Ankle: Pathologies 3

Question 1

Peroneal tendinopathy is most often associated with what injury?

Answer 1

Lateral ankle sprains

Question 2

Peroneal tendinopathy: (%) of peroneal dysfunction occurs with ankle sprains

Answer 2

95%

Question 3

Peroneal tendinopathy SHOULD be suspected after

Answer 3

Lateral ankle sprain

Question 4

Peroneus brevis injuries occur where?

Answer 4

• Lateral and posterior

- 2-3 cm distal to lateral malleolus

Question 5

Peroneus longus injuries occur where?

Answer 5

• in the cuboid tunnel OR

- base of 1st MTP

Question 6

Peroneal tendinopathy: Swelling?

Answer 6

Not typical

Question 7

Peroneal tendinopathy: Location of pain

Answer 7

• Posterior or distal to lateral malleolus

- around cuboid

Question 8

Peroneal tendinopathy: typical foot characteristics

Answer 8

• varus hindfoot
• forefoot varus
• limited ankle DF

Question 9

Peroneal tendinopathy: In addition to lateral ankle sprain, may also have a history of

Answer 9

chronic lateral ankle pain and instability

Question 10

Peroneal tendinopathy: Pain in what phase of gait

Answer 10

Terminal stance

Question 11

Peroneal tendinopathy: pain with what movements?

Answer 11

• Unilateral heel raise
• passive DF and inversion
• resisted PF/eversion

Question 12

Peroneal tendinopathy: Risk factors

Answer 12

• age related degeneration
• inflammatory arthritis
• HTN
• DM
• obesity
• less frequently - acute traumatic rupture

Question 13

Peroneal tendinopathy: Differential dx

Answer 13

• Achilles tendinopathy
• high ankle sprain
• sinus tarsi syndrome
• posterior ankle impingement
• cuboid fx
• fibular fx

Question 14

With peroneal tendinopathy, need to strengthen what group?

Answer 14

Evertors

Question 15

Peroneal tendinopathy: what type of insert may be helpful?

Answer 15

Lateral heel wedge

Question 16

Posterior tibial tendinopathy

May need foot orthosis to decrease

Answer 16

Pronation

Question 17

Posterior tibial tendinopathy:

Consider immobilization in short leg cast for (duration)

Answer 17

2-3 weeks

Question 18

Salter Harris fractures occur in which group

Answer 18

Children

Question 19

Salter Harris fx: involves what structures

Answer 19

Growth plate in long bones

Question 20

Salter Harris fx: How many types?

Answer 20

5

Question 21

Salter Harris fx: Type 1

Answer 21

• Fx through the physis

- no involvement of the bone of the epiphysis or metaphysis

Question 22

Salter Harris fx: Type 2

Answer 22

• Fx involving part of the metaphysis

- extends to the physis

Question 23

Salter Harris fx: Type 3

Answer 23

• fx involves the epiphysis

- extends into the physis

Question 24

Salter Harris fx: Type 4

Answer 24

Fracture involves the epiphysis, metaphysis, and extends into the physis

Question 25

Salter Harris fx: type 5 involves only the

Answer 25

Physis

Question 26

Salter Harris fx: Type 5

Answer 26

Compressive deformity of the growth plate | only involves the physis