Ch 19- Inversion sprain

· Reasons for radiograph
· xray if pain in malleolar or midfoot
· inabillity to walk 4 steps
· tenderness over inferior or posterior pole of either malleolus, base of 5th metarsal or navicular

Etiology
· by inversion, plantar flexion, and adduction
· stetching of the ant talofib lig

Signs and Symptoms
· Mild pain and point tenderness over ligaments
· weight bear minimally impaired

Management
· RICE 1-2 days
· limited mobility then aggressive rehab
· tape for support
· return to activity 7-10 days

Etiology
· Mod inversion force

Signs/Symptoms
· Feel snap
· mod pain, tenderness, edema
· difficulty weight bear
· Positive taltar tilt and anterior drawer tests

Management
· RICE 72 hrs
· xray to rule out fx
· crutches 5-10 days; progress to weight bear
· early ROM for motion and proprioception
· Taping for early support
· Long term disability- chronic instability can lead to joint degeneration

Etiology
· uncommon
· by significant inversion force resulting in subluxation and resuction
· damage to ant/post talo fib, calcaneofib ligament, and capsule

Signs/Symptoms
· severe pain, swelling, hemarthrosis, discoloration
· inability to walk
· positive talar tilt and anterior drawer

Management
·RICE, xray, dorsiflexion splint 3-6 weeks
· isometrics while in cast, ROM, PRE and balance when out of cast
· sugery may be required for increased stability