Dr. Ebraheim’s educational animated video describes conditions and treatment methods associated with pain of the ankle. High ankle sprain •A high ankle sprain is a sprain of the syndesmotic ligaments that connect the tibia and fibula at the ankle. •Diagnosis of syndesmotic injury is usually done by the use of external rotation stress view examination or CT scan. This patient may require surgery. Anterolateral impingment •Painful limitation of full range of ankle motion due to soft tissue or osseous (bony) pathology. •Soft tissue thickeneing commonly seen in athletes with prior trauama that extends into the ankle jint. •Arthroscopy of the ankle may be helpful . •Tibisl bone spur impinging on the talus can become a source of chronic ankle pain and limitation of ankle motion in athletes. Osseous (bony) spur on the anterior lip of tibia contacting the talus during dorsiflexion. The patient may need debridment of the spur. Ankle sprain •Pain that is anterior and around the fibula can usually be attributed to a ligament sprain. •Sprains result from the stretching and tearing (partial or complete) of small ligaments that can become damaged when the ankle is forced into an unnatural position. •Treatment includes immobilization, ice therapy, physical therapy and rarely surgery. •With ankle sprain, the patient will be able to walk, but it will be painful. With a fracture, the patient will be unable to walk. Pain that is posterior to the fibula can usually be attributed to an injury of the peroneal tendons. Lateral ankle pain •Patients with peroneal tendon problemes usually describe pain in the outer part of the ankle or just behind the lateral malleolus. •Problems mainly occus in the area where the tendons of the two muscles glide within a fibrous tunnel . Peroneal inflammation/ tendonitis •Tendons are subject to excessive repetitive forces causing pain and swelling. •Peroneal tendon subluxation •Usually occurs secondary to an ankle sprain with retinaculum injury. •Occurs with dorsiflexion and usually eversion of the ankle. Posterior anle pain Achilles tendonitis •Irritation and inflammation due to overuse. •Pain, swelling and tears within the tendon. •Achilles tendon can become prone to injury or rupture with age, lack of use or by aggressive exercises. •The Thompson test is performed to determine the presence of an Achilles tendon rupture. A positive result for the thompson’s test is determined by no movement of the ankle while squeezing of the calf muscles. Posterior ankle impingment •Os trigonum or large posterior process of talus (stieda syndrome) •Common among athletes such as ballet dancers. •May be seen in association with flexor hallucis longus tenosynovitis. Tarsal tunnel syndrome •Compression or squeezing on the posterior tibial nerve that produces symptoms of pain and numbness on the medial area of the ankle. •When conservative treatment methods fail, surgical treatment or tarsal tunnel release surgery may be needed. Posterior tibial tendon tears are one of the leading causes of failing arches (flatfoot) in adults. •Too many toes sign •Loss of medial arch height •Pain on the medial ankle with weight bearing Arthritis of the ankle joint •Commonly the result of a prior injury or inflammation to the ankle joint. •Can usually be easily diagnosed with an examination and x-ray. Osteochondral lesion of the talus •Arthroscopic debridment may be necessary. Please go to the following link and support the artist Johnny Widmer in his art contest - Sign to Facebook and click LIKE https://www.facebook.com/marlinmag/photos/a.10153261748858040.1073741838.134227843039/10153261754338040/?type=3&theater Thank you! https://www.facebook.com/JohnnyWidmerArt?fref=ts http://www.johnnywidmer.com/
Views: 630673 nabil ebraheim
http://www.michiganfootdoctors.com/twisted-ankle-recovery-time/ Curious to know what exactly you injured in your ankle? Well these are the types of injuries you can have and exactly what to do about them! http://www.michiganfootdoctors.com/
Views: 34294 Michigan Foot Doctors
Ankle anterior talofibular, calcaneo-fibular and posterior talofibular ligament assesssment
Views: 9824 Sheena Livingstone
Chronic ankle sprains and talofibular ligament tears are commonly treated with Prolotherapy, a regenerative injection technique. In this video, Ross Hauser, MD discusses ankle ligament tears and treatment course. To learn more about Prolo and the types of chronic pain and injuries we treat, please visit us at: http://www.caringmedical.com/prolotherapy Thanks for watching! Contact our team to tell us more about your case and see if you are a good candidate for our treatments: http://www.caringmedical.com/contact-us/ Access our published research and articles on Regenerative Medicine: http://www.prolotherapy.org/ Find us on Social Media: Facebook: https://www.facebook.com/stemcellprolotherapy/ Instagram: https://www.instagram.com/explore/locations/1030271890/ Twitter: https://twitter.com/CaringMedical?ref_src=twsrc%5Egoogle%7Ctwcamp%5Eserp%7Ctwgr%5Eauthor Pinterest: https://www.pinterest.com/caringmedicalre/
Views: 55681 Caring Medical Regenerative Medicine Clinics
Test for presence of injury to the anterior talofibular ligament. The test is positive if inversion is painful with palpable tenderness over the ligament. A positive test indicates a sprained / lesion of the anterior talofibular ligament. To find out more about our work and the full range of our publications please visit our website: http://www.clinicalexams.co.uk/ The complete videos can be streamed or downloaded from our Vimeo site: https://vimeo.com/user21235595/vod_pages Excerpts and free video clips can be found on our YouTube channel: https://www.youtube.com/channel/UCyG7qeIHTBGlJqNrBi-_1NA/videos?view_as=public&shelf_id=1&view=0&sort=dd Bloomsbury Educational Limited 97 Judd Street, London, WC1H 9JB http://www.clinicalexams.co.uk/ Please subscribe to our channel to benefit from new additions. DISCLAIMER Bloomsbury Educational will not be held responsible or liable for any kind of loss or injury incurred as a result of the information conveyed in our videos. All procedures must be practiced in a supervised professional clinical setting. Andreas Syrimis, Bloomsbury Educational Limited.
Views: 5685 Clinical Examination Videos
Did you know that 25,000 people sprain their ankle every single day? After the low back, the ankle is probably the second most common area of injury. In most cases, ankle sprains do not heal well without some treatment. That's a lot of clients who need you. Unraveling the Mystery of Ankle Pain 4-part webinar series worth 6 CE hours is available at: http://www.benbenjamin.com/webinarDescrip.php?id=S_881958787 When an ankle sprain does not heal properly, it can become a chronic problem. The ligament may have been stretched or may have developed poorly formed (and therefore weak) adhesive scare tissue, causing instability at the joint. Strenuous activities continually re-tear the scar tissue, resulting in a seemingly endless cycle of pain that comes and goes, with intermittent swelling. This can continue for many years if the injury is not properly treated. Learn to assess & treat 8 varieties of Ankle Sprains in this 4-part webinar series by Dr. Ben Benjamin. You'll come away understanding the relevant anatomy and assessment for each of these conditions, as well as therapeutic techniques for those you can treat and referral guidelines for those you cannot.
