, can weight bear, mild injury

True or false?
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5. The most commonly injured ligament in ankle injuries is the:
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6. Can you order physical therapy for LCL sprains. True or false?
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7. One should remember that in syndesmosis injuries there is usually an accompanying high ankle injury true or false?
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8. Why would you perform an external rotation test or squeeze test on a patient. What are you suspecting?
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9. Is a medial ankle sprain common?
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10. Peroneal tendonitis is frequently misdiagnosed as:
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11. Can peroneal tendonitis becone cnronic?
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12. Where would you feel tenderness in a patient with peroneal tendonitis?
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13. You might order an x-ray in a patient with peroneal tendonitis to look for shelf like fractures around the lateral or medial malleolus. True or false?
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14. What is the largest tendon in the human body?
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15. Overuse from athletic activities can cause achilles tendonitis. True or false?
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16. The mechanism of injury usually determines the type of ankle fracture. True or false?
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17. An achilles tendon should always be injected with a steroid. True or false?

Explanation

You should NEVER inject the achilles tendon with steroids.

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18. When you treat fractures you should use a c-arm. True or false?
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19. Does a maisonneuve fracture usually involve syndesmotic injury?
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20. Both posterior and anterior ankle impingements can occur. True or false?
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21. In an x-ray of a talus in which treatment for avascular was carried out you observe a subchondral radioluscent band. Is this a negative or positive Hawkins sign?
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22. Can the calcaneal prominence that sticks out in Haglunds deformity cause problems with the bursa or achille's tendon?
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23. Surgery is often the only treatment for Haglund's deformity. True or false?
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24. If you inject lidocaine in the peroneal tendon and the pain goes away, does this confirm the diagnosis?
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25. If conservative treatment fails is surgery an option for peroneal tnedonitis?
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26. In a bimalleolar fracture is  the syndesmotic ligament is almost always torn. True or false?

Explanation

they have to be treated with surgery.

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27. The syndesmosis of the ankle is between which two bones?
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28. Lateral collateral ligament sprains are graded by severity by what grading system?
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29. Which of the following make up the syndesmosis?
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30. Would you use RICE and braces for grade 1 & 2 ankle sprains?
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31. There is a difference of opinions on whether to RICE or surgically treat grade 3 sprains. True or false?
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32. Ankle syndesmosis injury is usually caused by:
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33. Which is more serious, a high ankle sprain or a lateral ankle sprain?

Explanation

A high ankle sprain takes longer to heal.

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34. Medial ankle sprains are usually caused by ankle inversion or eversion?
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35. What bone is affected in Haglund's deformity?
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36. What population most commonly sufferes from Haglund's deformity?
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37. Deltoid ligament injury requires surgery 100% of the time. True or false?

Explanation

It almost never required surgery even if associated with severe fracture dislocations.

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38. What test would you use to check for peroneal tendonitis?
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39. The most common fracture around the ankle is the
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40. There are two ways to treat an arthritic ankle.
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41. What is the best test to diagnose avascular necrosis?
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42. The deltoid complex is on the lateral or medial side of the ankle?
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43. What two tendons pass under the fibular retinaculum?
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44. Which of the following make up the lateral collateral ligament?
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45. What two tests can you do to test for LCL sprains?
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46. You can treat a high ankle injury with RICE. When would you have to do an internal fixation?
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47. Does absence of the Hawkin's signs suggest a high or low risk of avascular necrosis?
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48. Basically in Haglund's deformity there is a prominence of the calcaneus that sticks out in the anterior or posterior ankle?
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49. Is the achilles tendon the most frequently ruptured tendon?
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50. What types of fractures usually occur after a fall from a high level and are very difficult to fix?

Explanation

fx to the distal tibia

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51. A maisonneuve fracture is a fracture of the _________ right below the knee.
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52. Which malleolus is affected in a maisonneuve fracture?
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53. Osteochondritis dessicans occurs mostlhy in the lateral or medial side of the ankle.
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54. What nerve is compressed in tarsal tunnel syndrome?
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55. According to the Ottawa rules, everybody who walks into the emergency room complaining of lateral ankle pain should have an x-ray. True or false?

