Ankle Joint Quiz

2.

Which muscle dorsiflexes the talar joint and everts the subtalar joint?

Peroneus longus
Extensor digitorum longus
Tibialis anterior
Tibialis posterior

Correct Answer

A. Tibialis anterior

Explanation

peroneus longus, tibialis posterior - eversion

extensor digitorum longus- dorsiflexion at subtalar joint only

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3.

The ligaments that connect the fibula to tibia and calcaneus are :

Anterior-inferior tibiofibular ligament, Anterior talo-fibular ligament
Anterior-inferior tibiofibular ligament (AITFL) Posterior-inferior tibiofibular ligament (PITFL) Transverse tibiofibular ligament (TTFL) Interosseous ligament (IOL) Inferior transverse ligament , Anterior talofibilar ligament, calcaneofibular ligament, Anterior-inferior tibiofibular ligament
Anterior-inferior tibiofibular ligament, Posterior-inferior tibiofibular ligament, Transverse tibiofibular ligament,
Ransverse tibiofibular ligament, Inferior transverse ligament,

Correct Answer

A. Anterior-inferior tibiofibular ligament, Posterior-inferior tibiofibular ligament, Transverse tibiofibular ligament,

Explanation

The ligaments that connect the fibula to the tibia and calcaneus are the Anterior-inferior tibiofibular ligament, Posterior-inferior tibiofibular ligament, and Transverse tibiofibular ligament. These ligaments provide stability to the ankle joint and help to maintain the alignment of the tibia and fibula bones. The Anterior-inferior tibiofibular ligament connects the front of the fibula to the tibia, while the Posterior-inferior tibiofibular ligament connects the back of the fibula to the tibia. The Transverse tibiofibular ligament runs horizontally between the tibia and fibula, helping to hold them together.

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4.

A competitive skier makes a turn to the right around a slope. The left ski tuns in the snow causing external rotation of the left ski and boot. Which of the following ligaments is most likely to be the injured structure?

Calcaneofibular ligament
Anterior inferior tibiofibular ligament
Deltoid ligament
Calcaneofibular ligament

Correct Answer

A. Anterior inferior tibiofibular ligament

Explanation

External rotation of the foot on the leg causes the talus to press against the lateral malleolus. This rotational movement first affects the anterior inferior tibiofibular ligament of the syndesmos

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5.

Choose the mechanism of injury in ankle sprains.

Plantar flexion
Inversion
Dorsiflexion and eversion
Plantarflexion and inversion

Correct Answer

A. Plantarflexion and inversion

Explanation

Ankle sprains occur when the ligaments surrounding the ankle joint are stretched or torn. The mechanism of injury refers to the specific movement or force that causes the sprain. In this case, plantarflexion and inversion are the correct mechanisms. Plantarflexion refers to pointing the foot downwards, while inversion refers to rolling the foot inward. These movements can put excessive stress on the ligaments on the outer side of the ankle, leading to a sprain.

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6.

A grade II ankle sprain is marked by:

Mild swelling and tenderness with instability
Moderate talar tilt, severe swelling
Moderate laxity with anterior drawer test and moderate swelling
No instability, no swelling

Correct Answer

A. Moderate laxity with anterior drawer test and moderate swelling

Explanation

A grade II ankle sprain is characterized by moderate laxity with the anterior drawer test, which indicates that there is some looseness or movement in the ankle joint. This is accompanied by moderate swelling, which suggests that there is inflammation and fluid accumulation in the area. The combination of laxity and swelling indicates that there is some damage to the ligaments in the ankle, but the instability is not severe enough to classify it as a grade III sprain.

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7.

Which test for a syndesmosis injury has the highest sensitivity?

Squeeze test
External Rotation test
Anterior drawer test
Lachman test

Correct Answer

A. External Rotation test

Explanation

The external rotation test is the most sensitive test for a syndesmosis injury. This test involves externally rotating the ankle while applying a downward force on the leg. If pain or increased gapping is felt at the syndesmosis, it indicates a positive test for a syndesmosis injury. This test is considered highly sensitive because it has a high likelihood of correctly identifying a syndesmosis injury when it is present.

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8.

The anterior drawer test with the ankle in 20 degrees of plantarflexion most effectively test for the laxity

Calcaneo-fibular ligament
Anterior talofibular ligament
Anterior inferior tibio-femoral ligament
Deltoid ligament

Correct Answer

A. Anterior talofibular ligament

Explanation

Plantar flexion of the foot causes the ATFL to become parallel with the axis of the foot and become taut

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9.