Views: 26380 Ben Benjamin
Dr. Ebraheim’s educational animated video describes the anatomy of the ankle ligaments. The ankle joint is made of three bones, the tibia, the fibula and the talus. The tibia is the major bone of the lower leg which bears the majority of the body weight. At the angle, the bump of the tibia forms the medial malleolus. The fibula is the smaller of the two bone of the leg. The lateral end of the fibula forms the lateral malleolus. In the ankle joint the talus articulates with the tibia. The talus is involved in multiple movements of the foot. There are ligaments in the ankle that provide connections between the bones. Injury to any of these ligaments may occur when the foot twists, rolls or turns beyond its normal motion. An ankle sprain is a common injury that occurs in sports as basketball and soccer. The deltoid ligament is on the medial side. It is formed of four parts: anterior tibiotalar part, tibionavicular part, tibiocalcaneal part and the posterior tibiotalar. The superficial deltoid arises from the anterior colliculus. The deep deltoid arises form the posterior colliculus and the intercollicular groove. The deltoid ligament is the main stabilizer of the ankle joint during the stance phase. The deltoid ligament is rarely injured by itself and it is usually associated with fractures. There are 3 lateral ligaments of the ankle joint: The anterior talofibular ligament (weakest): origin: 10 mm proximal to the tip of the fibula. Extends from the anterior inferior border of the fibula to the neck of the talus. The posterior talofibular ligament ( strongest): origin from the posterior border of the fibula. Inserts into posterolateral tubercle of the talus Calcaneofibular ligament: origin anterior border of the fibula 1 cm proximal to the distal tip. Inserts into the calcaneus distal to the subtalar joint and deep to the peroneal tendon sheath. The lateral ligaments are the most commonly injured ligaments in the ankle. The ligament of the syndesmosis •Anterior inferior tibiofibular ligament •Interosseous ligament •Posterior inferior tibiofibular ligament The connection of the tibia and fibula is called the syndesmosis. High ankle sprain = syndesmosis injury 5-10%. Injury of the ligaments above the ankle. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC
Views: 72119 nabil ebraheim
http://www.johngibbonsbodymaster.co.uk/courses/ John Gibbons is a sports Osteopath and a lecturer for the 'Bodymaster Method ®' and in this video he is demonstrating how to apply Kinesiology tape for a patient that presents with an Ankle Inversion sprain. Want to learn how to apply Athletic Tape as well as other Physical Therapy CPD Courses then look on http://www.johngibbonsbodymaster.co.uk John is also the Author of the highly successful book and Amazon No 1 best seller, called 'Muscle Energy Techniques, a practical guide for physical therapists'. John has also written 2 more books, one is called 'A Practical Guide to Kinesiology Taping' and this comes with a complimentary DVD and the other book is called; 'Vital Glutes, connecting the gait cycle to pain and dysfunction'. These 2 books are available to buy now through his website http://www.johngibbonsbodymaster.co.uk/books/ or from Amazon http://www.amazon.co.uk John now offers Advanced Training in all aspects of Sports Medicine to already qualified therapists in manual therapy to 'Diploma' Level. You need to have attended all of his Physical Therapy Courses before the diploma is awarded. His venue is based at the idylic venue of Oxford University, home of the first four-minute mile by Roger Bannister.
Views: 1009465 John Gibbons
Dr. Ebraheims animated educational video describing the condition of chronic lateral ankle instability Ankle sprain is a common injury that occurs with sports activities and the lateral ligaments are the most commonly injured ligaments in the ankle. Three ligaments on the ankle joint on the lateral side: 1- Anterior talofibular ligament: is the weakest ligament of all three of them, the integrity of this ligament is tested by preforming the anterior drawer test. 2- The posterior talofibular ligament: is the strongest of the three ligaments. 3- Calcaneofibular ligament: injury to this ligament usually occurs after injury to the anterior talofibular ligament, the integrity of this ligament is tested by preforming the talar tilt test. If the patient cannot bear weight after what is suspected ankle sprain, then you need to get an x-ray to check if the patient has a fracture. Acute ankle sprains are usually treated by: • Immobilization • Ice • Physical therapy • Surgery (rare) Sometimes these ligaments do not heal and become incompetent. Incompetence of these ligaments may create chronic lateral ankle instability. You may want to examine the hindfoot for varus malalignment. Occult varus may lead to treatment failure. Check for peroneal muscles and tendon weakness which is a frequent cause of lateral ankle instability. If you find that there is hindfoot varus, you may need to do the coleman block test to differentiate between fixed and flexible hindfoot varus. The treatment will be different. Treatment: The majority of ankle sprains will heal with time and are treated with: • Rest • Physical therapy - Peroneal muscle strengthening with proprioception and range of motion of the ankle. In some cases the patient may not get better and may have: • Mechanical instability or functional instability • Patient may not improve with conservative treatment - Patient may require surgery What type of surgery may be necessary? • Anatomic repair (Brostrom procedure). Direst repair of the attenuated ligament. OR • Anatomis repair (Modified Brostrom procedure). • Direct ligament repair with augmentation using the inferior extensor retinaculum. • A graft can be used if the Brostrom technique fails. For chronic lateral ankle instability, we also need to look for other conditions such as peroneal tendon pathology, fractures, joint lesions, or arthritis. There are a lot of differential diagnosis for this area that can create ankle instability. These are some of the other causes that can create the same symptoms of pain and instability of the lateral ankle. When pain is located posterior to the fibula, you can blame this on peroneal tendon pathology. The peroneal tendons are subjected to excessive repetitive forces causing pain, swelling, and instability of the lateral ankle. Treated by injection or possibly surgery (synovectomy). The superior peroneal retinaculum is usually holding two peroneal tendons behind the fibula. The inferior peroneal retinaculum is not as important as the superior peroneal retinaculum. Superior peroneal retinaculum tear: - Tear may lead to subluxation of the peroneal tendons. - Do physical therapy or reconstruction of the superior peroneal retinaculum. Peroneal tendon subluxation occurs with dorsiflexion and inversion; however it is tested with dorsiflexion and eversion against resistance. Peroneus longus or brevis tendon rupture or tear: - Tear of the peroneus longus tendon may occur at the peroneal tubercle with the Os Peroneum migrationg proximally. - Tears of the peroneus brevis may occur with peroneal tendon subluxation. - In these cases you will do repair or tenodesis of the torn tendon. Lesions inside the joint: - Osteochondral lesion of the talus (OCD): they are 2 types: • Posteromedial • Anterolateral Treatment: • NSAIDS • Physical therapy • Surgical treatment: ankle arthroscopy. - If the OCD lesion is less than 1 cm then you will do excision, curettage, or drilling of the lesion. - Anterolateral Impingement: painful limitation of full range of ankle motion due to asseous (bony) or soft tissue pathology. - Treatment: • physical Therapy • injection • arthroscopic debridement of the impingment - ankle synovitis: you do synovectomy. - Ankle arthritis: ankle arthritis of the ankle joint usually results from prior injury or inflammation to the ankle joint. - It can be diagnosed by an exam or by an x-ray. - We start with conservative treatment, brace, injection, if nothing works do arthrodesis or total ankle surgery if conservative treatment fails. - If there is loose bodies inside the ankle, remove it. - There may be some fractures that cause instability of the ankle, like lateral process fracture of the talus, anterior process fracture of the calcaneus. - Jones fracture or Pseudo- Jones fracture. - The treatment is specific for the type of fracture. - This needs to be diagnosed and treated accordingly. - Osteal coalition: may cause frequent ankle instability.
