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: 642861 nabil ebraheim
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: 7995 Clinical Examination Videos
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: 38849 Michigan Foot Doctors
Ankle anterior talofibular, calcaneo-fibular and posterior talofibular ligament assesssment
Views: 10399 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: 56984 Caring Medical Regenerative Medicine Clinics
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: 75026 nabil ebraheim
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: 105517 nabil ebraheim
Dr. Ebraheim animated educational video describing current concepts of foot and ankle injuries. I.Ankle fractures a.Supination-external rotation i.Vertical fractures of medial malleolus is bad ii.Differentiate between supination/external rotation and pronation/external rotation by lateral x-ray to see the direction of the fracture b.Isolated lateral malleolar fracture i.Nondisplaced with no talar shift can be treated conservatively. ii.Displaced fracture with talar shift will require surgery. c.Weber C fractures i.Syndesmotic injuries are common II.Ankle fractures & diabetes a.Surgery is better in diabetics III.Pilon fracture (tibial plafond) a.Axial load, high energy injury. Can occur due to a fall or from a car accident. i.medial malleolar fragment ii.Anterolateral fragment: chaput fracture iii.Posterolateral fragment: Volkman fracture (posterior inferior tibiofibular ligament is attached to this fragment) IV.Treatment of displaced fractures: a.Delay open reduction internal fixation until the skin condition improves. b.Soft tissue complications: you need to get skin wrinkles before you do internal fixation. c.Joint fusion surgery (arthrodesis) for arthritis: not commonly used or needed. V.Navicular fractures a.Stress fracture of the navicular is the important one and usually occurs in the central third. b.Treatment: Cast and non-weight bearing. Do ORIF in athletes, if there is a nonunion, or failure of conservative treatment and also in displaced fractures of the navicular. VI.5th metatarsal base fractures a.Zone I: proximal tubercle avulsion fracture. Treatment of zone I proximal tubercle fracture Is usually nonoperative (use a boot or a fracture shoe). b.Zone II (jones fracture) at the 4th and 5th metatarsal articulation which is the junction between the metaphysis and the diaphysis. c.Zone III proximal diaphysis fracture VII. Open calcaneal fractures a.Open fractures of the calcaneus may lead to amputation. There are two basic fragments: i.anteromedial (sustentacular) fragment ii.posterolateral (tuberosity) fragment VIII.Talus fractures (Hawkin’s classification) a.Type I: non-displaced. 10% AVN b.Type II: fracture with subtalar dislocation or subluxation. 50% AVN. c.Type III: fracture with subtalar and tibiotalar subluxation or dislocation. 90% AVN. d.Type IV: fracture with subtalar and tibiotalar dislocation and talonavicular subluxation. 90-100% AVN. 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
Views: 60677 nabil ebraheim
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: 46951 nabil ebraheim
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: 27767 Ben Benjamin
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: 181349 Physiotutors
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: 89530 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 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: 113800 Physiotutors
"Each year over a million people have new ankle sprains, and these are just the people who came to seek medical help," says Dr. Glenn Shi, a Mayo Clinic orthopedic surgeon. "There are far more [sprains] that people are treating at home." The ankle is quite a well-engineered joint, actually. But, because it's a balancing act to carry the full weight of the body on three bones atop the foot, Dr. Shi says, "An injury can happen anytime an athlete gets on the field or to anyone just walking down the street. In fact, ankle sprains among high school athletes are the most common injury that they see." Still, there are ways to reduce the risk, particularly if you understand how the ankle is put together. More health and medical news on the Mayo Clinic News Network http://newsnetwork.mayoclinic.org/
Views: 426451 Mayo Clinic
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: 8581 What's New in Orthopedics
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: 72946 Moore Foot and Ankle Specialists
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: 41387 Sebastian Gonzales
When healing ligaments, do exercises to strengthen the surrounding muscles after adequate rest. Use exercises to support your joints following a sprain with help from a physical therapist in this free video on physical therapy treatments. Expert: Tricia Trinque MHE, PT Contact: www.seabreezephysicaltherapy.com Bio: Tricia Trinque MHE, PT is a physical therapist with more than 25 years of experience. Filmmaker: Leonora Fishbein Series Description: Physical therapy treatments are beneficial for many injuries and illnesses, from gout to arthritis and fractured bones. Learn an array of stretches and exercises to relieve pain and tension from illness and injury with help from a physical therapist in this free video series on physical therapy treatments.
