Thursday, February 21, 2019
Ankle Sprain
An Ankle Sprain of a Female Colligate Basketball Player nonsubjective To introduce a case study about a mild ankle joint joint distort. range The most common way to sprain an ankle in hoops is to step on someone elses foot, or to plant and to gimmick the wrong way. Differential Diagnosis Could be an injury to the deltoid ligament, CF, or the ATF ligament. interference Ice, High volt, Theraband, Towel scrunches, Towel stretches, Whirlpool finish Rehab pull up stakes helper her get her strength back in her ankle as long she continues to work hard. Keywords Ankle sprain, High volt, Medial and Lateral MalleolusObjective The ankle joint is the most commonly injured part of the spurn leg. It happens from an unusual twisting action when the foot is planted awkwardly or when running on uneven ground. An unbearable amount of force is displace on the joint itself. Such injuries occur all the time in athletics or just by running. The ankle is made up of crams, tendons, and ligamen ts. The major bone of the lower leg is the tibia it holds most of the carcasss weight. It is made up part of the medial malleolus, which consist of the wrong up hump of the ankle.The fibula is the next largest of the ankle bone in the lower leg. It constitutes the lower leg end form the lateral malleolus, the outer(prenominal) hump of the ankle. The smallest ankle bone is the scree which completely makes up the bone on the top of the foot. The tendons connect the muscle to the bones. in that location be several(prenominal) muscles that help control motion at the ankle. The tendon connects one or more of the bones to the foot. Tendons can be stretch to torn when a great amount of tension is placed upon it. They can withal be pulling away from the bone, such as the Achilles tendon rupture.Ligaments provide connections mingled with the bones. Ligaments are mostly sprained. The ankle has many bones that comes together to form the joint. The most commonly injured ligament is the anterior talofibular ligament that connects the front of the fibula to the talus bone on the front outer rim of the ankle joint. Ligaments are sprained when a great than normal force is placed on it. This is make when the foot is inverted most of the time. This happens when the foot is awkwardly planted or is stepped upon during activities.Stepping in a surface that is irregular, such as in an athletic event when one worker steps on another player foot a sprain can result. Background A 21 year old female, basketball player experienced an ankle sprain by accidentally stepping on another players foot. The player was going up to make a shot landed on the opponents foot when she came back down, which made her ankle invert. The head athletic trainer evaluated her then taped her ankle to provide support and keep the extrusion to a minimum at that time, so the player could consequence to play. direct after the game, the players ankle was iced down to control the bulge and was recei ving NSAIDs to help with the pain or discomfort she was feeling. The player was referred to the team physician for x-rays and MRI to help rule out fractures. Treatment was started to help relieving the swelling and pain. Treatment In the first couple of years of rehab, she received high volt, and ice to help with the swelling she also did ankle pumps that also help with moving out the inflammation. As each twenty- tetrad hours went by, towel scrunches, towel stretches were performed as three set each.Compression pumps were administered for 15 proceeding several times a week, rhythmic stabilization, and aquatic remedial exercises were added as she got closer to the sub acute phase. The sub acute phases are about six days to until six weeks. In this stage she was allowed to correct straight ahead, trying wide figure-eight at first. Eventually the player was each on the bike or the stair stepper for 10 minutes a day. After the bike she was moved to the shuttle press with intrave nous feeding cords, and three sets of ten, after the shuttle she did calf raises. The farther she progressed, the whirlpool was introduced, and both(prenominal) hot and cold water.Two set of tens, in all four directions using Therband was the next step of treatment ultrasound was done to help break up scar tissue that had started to form. As her ROM ameliorate along with other tests, she was moving closer to the return to play phase. The return to play phase this is when functional test and sport specific operation can be started. Functional testing is important along with continue with other exercises and modalities. She moved to three set of fifteen with a Therband in all direction, hot pack assisted with high volt was added. side by side(p) the Therband the shuttle with the dynadisc, doing three set of fifteen along with four cords, she also did towel scrunches five times wobble board, marbles and exercise. ROM exercise was done to increase plantar flexion and dorsiflexion. D ifferential Diagnosis There are many kinds of ankle injuries that can be present in variety of ways. The calcaneocuboid joint injury is a kind of inversion ankle sprain that involves the ligament overlying that joint. Which cause immediate swelling, pain and tenderness to the touch modality? The pain is localized to that region of the joint.The deltoid ligament resists abduction and lateral rotation of the ankle. even sudden forceful motion of the ankle may tear the ligament or stress it. The ligament may avulse that is attacked to the malleolus a vast majority of case, thither will be a tear through the ligament. The tear could be associated with compression of the talar joint. There could be an injury also to the ATFL and the CF ligament. Conclusion The player went through all the appropriate phases to get back in to the return to play phase. She will continue to do rehab so that her ankle with improve and get stronger.
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