Views: 80140 nabil ebraheim
Lorenzo Gamez, MD, (Long Island, NY) discusses his augmented Brostrom procedure using InternalBrace™ ligament augmentation to repair both the ATFL and CFL. This repair incorporates knotless biocomposite SwiveLock® suture anchors and FiberTape® suture to strengthen the ligament repair at time 0 to on average 250N.1 1 American Journal of Sports Medicine. 2014;42(2):405‐411. doi: 10.1177/0363546513510141.
Views: 6841 What's New in Orthopedics
Enroll in our online course: http://bit.ly/PTMSK DOWNLOAD OUR APP: 📱 iPhone/iPad: https://goo.gl/eUuF7w 🤖 Android: https://goo.gl/3NKzJX GET OUR ASSESSMENT BOOK ▶︎▶︎ http://bit.ly/GETPT ◀︎◀︎ This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. The anterior drawer test has limited diagnostic ability for chronic ankle laxity but performs well in an acute situation to diagnose ruptures of the anterior talofibular ligament commonly injured after ankle inversion trauma HELP TRANSLATE THIS VIDEO If you liked this video, help people in other countries enjoy it too by creating subtitles for it. Spread the love and impact. Here is how to do it: https://youtu.be/b9cKgwnFIAw SUPPORT US : http://bit.ly/SPPRTPT ARTICLES: Croy (2013): https://www.ncbi.nlm.nih.gov/pubmed/24175608 Van Dijk (1996): https://www.ncbi.nlm.nih.gov/pubmed/9065068 Miller (2016): https://www.ncbi.nlm.nih.gov/pubmed/26660862 Visit our Website: http://bit.ly/web_PT Like us on Facebook: http://bit.ly/like_PT Follow on Instagram: http://bit.ly/IG_PT Follow on Twitter: http://bit.ly/Tweet_PT Snapchat: http://bit.ly/Snap_PT
Views: 95697 Physiotutors
Dr. Ebraheim’s educational animated video describes the ligaments of the Ankle. An ankle sprain is usually low ankle sprain, but occasionally high ankle sprain. Other conditions associated: •Osteochondral lesion •Peroneal tendon subluxation •Lateral process fracture of the talus •Anterior process fracture of the calcaneus •High syndesmotic injury Tests for injury of these ligaments: •Anterior drawer test •Squeeze test •External rotation stress test •Talar tilt test (inversion test). If the patient can’t bear weight on the ankle, the patient should get an x-ray. Injury to the deltoid ligament occurs on the medial side of the ankle joint and usually associated with fracture. Injury to the lateral side ligament is referred to as ankle sprain. The anterior tibiofibular ligament is the west on the lateral side. Anterior drawer test: is done to test the competency of the anterior tibiofibular ligament. The test is done in 20 degrees of plantar flexion and compares it to the other side. A shift of an absolute value of 9 mm on the lateral x-ray or 5mm compared to the other side is positive. The calcaneofibular ligament is usually injured after the anterior talofibular ligament. talar tilt test: less than 5 degrees of tilt is usually normal. A high ankle sprain may require surgery. Always track the fibula proximally to avoid missing a Maisonneuve fracture. Squeeze test is used to diagnose high ankle sprain. By squeezing the tibia and fibula at the mid-calf this causes pain at the syndesmosis if high ankle sprain is present. External rotation stress test: place the ankle in a neutral position, then apply external rotation stress and get a mortise view radiograph. The positive result if the tibiofibular clear space is more than 5 mm. there is also a positive result if the medial clear space is more than 4 mm. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC
Views: 101744 nabil ebraheim
Enroll in our online course: http://bit.ly/PTMSK DOWNLOAD OUR APP: 📱 iPhone/iPad: https://goo.gl/eUuF7w 🤖 Android: https://goo.gl/3NKzJX GET OUR ASSESSMENT BOOK ▶︎▶︎ http://bit.ly/GETPT ◀︎◀︎ This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. The Talar Tilt Test may be used to assess a lateral ankle sprain and the integrity of the talofibular and deltoid ligaments. Article: www.ncbi.nlm.nih.gov/pubmed/10589849 Visit our Website: http://bit.ly/29xmSzV Like us on Facebook: http://bit.ly/29GyogP Follow on Instagram: http://bit.ly/29HN0Lp
Views: 158065 Physiotutors
Dr. Ebraheim’s educational animated video describes the anatomy of the lateral ankle, the bony structure, muscles, and nerves, and the injuries of the lateral ankle area. Ligaments around the ankle •Anterior talofibular ligament •Posterior talofibular ligament •Calcaneofibular ligament Peroneal tendons •Peroneus Brevis tendon •Superior & inferior peroneal retinacula •Peroneus longus tendon There are many structures present on the lateral side of the ankle. These structures are often susceptible to injury. Diagnosis of these injuries can be confusing and many of these injuries can be missed. Diagnosis of a sprained ankle may be the wrong diagnosis. Common injuries and conditions around the lateral ankle. 1-Ankle Sprain 2-High ankle sprain (syndesmotic injury). 3-Peroneal tendon subluxation. 4-Rupture of the peroneus longus tendon 5-Peroneal tendonitis 6-Anterior process of the calcaneus fracture. 7-Lateral process of the talus fracture 8-Achilles tendonitis
Views: 46544 nabil ebraheim
The term sprain signifies injury to the ligaments of the ankle. Ligaments are tough bands of tissue that help connect bones together. A medial ankle sprain occurs when the ankle is stressed in an everted (turned out) and externally rotated (turned away from the body) position. The primary ligament supporting the medial aspect of the ankle is the deltoid ligament, which is comprised of the anterior and posterior tibiotalar ligaments, the tibiocalcaneal ligament, and the tibionavicular ligaments. They typically will have swelling and pain on the outside of the ankle; bruising usually signifies tearing of the tissues. This type of sprain is less common than a lateral ankle sprain.
