Evaluation-Ankle and Lower Leg

Ms. Bowman

Talus Tibia Fibula

Tibia and Fibula are connected by a syndesmosis

Anatomy Review-Bones

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-Ligaments

Anatomy Review-Muscles

Muscles of the lower leg are divided into compartments Anterior Compartment

Tibialis anterior Extensor hallucis

longus Extensor digitorum

longus Lateral Compartment

Peroneus longus Peroneus brevis

Deep Posterior Compartment Tibialis posterior Flexor digitorum

longus Flexor hallucis longus

Superficial Posterior Compartment Gastrocnemius Soleus

Anatomy Review-Muscles

Onset-acute, chronic Type of pain-how are symptoms affecting

athletic participation or ADLs MOI Changes in activity or conditioning regimen Pmhx

History

Weight bearing vs. non-weight bearing Edema Redness Deformity Discoloration Bilateral comparison Muscle tone

Inspection

When palpating, check for deformity,

alignment, edema, crepitus, and pain Bones Muscles Ligaments Tendons Pulses

Posterior tibial artery Dorsalis pedis artery

Palpation

Measured with goniometer AROM, PROM, and RROM Dorsiflexion, Plantar Flexion, Inversion, and

Eversion

ROM 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

Ligamentous Testing

Lower quarter screen (will learn once we get

to the hip) Dermatomes Myotomes

Neurological Testing

Bump Test Squeeze Test Thompson Test

Special Testing