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a complete tear of one or more of the ankle ligaments

3rd degree Ankle Sprain

Bennett Enfinger & Takahri Murphy

March 27, 2015

Treatment

Signs and Symptoms

What Happens to the Ankle?

Special Tests: 3rd degree Ankle Sprain

  • Instability
  • Dysfunction
  • Limping
  • Loss of ROM and strength
  • Severe pain in ankle

Immediate

  • RICE (rest, ice, compression, elevation)
  • NSAIDS (Ibuprofen, Aspirin, etc.)
  • Crutches

Rehabilitation

  • 4 Stage Treatment Program(RICE, ROM exercises, Physical therapy, Exercise with resistance
  • Surgery and cast might be necessary

Inversion Stress Test

  • Positive Indicator: ROM in adducted position

Anterior Drawer Test

  • Positive Indicator:Anterior translation of the talus away from the ankle mortise that is greater on involved side

Possible Occurrence

Outside

  • bruising
  • swells

Inside

  • bone is uninjured, but ligaments around bone suffer
  • most commonly tear Anterior Talofibular (ATF) Ligament, Posterior Talofibular (PTF) Ligament, or Calcaneo Fibular (CF) Ligament
  • can tear deltoid ligamnet (least common)

  • Improper Footwear
  • Previous Injury to Ankle
  • High-arch Foot
  • Muscle Weakness or Imbalance
  • Landing Wrong when Running or Jumping onto an Uneven Terrain
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