Views: 18521 Smart PT Pro
For the Ankle Joint Ligament Injury to heal completely and in the fastest possible time, it is imperative to do the following exercises, which is shown in the video diligently. In post ankle joint ligament injury, there is substantial swelling and reduced range of motion of the ankle. Learn about the exercises and recovery time for ankle joint ligament injury. Also Read: https://www.epainassist.com/sports-injuries/ankle-injuries/ankle-joint-ligament-injury Follow us: Facebook: https://www.facebook.com/Epainassistcom-370683123050810/?ref=hl Twitter: https://twitter.com/ePainAssist G+: https://plus.google.com/+Epainassist Linkedin: https://www.linkedin.com/in/epainassist
Views: 63613 ePainAssist
https://www.p2sportscare.com/ankle-pain-runners/ Huntington Beach CA 714-502-4243 to learn prevention methods. We specialize in sports injuries and getting athletes back to their sports fast (running injuries, shoulder tendonitis, IT Band, Runners Knee, Hip Flexor tightness). We see athletes anywhere from baseball, triathletes, golfers, basketball, cyclist, runners and so on. We provide Active Release Techniques (ART), chiropractic care, strength training and corrective exercises. The Performance Place Sports Care is located in Huntington Beach, CA. 714-502-4243 Ankle impingement by an osseous growth, spur, can be the main source of pain with many biomechanical and functional movements. Anatomically the ankle is composed of three joints: talocrural joint, subtalar joint, and inferior tibiofibular joint. The ankle joint is special in that all surfaces of the joint are covered in articular cartilage, which can be a mechanical disadvantage if injured. Cartilage as a whole does not have neural or vascular supply, therefore any injury to the cartilage will not be able to heal properly. If enough cartilage damage is done to the level of the subchondral bone, an area of vascularity, it is possible that some of the articular cartilage may be healed with fibrocartilage. Although fibrocartilage indicates healing in the ankle joint, it has decreased biomechanical benefits and can lead to impingement. Typically articular cartialge will not induce pain, due to the lack of neural input. However, if pain is felt after the ankle swelling has reduced, it is likely the pain is referred from another source such as an osseous spur. The ankle joint is surrounded by many ligaments that hold all of the boney attachments together. Functionally speaking, the ankle is a joint of mobility and is the key player in determining the functionality for all the other major joints of the body. Athletes who have difficulty moving their ankle through ranges of motion or have pain upon movement can possibly have a restricted ankle joint, but the main cause is due to poor biomechanics from a previous overuse injury and fatiguing of the soft tissue. Among the ligaments found in the ankle, the strongest ligament of the ankle joint is the deltoid ligament, found on the inside. The other three ligaments, anterior and posterior talofibular ligaments, and calcaneofibular ligaments are found laterally and the area of insult with a classic inversion ankle sprain. Once the ankle is malpositioned, the ligaments become lax and unstable in efforts of preventing dysfunctional movement. Ankle sprains are usually caused by intense, repetitive movements applying too much pressure to the muscles and joints. The ankle is found to be most stable in the closed pack position, dorsiflexion, and most injuries are attained with plantar flexion. Running, ice skating, plyometric exercise are all activities with repetitive ankle motion and can lead to injury. When observing the ankle for motion, the patient may experience pain through the ranges of motion, which is a good indicator of an impingement and there is some sort of restriction in the soft tissue or in the joint. To fully diagnose a healed ankle with dyskinesis or pain imaging should also be considered in diagnosis to rule out any osseous fracture, joint degeneration, impingement from an osseous structure, or arthritis in the joint. The best source of imaging for the ankle joint is an arthroscopy. If a sprain is concluded another source of imaging would be a musculoskeletal ultrasound to further evaluate the scar tissue in the soft tissue preventing full range of motion in addition to pain upon exertion. Possible treatments for ankle impingement: - Active Release Technique - Graston - Eccentric rehabilitative exercises - Stretching - RICE (rest, ice, compress, elevate) - Surgery based on the severity of the tear to reattach the muscle tendon - Steroid injections - Non-Steroidal Anti-Inflammatory medications ankle impingement, impingement of ankle, impingement syndrome, ankle pain, pinch in ankle, ankle sprain, sprained ankle, rolled ankle, ankle therapy, ankle treatment, ankle physiotherapy, physiotherapy, chiropractic, sports chiropractor, huntington beach chiropractor, physiotherapist, peroneal tendonitis, atfl, ligament tear, tibialis positerior, tibialis anterior
Views: 39719 Sebastian Gonzales
Initial Injury: October 12th, 2012 Twisted ankle, tore CFL (Calcaneofibular Ligament) and ATFL (Anterior talofibular ligament) Surgery: January 16th, 2013 First Cast: January 26th, 2013 Stitches out/second cast: January 31st, 2013 (A day early due to me falling in the tub) Boot: February 12th, 2013 Brace: February 24th, 2013 (a few days early) Last Orthopedic Appointment: March 26th, 2013 I made a full recovery from having a modified Broström procedure, though I did eventually re-injure my ankle and am now looking at having another version of the surgery which will include an internal bracing procedure. Please note that this is not typical of recovery, and is necessary for me primarily because I had weak ligaments to begin with and also am rather clutzy. I wish you the best of luck if you are going to go through this procedure, and feel free to comment with any questions, concerns, or general feedback. I will answer what I can, and am always here to provide support for people going through this!
