Note: Sample below may appear distorted but all corresponding word document files contain proper formattingExcerpt from Term Paper:
Assessment is best performed during the "preswelling period on the sidelines" according to Trojan and McKeag (1998)
The avoidance of "chronic ankle pain, laxity, or arthritis can be accomplished through "appropriate treatment." The following table illustrates the differentiation in ankle injuries that exists:
Table 1. Useful Tests for Various Ankle Injuries
Lateral malleolus fracture
Peroneal tendon subluxation
Bifurcate ligament avulsion
Anterior drawer, talar tilt
X-ray as per Ottawa ankle rules
Mortise view ankle x-rays
Resisted dorsiflexion and eversion
Medial ankle sprain
Medial malleolus fracture
Posterior tibialis tendon injury
Flexor hallucis longus tendinitis
X-ray as per Ottawa ankle rules
Single heel-rise test
Resisted first-toe flexion
Achilles tendon rupture
Os trigonum fracture
Weight-bearing lateral x-ray, tenderness on passive plantar flexion
Anterior tibialis tendon injury
Squeeze," external rotation
Avulsion fracture, 5th metatarsal
Palpation tenderness, foot x-rays
Palpation tenderness, fibula x-rays
Source: Trojan & Mckeag (1998)
Lateral Inversion Sprain
The lateral inversion sprain is sated to be "the most common ankle injury" accounting for approximately 85% of ankle sprains. The inversion injury will result in lateral ligaments being stretched and/or torn (generally from anterior to posterior)" (Trojan & McKeag, 1998. The following table illustrates how the physician grades the injury and reveals the prognosis as well:
Table 2. Grading of Lateral Ankle Sprains and Return to Play (11)
Return to Play
5-8 wk with optimal rehab
Source: Trojan & Mckeag (1998)
Treatment for lateral sprains are stated as being inclusive of "rest, ice, compression and elevation" along with assistance of crutches and pain and swelling medication as illustrated in the PRICEMMM Table below:
Protection with ankle bracing to prevent reinjury while ligament heals;
Rest for injured ankle until normal heel-toe gait is restored;
Ice on ankle to decrease swelling and relieve pain;
Compression as soon as possible to decrease swelling;
Elevation: the initial step for reducing swelling;
Medication: NSAIDs or acetominophen for pain relief;
Mobilization early on when pain free to expedite return to play; and Modalities: exercise and proprioception training to prevent reinjury.
Source: Trojan & McKeag (1998)
Medial Eversion Sprain
The medial eversion sprain is the type of sprains that wrestlers commonly deal with in. These types of sprains are not as common as lateral sprains with lateral sprains accounting for 85% of ankle sprains and eversion sprains accounting for 10% of ankle sprains. But, when a fracture does occur, 75% of the time it occurs on the medial side.
The Syndesmosis sprain is "postulated to be external rotation and hyperdorsiflexion" in nature as to the causal mechanism. Syndesmosis sprains account for between 1% and 11% of all ankle sprains and occurs more in contact sports. These sprains typically take longer to heal and recovery is 55 days instead of the 35 days allotted for a lateral sprain with a rating of grade 3. The bifurcate ligament injury usually happens due to "violent dorsiflexion, forceful plantar flexion, or direct trauma"(Trojan & McKeag, 1998) This type of sprain accounts for 19% of ankle inversion sprains.
