Comprehensive Evaluation of Ankle and Lower Leg Anatomy, Function, and Assessment Techniques
This resource provides an in-depth review of the anatomy and evaluation techniques for the ankle and lower leg. It covers the bones including the talus, tibia, fibula, and their connections. The essential ligaments such as the anterior and posterior tibiofibular and talofibular ligaments are explained. Muscle compartments and their key muscles, including the tibialis anterior and gastrocnemius, are detailed. Comprehensive examination procedures such as history taking, inspection, palpation, ROM testing, and special tests are outlined for effective assessment.
Comprehensive Evaluation of Ankle and Lower Leg Anatomy, Function, and Assessment Techniques
E N D
Presentation Transcript
Evaluation-Ankle and Lower Leg Ms. Bowman
Anatomy Review-Bones • Talus • Tibia • Fibula • Tibia and Fibula are connected by a syndesmosis
Anatomy Review-Ligaments • Anterior tibiofibular ligament • Posterior tibiofibular ligament • Anterior talofibular ligament • Posterior talofibular ligament • Calcaneofibular ligament • Deltoid Ligament • Anterior tibiotalar ligament • Posterior tibiotalar ligament • Tibionavicular ligament • Tibiocalcaneal ligament
Anatomy Review-Muscles • Muscles of the lower leg are divided into compartments • Anterior Compartment • Tibialis anterior • Extensor hallucislongus • Extensor digitorumlongus • Lateral Compartment • Peroneus longus • Peroneus brevis • Deep Posterior Compartment • Tibialis posterior • Flexor digitorumlongus • Flexor hallucislongus • Superficial Posterior Compartment • Gastrocnemius • Soleus
History • Onset-acute, chronic • Type of pain-how are symptoms affecting athletic participation or ADLs • MOI • Changes in activity or conditioning regimen • Pmhx
Inspection • Weight bearing vs. non-weight bearing • Edema • Redness • Deformity • Discoloration • Bilateral comparison • Muscle tone
Palpation • When palpating, check for deformity, alignment, edema, crepitus, and pain • Bones • Muscles • Ligaments • Tendons • Pulses • Posterior tibial artery • Dorsalispedis artery
ROM Testing • Measured with goniometer • AROM, PROM, and RROM • Dorsiflexion, Plantar Flexion, Inversion, and Eversion
Ligamentous Testing • Anterior Drawer Test-anterior talofibular ligament • Talar Tilt Test-Calcaneofibular ligament, anterior talofibular ligament, posterior talofibular ligament • Kleiger’s Test-Deltiod ligament, syndesmosis pathology
Neurological Testing • Lower quarter screen (will learn once we get to the hip) • Dermatomes • Myotomes
Special Testing • Bump Test • Squeeze Test • Thompson Test