Views: 56316 Sabrina Feltych
In this ankle surgery video, Dr Moore demonstrates how the Arthrex Internal Brace and its equipment is designed to reinforce the anterior talofibular ligament after the Modified Brostrom procedure. The steps are also explained in the instructional video http://youtu.be/FNcCY0ilfFw if the surgical video is too graphic. Most foot and ankle specialists will perform a ligament repair surgery like the Modified Brostrom if the patient has had frequent ankle sprains, ankle instability or the quintessential 'weak ankle' or ankle 'giving out'. Tests include the initial x-rays, MRI, and 'anterior drawer sign' at the clinical evaluation pre operatively. The high points of this surgical equipment are the bone anchors that are offered as an absorbable material and insert 'peek' material. The drills are cannulated for ease of use and maintaining position of the portals and hand held taps and drivers are as easy to use as they are intelligently designed for each part of the procedure. Finally, the brace material itself is made of fiber wire at 5 times the standard strength. To see more surgery instruction videos or for more information, log on to http://www.www.MyFootFix.com or our blog at http://www.Dr-Robert-J-Moore-III.com to watch the surgery, listen to patient testimonials, see patient reviews, ask Dr Moore a question, or make an appointment. Stay Healthy and One Step Ahead!
Views: 72472 Moore Foot and Ankle Specialists
Dr. Ebraheim’s educational animated video describes injuries associated with the Medial Collateral Ligament – MCL. The Medial Collateral Ligament is one of four major ligaments of the knee (MCL, LCL, PCL & ACL). The Medial Collateral Ligament extend from the medial epicondyle of the femur to below the medial condyle of the tibia. The MCL is a static stabilizer composed of superficial (primary) and deep (secondary) portions that are restraints to valgus stress. Superficial MCL •Primary restraint to valgus stress. •Proximal attachment: posterior aspect of medial femoral condyle. •Distal attachment: metaphyseal region of the tibia about 5 cm distal to the joint lying beneath the pes anserinus. Deep MCL •Secondary restraints to valgus stress. •Inserts directly into edge of tibial plateau and meniscus. •May be separated from the superficial layer by a bursa. The joined tendons of the Sartorius, gracilis, semitendinosus muscles cross on top of the lower part of the MCL. The pes anserine bursa is located anterior to the insertion of the medial collateral ligament to the tibia. The MCL’s primary function is to be a restraint to valgus stress. The MCL is the most commonly injured ligament of the knee. The typical mechanism of injury of the MCL is due to a valgus and external rotation force. A typical blow to the knee usually causes complete rupture of the MCL. Rupture may occur proximally or distally. Tears of the proximal MCL have a greater healing rate. Tears of the distal MCL may not heal well (similar to Stener lesion of the thumb). Associated conditions •ACL tears: injury to ACL compromise up tp 90% of associated injuries. Rupture of the ACL causes anterolateral rotatory instability. The majority of MCL injuries that are associated with ACL injuries are grade III complete rupture, no end point with valgus stress at 30 degree and 0 degree of knee flexion. •Meniscal tears: Up to 5% of isolated MCL injuries are associated with meniscal tears. Not a common injury. Classification of MCL sprains •Grade I: sprain, stretch injury •Grade II: partial tear of the MCL. •Grade III: complete tear of the ligament. No end point with valgus stress at 30 degree of knee flexion. Presentation History: pop sensation Symptoms: pain and tenderness usually higher than the joint line. Physical exam: tenderness along medial aspect of the knee, ecchymosis, knee effusion. Testing for MCL injury •Positive valgus stress test at 30 degree of knee flexion indicated injury to the superficial MCL. •Opening around 1 cm indicated a grade III complete tear of the MCL •Positive valgus stress test at 0 degrees of knee extension indicates posteromedial capsule or cruciate ligament injury in addition to MCL injury (means combined injury). •Always evaluate for other injuries (ACL, PCL or medial meniscal tear). Pellegrini-Steida syndrome •Radiographs are usually normal however may show calcification at the medial femoral site (Pellegrini-Steida syndrome) •Calcification due to chronic MCL deficiency at the medial femoral insertion site. •Pediatric patient with a knee injury and suspected salter fracture should get stress views x-ray to rule out a growth plate injury. •Growth plates are weaker than ligaments (may use MRI instead of stress views). MRI is the study of choice as it identifies the location and extent of the MCL injury. Treatment •NSAIDS. •Rest •Therapy: minor sprain of the MCL require therapy with return to play in about a week. May use a brace if injury is grade II, return to play in about 2-4 weeks. With grade III injury, return to play in about 6-8 weeks. •Surgery: surgery in grade III injuries with multiple ligament injury especially with distal avulsion fracture. If there is chronic instability with opening in full extension, do reconstruction. Additional arthroscopy may be needed to rule out associated injury. In combined MCL and ACL injuries, usually surgery for the ACL is delayed until the MCL heals (up to eight weeks). Use ACL brace. Complications include: stiffness and loss of motion. Laxity is associated with distal MCL injuries. Functional bracing may reduce an MCL injury in football players, particularly interior linemen. Become a friend on facebook: http://www.facebook.com/drebraheim Follow me on twitter: https://twitter.com/#!/DrEbraheim_UTMC Donate to the University of Toledo Foundation Department of Orthopaedic Surgery Endowed Chair Fund: https://www.utfoundation.org/foundation/home/Give_Online.aspx?sig=29 Background music provided as a free download from YouTube Audio Library. Song Title: Every Step
Views: 144957 nabil ebraheim
Lateral Ankle Instability Repair Technique is an animation that steps through this sports medicine ankle repair technique. This video is intended for health care professionals practicing in U.S. only. It is offered for informational and educational purposes only and is not intended as medical advice. Viewer discretion is advised.
Views: 65914 Smith & Nephew Digital Communications
Here is a tape job designed for return to activity after a high ankle sprain or light overuse pain of the distal tibiofibular ligament or syndesmosis. We use a base of kinesiology tape with an SPRT strip overtop to give some extra support to the distal ankle.