The components of the lateral collateral ankle ligaments are:

Anterior talo-fibular, posterior talo-fibular, calcaneo-fibular
Anterior talo-fibular, deltoid, calcaneo fibular ligament
Anterior tibiofibular ligament, posterior talo-fibular ligament
Posterior inferior talofibular, calcaneo-fibular, posterior talo-fibular

Correct Answer

A. Anterior talo-fibular, posterior talo-fibular, calcaneo-fibular

Explanation

The correct answer is anterior talo-fibular, posterior talo-fibular, calcaneo-fibular. These ligaments are located on the lateral side of the ankle and provide stability to the joint. The anterior talo-fibular ligament connects the talus bone to the fibula, the posterior talo-fibular ligament connects the talus to the fibula at the back of the ankle, and the calcaneo-fibular ligament connects the calcaneus bone to the fibula. Together, these ligaments help to prevent excessive inversion (rolling inward) of the ankle, which is a common mechanism of injury.

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10.

Discolored and painful feet in a patient with ankle and foot complaints are

A yellow flag
A red flag
Reason to assess by a physiotherapist

Correct Answer

A. A red flag

Explanation

The presence of discolored and painful feet in a patient with ankle and foot complaints is considered a red flag. This term is used in medical contexts to indicate a symptom or finding that may suggest a serious or potentially life-threatening condition. In this case, it suggests that there may be an underlying issue that requires immediate attention and evaluation by a healthcare professional.

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11.

During anterior drawer test a finding of excessive anterior movement on lateral side means

Medial ligaments are intact
Both medial and lateral ligaments are affected
Lateral ligaments are affected

Correct Answer

A. Both medial and lateral ligaments are affected

Explanation

Anterior drawer test checks integrity of both medial and collateral ligaments

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12.

A positive talar tilt test is given by

Translation of talus in anterior direction
Translation of talus in posterior direction
Translation of talus in medial direction
Translation of talus in both medial and lateral direction

Correct Answer

A. Translation of talus in both medial and lateral direction

Explanation

In adduction checks CFL instability, in abduction- deltoind ligament

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13.

Patient complains of ankle pain and swelling after a game. Physical exam finds moderate inversion laxity with the ankle held in dorsiflexion, with the ankle in plantar flexion , no inversion is found. Which of the following ligaments has been attenuated?

ATFL
Anterior tibiofibular ligament
Deltoid ligament
CFL

Correct Answer

A. CFL

Explanation

PTFL, ATFL CFL - stabilizers of lateral ankle , but CFL most taut in DF and inversion
ATFL - most taut in DF and inversion

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14.

Symptomatic ankle sprains for more than 6 weeks are

Chronic ankle sprains
Grade III sprains
A red flag
A yellow flag

Correct Answer

A. A red flag

Explanation

Symptomatic ankle sprains that persist for more than 6 weeks are considered a red flag. This means that they indicate a potential underlying problem or complication. Chronic ankle sprains can lead to long-term instability and may require further medical intervention. The term "red flag" is commonly used in healthcare to signify a warning sign that should not be ignored.

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15.

The normal finding for passive range of motion in ankle joint ( both talar and subtalar) is

Hard end feel
Tissue stretch
Bone to bone
Empty end feel

Correct Answer

A. Tissue stretch

Explanation

The correct answer is "tissue stretch". When performing passive range of motion in the ankle joint, a normal finding would be a "tissue stretch" end feel. This means that as the joint is moved, there is a resistance felt due to the stretching of the surrounding soft tissues, such as ligaments and muscles. This is a normal and expected sensation during passive movement of the ankle joint.

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Ankle Joint Quiz

Which movement has the greatest range of motion in the ankle joint?

Quiz Preview

Which muscle dorsiflexes the talar joint and everts the subtalar joint?

The ligaments that connect the fibula to tibia and calcaneus are :

A competitive skier makes a turn to the right around a slope. The left ski tuns in the snow causing external rotation of the left ski and boot. Which of the following ligaments is most likely to be the injured structure?

Choose the mechanism of injury in ankle sprains.

A grade II ankle sprain is marked by:

Which test for a syndesmosis injury has the highest sensitivity?

The anterior drawer test with the ankle in 20 degrees of plantarflexion most effectively test for the laxity

The components of the lateral collateral ankle ligaments are:

Discolored and painful feet in a patient with ankle and foot complaints are

During anterior drawer test a finding of excessive anterior movement on lateral side means

A positive talar tilt test is given by

Patient complains of ankle pain and swelling after a game. Physical exam finds moderate inversion laxity with the ankle held in dorsiflexion, with the ankle in plantar flexion , no inversion is found. Which of the following ligaments has been attenuated?

Symptomatic ankle sprains for more than 6 weeks are

The normal finding for passive range of motion in ankle joint ( both talar and subtalar) is