Achilles Tendon Rupture
Achilles tendon rupture usually occurs in older athletes who are not conditions and in younger athletes that have been inactive due to another injury. The sensation is reported to be sharp pain in the Achilles and say it sounded like they were shot. Trojan & McKeag (1998) state of treatment in this injury that it is "controversial."..and that... "Casting is a reasonable option, especially if the tear is more than 2 cm from the calcaneal attachment. Surgery should be considered for the elite athlete to minimize the chance of rerupture."(Trojan & McKeag,1998)
Other Ankle Injury Classifications
Achilles tendon rupture usually occurs in older athletes who are not conditions and in younger athletes that have been inactive due to another injury. The sensation is reported to be sharp pain in the Achilles and say it sounded like they were shot. Trojan & McKeag (1998) state of treatment in this injury that it is "controversial."..and that... "Casting is a reasonable option, especially if the tear is more than 2 cm from the calcaneal attachment. Surgery should be considered for the elite athlete to minimize the chance of rerupture."(Trojan & McKeag,1998) Other sprains are the: (1) Peroneal Tendon Subluxation or Dislocation; (2) The Flexor Hallucis longus injury; (3) The Lateral Periostitis or 'Jumpers Ankle"; (4) Os trigonum injury; (5) Anterior tibialis tendon injury; and (6) Fractures which account for 15% of all ankle injuries among athletes. (Trojan & McKeag, 1998) The following table illustrates the diagnosis and care for varying types of ankle sprain and strain:
Table 4. Diagnosing and Managing Ankle Fractures
Site or Type
Characteristics and Findings
Injuries that extend across an imaginary line drawn through the top of talar dome on AP x-ray considered unstable
Referral for unstable fxs; closed reduction, postreduction x-rays, casting and non-weight bearing for stable fxs
Epiphysis of tibia
Type 1 (Salter-Harris)
Localized swelling or minimal widening on x-ray
Casting for 2-4 wk
Be wary of "ankle sprain" in prepubescent patients since ligaments are stronger than physis at this age. Good to excellent healing for types 1-3; poor prognosis for types 4 and five.
Metaphyseal fx into physis on x-ray
Closed reduction, long leg cast
Epiphyseal fx into physis on x-ray
Referral to surgeon
Fx through both metaphysis and epiphysis on x-ray
Referral to surgeon
Narrowing of physis on x-ray
Referral to surgeon
Weak ankles, crepitus, locking, deep pain, recurrent swelling
Casting if fragment not avulsed from talar dome; otherwise, surgical intervention
Often missed initially; may follow compression injury of talar dome.
Posterior tubercle of talus and os trigonum
Mechanism is severe plantar flexion of foot; patient has lateral posterior triangle pain; resisted eversion pain free; passive plantar flexion mimics symptoms
Short leg cast in 15° of plantar flexion for 4 wk; surgical excision occasionally
Occur in dancers, runners, soccer players.
Avulsion of fifth metatarsal
Inversion injury can avulse plantar aponeurosis from proximal tuberosity; produces tenderness at base of 5th metatarsal
Symptomatic care in cast shoe or hard shoe
Tenderness at base of 5th metatarsal
Surgical screw fixation followed by non-weight-bearing cast
Common in basketball players and ballroom dancers
Lateral process of talus
Inversion injury; seen on mortise view but difficult to see on lateral view; bone scan or CT scan may help identify
Nondisplaced fxs: short leg cast for 6 wk, 4 wk non-weight bearing; displaced fxs: surgical intervention
Often missed for months because of proximity to lateral ligaments. Common in snowboarders.
Eversion injury often associated with deltoid ligament sprain; pain and x-ray findings on proximal third of fibula; involves interosseus membrane
Referral for internal fixation
Often misdiagnosed; important to palpate entire fibula with eversion injuries.
Extra-articular fx often from twisting forces; intra-articular fx often from fall from height; both involve pain with walking or inability to bear weight; CT can delineate two types
Extra-articular: non-weight-bearing cast; intra-articular: surgical referral
Extra-articular fxs often heal well.
Occurs during pronation; pain over lateral side of foot, often along sinus tarsi; pain is elicited by pressing on plantar aspect of cuboid in dorsal direction; running, cutting, jumping markedly increase pain
Repositioning cuboid by holding the forefoot with thumbs over plantar surface of cuboid and 'whipping' the foot into plantar flexion while thumbs push cuboid dorsally
Mostly seen in classical ballet dancers and distance runners.
Uncommon but can occur with inversion and plantar flexion; mimics severe sprain or fx of anterior process of calcaneus
Short leg cast for nondisplaced fx; displaced fx requires surgery
Violent plantar flexion and inversion of foot produce medial dislocation; dorsiflexion and eversion lead to lateral dislocation; foot is deformed in both types
Reduction under general anesthesia
85% are medial. Neurovascular assessment is critical.