Views: 2067 Conservative Orthopedics
Patient is having Left Ankle ATFL Sprain and her treatment is PEMF, IFT, Laser, Strengthening Exercises, MFR, Taping, Mobilisation. Dr. Ketan Bhatikar (PT) Ph.D Research Scholar (Spain) Medical Director, SPARC BPT, MPT (Ortho & Sports) MIAP, Special Invitee & Medical Director of Goa Cricket Association affiliated by BCCI IAP General Secretary & Ex-Ranji Physiotherapist Call: +91 8605340003 / 8322319425 WhatsApp: +91 915 899 9363 Facebook: https://www.facebook.com/kbhatikar Facebook Page: @DrKetanBhatikar Twitter: @KBhatikar Instagram: @bhatikarketan Email: [email protected] Website: www.kbsparc.in
Views: 268 Dr ketan bhatikar's sparc
Physical Therapy After Ankle Sprain An ankle sprain is a common injury and usually results when the ankle is twisted, or turned in (inverted). The term sprain signifies injury to the soft tissues, usually the ligaments, of the ankle. This guide will help you understand: how an ankle sprain occurs how the condition is diagnosed what can be done to treat a sprain Anatomy What part of the ankle is involved? Ligaments are tough bands of tissue that help connect bones together. Three ligaments make up the lateral ligament complex on the side of the ankle farthest from the other ankle. They are the anterior talofibular ligament (ATFL), the calcaneofibular ligament (CFL), and the posterior talofibular ligament (PTFL). The common inversion injury to the ankle usually involves Two ligaments, the ATFL and CFL. Normally, the ATFL keeps the ankle from sliding forward, and the CFL keeps the ankle from rolling inward on its side. Ankle Ligaments Causes Why do I have this problem? A ligament is made up of multiple strands of connective tissue, similar to a nylon rope. A sprain results in stretching or tearing of the ligaments. Minor sprains only stretch the ligament. A tear may be either a complete tear of all the strands of the ligament or a partial tear of only some of the strands. The ligament is weakened by the injury; how much it is weakened depends on the degree of the sprain.
Views: 144 World Top Headlines
"What Does The Atfl Do? Watch more videos for more knowledge Anterior Drawer Test of the Ankle | Chronic Ankle ... https://www.youtube.com/watch/vAcBEYZKcto Ankle Ligaments Anatomy - Everything You Need To ... https://www.youtube.com/watch/CSxHbPc7TMY Ankle Sprain ATFL & Fibula - YouTube https://www.youtube.com/watch/m3YKtZV0pfM The Talar Tilt Test | Lateral Ankle Sprain - YouTube https://www.youtube.com/watch/UHNbm6Z3XK4 Chronic Lateral Ankle Instability - Everything You ... https://www.youtube.com/watch/IbIN_7bs2YA Anterior Drawer Test of Ankle - YouTube https://www.youtube.com/watch/dprnjn_OTzo Anterior talofibular ligament test - YouTube https://www.youtube.com/watch/s7V8cWkVW-0 Ankle Pain, ankle ligaments sprain - Everything You ... https://www.youtube.com/watch/xIplNs4754Q Kin 241- 2013 (ATFL stress test) - YouTube https://www.youtube.com/watch/B52bij3-G8c Ankle Ligament Tear Treatment - YouTube https://www.youtube.com/watch/WJ9ufpnSb8w Ankle Palpation - YouTube https://www.youtube.com/watch/XGzTJ4FWxVo Ankle Pain - How To Get Rid - YouTube https://www.youtube.com/watch/2IlNZ3iBWGk Positive Anterior Draw - ATFL - YouTube https://www.youtube.com/watch/o_sSRtdFnRM Lateral Sprained Ankle Stretches & Exercises - Ask ... https://www.youtube.com/watch/3JJayVC0-20 InternalBrace™ ATFL Fibula To Talus Animation ... https://www.youtube.com/watch/0Xt8Ab3bDC0 Moy Stories: Torn Anterior Talofibular Ligament ... https://www.youtube.com/watch/jH53m3h9AWg How to treat an Ankle Inversion Sprain - Kinesiology ... https://www.youtube.com/watch/ELsu25Gow0I Lateral ankle sprain treatment & rehabilitation ... https://www.youtube.com/watch/OD-p1mwqsH4 Top 3 Exercises for Ankle Sprain - YouTube https://www.youtube.com/watch/8Kc1CEAk1ao Exercises for Ankle Joint Ligament Injury & It's ... https://www.youtube.com/watch/eVSC8eIP72M"
Views: 43 Question Bank
Ankle sprain injuries, particularly inversion sprain (ankle rolling in) of the lateral ligaments (Anterior talofibular, calcaneofibular & posterior talofibular ligaments located on the outside of the ankle), are among the most common lower limb injuries in the athletic pop.(1-3). 1st° sprains involve only the anterior talofibular ligament, whereas 2nd° sprains also have involvement of the calcaneofibular ligament. A 3rd° sprain involves all 3 ankle ligaments & may require surgery (4,5). 🎾 High recurrence rate, along w/ residual impairments, are the consequence of ankle sprain for up to 54% of individuals (6). The most common residual impairments include re-sprain, perceived instability & episodes of giving way (aka functional instability), joint laxity (aka mechanical instability; assessed by clinician), pain, swelling, feeling of weakness & level of physical activity (6). These residual impairments, alone or in combination, are frequently termed chronic ankle instability (CAI) (7). CAI is a problem for many people w/ a history of ankle sprains w/ reports indicated that up to 34% endure residual problems w/in 3 yrs after incident (1). 🎾 ➖Characteristics-Risk Factors: CAI/Ankle Sprains➖ - 1️⃣ History of a previous sprain. Basketball players w/ a history of an ankle sprain were found to be 5x more likely to re-sprain (18-20). 2️⃣⬇️ankle dorsiflexion range of motion (bringing ankle towards you) (8,9,10) 3️⃣⬇️Postural stability/sway measured by the ability to maintain center of pressure over foot w/out large displacement during balance (10, 11) 4️⃣⬇️joint position sense most noted in inversion (ability to detect what position your ankle is in) (10, 12) 5️⃣Postural control, measured by the number of foot lifts during single limb stance w/ eyes closed (13). 6️⃣⬆️time to recover balance after jumping (vertical jump w/ land on single leg). (14) 7️⃣⬇️ankle strength of peroneal/evertor muscles (located on the side of the ankle), eccentric ankle inversion strength & fast concentric plantar flexion strength. (15,16) 8️⃣⬆️ankle inversion (landing on outside of foot) & foot clearance during heel contact & terminal swing of gait (17). 