Explanation

The Ottawa Rules essentially state that x-rays are necessary only for individuals with suspected ankle sprains who cannot bear weight on the injured leg and for individuals with tenderness over the bones (as opposed to the ligaments)

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56. Which of the following actions might lead to peroneal tendonitis?
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57. How do you reduce the peroneal tendons before you immobilize the extremity?
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58. What part of the ankle is affected in a posterior impingement?
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59. Why is the talus the bone that is affected the most by avascular necrosis?
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60. Is decompression usually necessary in tarsal tunnel syndrome?
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61. The ankle is a hinge joint that is made up of the following three joints:
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62. Which of the following ligaments are located on the lateral side of the ankle?
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63. Do both the anterior and posterior tibial tendons extend to the foot via the medial side or the lateral side?
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64. It will take about how many months for revasscularization of the talus?
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65. Which of the following are symptoms of achilles tendonitis?
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66. Which of the following is the most common bone affected with avascular necrosis in the ankle?
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67. The ankle mortise is made up the articulation of which of the following?
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68. What is the most common mechanism of injury seen in LCL sprains?
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69. What test is useful in diagnosing achilles related ankle pain?
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Does the deltoid complex have a superficial and a deep layer?
What grade is: laxity and abnormal motion on exam is present, weight...
What grade :  gross instability, unable to weight bear
  ...
The most commonly injured ligament in ankle injuries is the:
Can you order physical therapy for LCL sprains. True or false?
One should remember that in syndesmosis injuries there is usually an...
Why would you perform an external rotation test or squeeze test on a...
Is a medial ankle sprain common?
Peroneal tendonitis is frequently misdiagnosed as:
Can peroneal tendonitis becone cnronic?
Where would you feel tenderness in a patient with peroneal tendonitis?
You might order an x-ray in a patient with peroneal tendonitis to look...
What is the largest tendon in the human body?
Overuse from athletic activities can cause achilles tendonitis. True...
The mechanism of injury usually determines the type of ankle fracture....
An achilles tendon should always be injected with a steroid. True or...
When you treat fractures you should use a c-arm. True or false?
Does a maisonneuve fracture usually involve syndesmotic injury?
Both posterior and anterior ankle impingements can occur. True or...
In an x-ray of a talus in which treatment for avascular was...
Can the calcaneal prominence that sticks out in Haglunds deformity...
Surgery is often the only treatment for Haglund's deformity. True or...
If you inject lidocaine in the peroneal tendon and the pain goes away,...
If conservative treatment fails is surgery an option for peroneal...
In a bimalleolar fracture is  the syndesmotic...
The syndesmosis of the ankle is between which two bones?
Lateral collateral ligament sprains are graded by severity by what...
Which of the following make up the syndesmosis?
Would you use RICE and braces for grade 1 & 2 ankle sprains?
There is a difference of opinions on whether to RICE or surgically...
Ankle syndesmosis injury is usually caused by:
Which is more serious, a high ankle sprain or a lateral ankle sprain?
Medial ankle sprains are usually caused by ankle inversion or...
What bone is affected in Haglund's deformity?
What population most commonly sufferes from Haglund's deformity?
Deltoid ligament injury requires surgery 100% of the time. True or...
What test would you use to check for peroneal tendonitis?
The most common fracture around the ankle is the
There are two ways to treat an arthritic ankle.
What is the best test to diagnose avascular necrosis?
The deltoid complex is on the lateral or medial side of the ankle?
What two tendons pass under the fibular retinaculum?
Which of the following make up the lateral collateral ligament?
What two tests can you do to test for LCL sprains?
You can treat a high ankle injury with RICE. When would you have to do...
Does absence of the Hawkin's signs suggest a high or low risk of...
Basically in Haglund's deformity there is a prominence of the...
Is the achilles tendon the most frequently ruptured tendon?
What types of fractures usually occur after a fall from a high level...
A maisonneuve fracture is a fracture of the _________ right below the...
Which malleolus is affected in a maisonneuve fracture?
Osteochondritis dessicans occurs mostlhy in the lateral or medial side...
What nerve is compressed in tarsal tunnel syndrome?
According to the Ottawa rules, everybody who walks into the emergency...
Which of the following actions might lead to peroneal tendonitis?
How do you reduce the peroneal tendons before you immobilize the...
What part of the ankle is affected in a posterior impingement?
Why is the talus the bone that is affected the most by avascular...
Is decompression usually necessary in tarsal tunnel syndrome?
The ankle is a hinge joint that is made up of the following three...
Which of the following ligaments are located on the lateral side of...
Do both the anterior and posterior tibial tendons extend to the foot...
It will take about how many months for revasscularization of the...
Which of the following are symptoms of achilles tendonitis?
Which of the following is the most common bone affected...
The ankle mortise is made up the articulation of which of the...
What is the most common mechanism of injury seen in LCL sprains?
What test is useful in diagnosing achilles related ankle pain?
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