AP = anteroposterior, fx = fracture
Importance of the Study
The importance of this study is the addition of relevant compilation of information for the practical use of athletes, coaches and trainers in their response to ankle injury in terms of assessment and treatment of the injury for optimum healing capacity and minimal long-term damage.
Methodology of this research has been through a review of relevant peer-reviewed literature that held as its' focus ankle injuries in athletes.
Findings & Implications of the Study
Findings of this study are stated to be that there is always a change of lessening or furthering damage done when an athlete sprains their ankle. It is critical that coaches and trainers, as well as the athletes themselves become knowledgeable in relation to the various types of ankle injuries that exist and the assessment, care and treatment of these injuries so as to not become disabled due to poor medical attention to the injury.
Summary & Conclusion
"Ankle Injuries - Athletes Sports-Medicine" (2005, November 14) Retrieved October 22, 2016, from http://www.paperdue.com/essay/ankle-injuries-athletes-sports-medicine-69202
"Ankle Injuries - Athletes Sports-Medicine" 14 November 2005. Web.22 October. 2016. <http://www.paperdue.com/essay/ankle-injuries-athletes-sports-medicine-69202>
"Ankle Injuries - Athletes Sports-Medicine", 14 November 2005, Accessed.22 October. 2016, http://www.paperdue.com/essay/ankle-injuries-athletes-sports-medicine-69202
This is achieved through the increase of metabolic rates and lean body mass while eliminating excess fat and burning calories. While the required amount of physical activity differs based on the caloric intake and body type, sports can assist an individual to maintain a healthy weight. For people who want to maintain a huge amount of weight loss, high-intensity sports can be the best option while reasonably-intensive physical activity
Horse Racing One of the most pressing issues facing the sports world today is the question of where the line can be drawn between intense training and actual abuse. This is particularly true of horse racing, which depends upon animals who cannot give their consent or input, and thus rely on their owners and trainers to look out for their well-being. For example, just as steroid use has become an increasing
The client should then be allowed to rest for a few minutes. This is followed by the application of Ortho Ease to the back of the legs. Hot compresses should be applied to the spine. Heat will begin to build up slowly. The next step is to work on the legs. Apply 2-3 drops of wintergreen, cypress, basil, and peppermint to the inside of the lower legs along the shin.
Diathermy: Uses, Benefits, And Risks As one of the oldest treatment modalites, the therapeutic effects of heat have been experienced for several hundred years. In order to use heat in the treatment of deep muscle injury, diathermy treatment is the therapy of choice. Diathermy uses high-frequency electrical currents to heat deep muscular tissues. This heating results in pain relief, increased blood flow, and increased flexibility. Research has demonstrated evidence both for
Ergonomic Evaluation The aim of the following study was to conduct an ergonomic evaluation to identify contributing factors in the development of musculoskeletal pain and discomfort in Ultrasound Sonographers involved in Obstetric and Gynecological scanning. The methodology involved a cross-sectional study of Sonographers in one hospital. The methodology included the use of the Rapid Upper Limb Assessment (RULA) to identify the exposure to postural risk, static muscle work and repetition, and
Dry Needling Cover letter Department of Science Attachment: Over time, dry needling has turned out to be a well-liked therapy method in manual physical rehabilitation (Dommerholt et al., 2006). Physiotherapists as well as other healthcare service providers in numerous nations utilize dry needling within the clinical therapy of individuals with myofascial discomfort and trigger points. Within the U.S.A., roughly 20 states and also the District of Columbia have authorized dry needling by physiotherapists,
Child Clinical Intervention Part I Child Abuse Physical abuse of children occurs throughout every social strata, although there may be an increased incidence among those living in poverty. Abuse often occurs at moments of great stress, and the perpetrator strikes out in anger at the child. The perpetrator may also have been abused as a child and may have poor impulse control. Because of the relative size and strength difference between adults