9️⃣High BMI Citations: 1) Waterman BR, Owens BD, Davey S et al. The epidemiology of ankle sprains in the United States. J Bone Joint Surg Am 2010 2) Bridgman SA, Clement D, Downing A et al. Population based epidemiology of ankle sprains attending accident & emergency units in the West Midlands of England, & a survey of UK practice for severe ankle sprains. Emerg Med J 2003 3) Fong DT, Hong Y, Chan LK et al. A systematic review on ankle injury & ankle sprain in sports. Sports Med 2007 4) Leach R. Leg & foot injuries in racquet sports. Clin Sports Med 1988 5) ZecherS,LeachR.Lower leg and foot injuries in tennis and other racquet sports.ClinSports Med 1995 6) van Rijn RM, van Os AG, Bernsen RM et al. What is the clinical course of acute ankle sprains? A systematic literature review. Am J Med 2008 7)Delahunt E, Coughlan GF, Caulfield B et al. Inclusion criteria when investigating insufficiencies in chronic ankle instability. Med Sci Sports Exerc 2010 8) Baumhauer JF, Alosa DM, et al. A prospective study of ankle injury risk factors. Am J Sports Med 1995 9) Pope R, Herbert R, Kirwan J. Effects of ankle dorsiflexion range & pre-exercise calf muscle stretching on injury risk in Army recruits. Aust J Physiother 1998 10) de Noronha M, Refshauge KM, Herbert RD et al. Do voluntary strength, proprioception, range of motion, or postural sway predict occurrence of lateral ankle sprain? Br J Sports Med Delete Commenttennisprehablab11)McGuine TA, Greene JJ, Best T, et al. Balance as a predictor of ankle injuries in high school basketball players. Clin J Sport Med 2000;10:239–44. 12) Willems TM, Witvrouw E, Delbaere K, et al. Intrinsic risk factors for inversion ankle sprains in females: a prospective study. Scand J Med Sci Sports 2005 13) Hiller CE, Refshauge KM, Herbert RD et al. Intrinsic predictors of lateral ankle sprain in adolescent dancers: a prospective cohort study. Clin J Sport Med 2008 14). Ross SE, Guskiewicz KM, Yu B. Single-leg jump-landing stabilization times in subjects w/ functionally unstable ankles. J Athl Train 2005 15) Arnold BL, Linens SW, de Ia Motte SJ et al. Concentric evertor strength differences & functional ankle instability: a meta-analysis. J Athl Train 2009 16). Mitchell A, Dyson R, Hale T, Biomechanics of ankle instability. Part 1: Reaction time to simulated ankle sprain. Med Sci Sports Exerc 2008 17) Monaghan K, Delahunt E, Caulfield B. Ankle function during gait in patients with chronic ankle instability compared to controls. Clin Biomech (Bristol, Avon) 2006 18) Milgrom C, Shlamkovitch N, Finestone A et al. Risk factors for lateral ankle sprain: a prospective study among military recruits. Foot Ankle 1991 19) McKay GD, Goldie PA, Payne WR et al. Ankle injuries in basketball: injury rate and risk factors. 20)Ekstrand et al Soccer injuries
Views: 165 Tennis Prehab Lab
Lateral ankle sprains can be very painful and cause your ankle to become unstable. These stretches and exercises should help the healing process. See Doctor Jo’s blog post about this at: http://www.askdoctorjo.com/lateral-sprained-ankle The first stretch will be a calf stretch. Start off with your legs out in front of you. You can bend up the leg you aren’t using towards you in a comfortable position. Keep the leg you want to stretch out in front of you. Take a stretch strap, dog leash, belt, or towel and wrap it around the ball of your foot. Relax your foot, and pull the strap towards you stretching your calf muscle. You should feel the stretch under your leg. Hold the stretch for 30 seconds, and do three of them. Now prop your ankle up on a roll or hang your foot off the bed or table so your heel doesn't touch the floor. Put the band around the ball of your foot for good resistance. First, push your foot down and up. This is called ankle plantarflexion. Next you are going to cross your foot over the foot with the band as seen in the video, and pull your foot inward. This is ankle inversion. Now you want to wrap the band around your other foot. This time you will have resistance pulling out. This is ankle eversion. The next exercise will be standing up. You want to lean against a wall or something sturdy. Place the foot you want to stretch behind you. Make sure to keep your heel down and your toes forward pointing towards the wall. With the other foot in front of you, like you are in a lunge position, bend your knee towards the wall until you feel a stretch through your back leg. Try to keep your back leg as straight as possible. Hold the stretch for 30 seconds, and do it three times. Now is a heel raise off the ground. Stand with your feet about shoulder width apart, come up on your toes as high as you can. Try not to lean forward, but bring your body straight up and slowly come back down. Push off as much as you can so your heel leaves the ground. Start off with ten and work your way up to 20-25. The last exercise will be a balance series. Stand on one foot, but hold onto something sturdy. Try to balance for 30 seconds to a minute. When that becomes easy, just use one finger one each side. Then just one finger for balance, and finally try balancing without holding on at all. Related Videos: Sprained Ankle Treatment with Ankle/Foot AROM: https://youtu.be/UYM-_k_dWZw?list=PLPS8D21t0eO9JGYS958XUh2mkV8Sa2sAq Sprained Ankle - How to Wrap an Ankle Sprain: https://youtu.be/BPbUH4rdKPo?list=PLPS8D21t0eO9JGYS958XUh2mkV8Sa2sAq =========================================== SUBSCRIBE for More Videos: http://www.youtube.com/subscription_center?add_user=askdoctorjo ======================================= Doctor Jo is a Doctor of Physical Therapy. http://www.AskDoctorJo.com http://www.facebook.com/AskDoctorJo http://www.pinterest.com/AskDoctorJo https://www.instagram.com/AskDoctorJo http://www.twitter.com/AskDoctorJo http://plus.google.com/+AskDoctorJo ======================================= Lateral Sprained Ankle Stretches & Exercises: https://www.youtube.com/watch?v=3JJayVC0-20 DISCLAIMER: This content (the video, description, links, and comments) is not medical advice or a treatment plan and is intended for general education and demonstration purposes only. This content should not be used to self-diagnose or self-treat any health, medical, or physical condition. Don’t use this content to avoid going to your own healthcare professional or to replace the advice they give you. Consult with your healthcare professional before doing anything contained in this content. You agree to indemnify and hold harmless Ask Doctor Jo, LLC and its officers for any and all losses, injuries, or damages resulting from any and all claims that arise from your use or misuse of this content. Ask Doctor Jo, LLC makes no representations about the accuracy or suitability of this content. Use of this content is at your sole risk.
Views: 112647 AskDoctorJo
High Ankle Sprain is an injury to the syndesmotic ligaments of the tibia and fibula. This involves sprain to the anterior and possibly posterior tibial fibular ligaments. It gets the name "high" because the injury and pain is above the ankle joint between the malleolus. The injury is not as common as an inversion sprain but is more common than eversion sprains and often happens in conjunction with an eversion ankle sprain or visa versa. High ankle sprains typically do not have much swelling. High ankle sprains also typically take much longer to rehab than either inversion or eversion sprains because with every step at toe-off and the foot in extreme dorsiflexion the malleolus separate slightly. As a result each step newly sprains the ligaments. The mechanism of injury involves an outward twisting of the foot and ankle with the foot in extreme (closed pack position) dorsiflexion. This often involves getting pulled down from behind (horse collar tackled) or someone else falling on the back of the lower leg with the foot planted and in extreme dorsiflexion. Pain may not be felt just at the ankle but may be felt all the way up the leg. It is very common to limit extreme dorsiflexion with an immobilization boot for as much as 4-6 weeks.
Views: 2629 Brian Glotzbach
This video demonstrates the technique used to image the anterior talofibular ligament of the ankle. Normal ultrasound images are shown concurrently. www.eastriverimaging.com
Views: 1347 East River Medical Imaging, PC
This video demonstrates the Anterior drawer test for the ankle. This tests the integrity of the Anterior Talo-Fibular Ligament (ATFL). Place the heel in the palm, and allow the bottom of the foot to rest on your forearm. Then you use a combination of MCP flexion and pulling forward to stress the ATFL. The amount of laxity (especially in comparison to the opposite site) is an indication of the amount of injury to the ATFL.
Views: 282 MSK Medicine
Testing of the anterior talofibular ligament using the Anterior Drawer test on a cadaver dissection
Views: 130 Cindy Gill
Ankle sprain treatment by Oakland Chiropractor Dr. Sandy Baird. Riverstone Chiropractic sports chiropractor describes the types of ankle sprains, the causes of sprained ankles, and the chiropractic treatment and rehab for ankle sprains. For more information visit us on our website at www.riverstonechiropractic.com or call us at (510) 465-2342. Transcript: Hi, I'm Dr. Sandy Baird, owner of Riverstone Chiropractic here in Oakland California. We're going to be talking about ankle sprains today. So a lot of people will come into our office and they are actually very surprised that there's anything that can be done to help them recover from their ankle sprain. The old adage used to be, if you sprain your ankle, roll your ankle, you put some ice on it, you elevate it on a bed, and wait for it to heal up. But there's actually a lot you can do about an ankle sprain. So let's look at the anatomy of the ankle and get a picture of what's happening when you twist your ankle. The most common type of ankle sprain is an inversion sprain, and that's when the bottom of the foot rolls inward in relation to the lower leg. When this happens, the ligaments on the lateral side of the ankle become damaged. Those ligaments, there's three of them, there's the anterior and posterior talofibular ligament, and there's the calcaneofibular ligament. So we'll look at a picture of this anatomy, it basically means ligaments connecting the bones in the foot to the bone in the lower leg, the fibula, that's on the outside of the leg. Picture of the three supporting ligaments forming a triangle of support. Ankle sprains are graded on a scale of 1-3, so a grade 1 ankle sprain would be a mild ankle sprain, you just tear a couple of fibers in one of the ligaments, grade 2 is a moderate sprain, a partial tear of a ligament, and grade 3 is a very severe ankle sprain, you typically will require surgery or at least need to be evaluated for surgery. But grade 1 and 2 ankle sprains can be managed by chiropractic care. Did you know that the #1 cause of an ankle sprain is actually history of a previous ankle sprain?! Other causes of ankle sprains include jumping and landing funny, tripping over some rocks or roots when you're doing train running, slipping, falling off a curb, and any other strange sports injuries, you can twist your ankle falling off a bicycle. So there's a few things we need to do if you sprain your ankle. We need to check whether the talus or the calcaneus has become fixated, oftentimes the muscles along the outside of the leg, the peroneal muscles, they will actually pull a bone into what's called subluxation. That's basically pulling the bone into a position it's not supposed to be in, it becomes fixated, and adhesions form right around the joint, so all of a sudden the bones in the foot do not move as well. There's 26 bones in the foot, and the ones that are most commonly involved with the ankle sprain are going to be the talus and the calcaneus, but there could be subluxation of any of the bones. So a chiropractor needs to check everything, adjust what needs to be adjusted. The next thing is soft tissue work, so anytime the peroneal muscles are overworked or overused, they are going to develop these adhesions. This happens with an ankle sprain, this happens with overuse, really any overworking condition. You need to reduce the adhesions, you can either do that with Active Release Techniques, with Graston Technique, there are some other techniques that will do this, but you have to get the adhesions out. Pictorial example of chiropractic adjustment to treat ankle sprain. Once we've addressed those things, and the ankle has become more stable, we can start some rehabilitation exercises, it's going to be mostly focusing on the peroneal muscles, the ones that have actually become overworked, get those strong by using either bands or light weight. So we'll be addressing the peroneal muscles, and addressing the deep calf muscles, and anything else that has become weak or overworked in this ankle sprain. So a lot of times there are contributing factors, there actually could be a weakness happening in the hip or the glute which causes the person to sprain their ankle in the first place. We look at all that and prescribe rehabilitation exercises to strengthen all the areas involved. If you've suffered an ankle sprain or you have any questions about ankle sprains or any other sports injuries, please give us a call at (510) 465-2342 or check out our website at www.riverstonechiropractic.com. Thanks for watching! Also, check out www.engineeringyourbody.com for my easy-to-follow science-based corrective exercise program that's designed to help you overcome the most common compensation patterns in runners that can cause foot, knee, or hip pain.
Views: 19858 Riverstone Chiropractic
How to visualise the anterior talofibular ligament on ultrasound, a brief tutorial on how to ultrasound the lateral ankle ligaments.
Views: 5562 Stuart Wildman
In this video clip, our lead litigation attorney and partner Tim Williams introduces one of the more common knee injuries: LCL or lateral collateral ligament injuries. Your LCL will be affected if and when you sustain an injury to the inside of your knee because that ligament stretches in an attempt to keep the knee together. The ligament will fully or partially tear as a result of this force. Insurance companies, quite frankly, take the position that you don't really need surgery to correct LCL injuries. Instead, they suggest that a brace will be sufficient to support your knee. Insurance companies don't aim to be fair to accident victims and that's where you need a lawyer fighting at your side. If you have sustained a knee injury in any kind of serious accident in Oregon and don't know what comes next, feel free to call the experienced personal injury attorneys at Dwyer Williams Potter Personal Injury Attorneys at 888-247-9023. We can explain the legal process and help you get the settlement you deserve.
Views: 76189 Roy Dwyer