Views: 57503 ehowhealth
In this video, Dr Moore explains how the Arthrex Internal Brace and its equipment is designed to reinforce the anterior talofibular ligament after the Modified Brostrom procedure. 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. The steps are explained in this instructional video and then Dr Moore performs the ankle surgery with the same Internal Brace and equipment on a live patient. Click here http://youtu.be/DrHmaiafjeo to watch the surgery. 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: 13008 Moore Foot and Ankle Specialists
These assessment techniques may be used to assess a knee injury where a lateral ligament injury is suspected. For more information visit: https://www.sportsinjuryclinic.net/sport-injuries/knee-pain/acute-knee-injuries/lateral-knee-ligament-sprain
Views: 86448 www.sportsinjuryclinic.net
Testing of the anterior talofibular ligament using the Anterior Drawer test on a cadaver dissection
Views: 158 Cindy Gill
Test for presence of injury to the deltoid ligament. The test is positive if eversion is painful with palpable tenderness over the deltoid ligament. A positive test indicates a sprained deltoid 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: 3248 Clinical Examination Videos
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: 1588 East River Medical Imaging, PC
http://www.advancedfas.com/ Our patients in Yorkville, Sycamore and surrounding areas are active and ankle sprains happen. Sprains are caused by an unnatural twisting or force on the ankle bones of the foot, which may result in excessive stretching or tearing of one or more ligaments on the outside of the ankle. The severity of the sprain can impact the degree of damage as well as the type and duration of treatment. If not properly treated, ankle sprains may develop into long-term problems. Our patients in Yorkville, Plano, Sugar Grove, Aurora, Oswego, Bristol, Newark, Sandwich, Sugar Grove, Sycamore, Dekalb, Cortland, Burlington, Genoa, Virgil and Campton Hills who's primary symptoms of ankle sprains are pain following a twist or injury, swelling, and bruising come to us for a diagnosis, treatment and ability to get back out to being active. Call us today at: Advanced Foot & Ankle Surgeons, Inc Yorkville Office Phone: (630) 352-3700 Sycamore Office Phone: (815) 669-4811 An ankle sprain is a common injury and usually results when the ankle is twisted, or inverted. The term "sprain" signifies injury (below) to the soft tissues, usually the ligaments, of the ankle. An ankle sprain is a common injury and usually results when the ankle is twisted, or inverted. The term "sprain" signifies injury (below) to the soft tissues, usually the ligaments, of the ankle. Anatomy: A ligament is made up of multiple strands of tissue - similar to a nylon rope. A sprain results in tearing of the ligaments (right). The tear can be a complete tear of all the strands of the ligament or a partial tear, where a portion of the strands of the ligament are torn. The ligament is weakened by the injury - how much depends on the degree of the tear. The lateral ligaments (below) are by far the most commonly injured ligaments in a typical inversion injury of the ankle. On the lateral side of the ankle there are 3 ligaments (below) that make up the lateral ligament complex. These include the anterior talofibular ligament (ATF), posterior talofibular ligament (PTF) and the calcaneofibular ligament(CF) . The very common inversion injury to the ankle usually injures the calcaneofibular ligament and the talofibular ligament. The CF ligament keeps the ankle from rolling over on its side and the ATF ligament keeps the ankle from sliding forward. - Symptoms: Initially the ankle is swollen, painful, and may turn echymotic (bruised). The bruising, and the initial swelling, is due to ruptured blood vessels from the tearing of the soft tissues. Most of the initial swelling is actually bleeding (.avi movie) into the surrounding tissues. This initial swelling due to bleeding then increases due to edema fluid leaking into the tissues as well over the next 24 hours. - Our patients in Yorkville, Plano, Sugar Grove, Aurora, Oswego, Bristol, Newark, Sandwich, Sugar Grove, Sycamore, Dekalb, Cortland, Burlington, Genoa, Virgil and Campton Hills area come to our office in Yorkville or Sycamore for a solid diagnosis, great treatment and knowing they'll be back on the road to recovery!
Views: 286 Web Rocket Video - Your story. Delivered.
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. Palpating the ligaments of the ankle syndesmosis for tenderness can help indentify concordant syndesmosis injury 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: Sman et et al. (2015): https://www.ncbi.nlm.nih.gov/pubmed/24255766 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: 5495 Physiotutors
The knee is the largest joint in the human body. It is a compound joint. Not only is it where the femur, or thigh bone, meets the tibia, or shin bone – at the tibiofemoral joint, but it is also where the femur meets the patella, or kneecap – at the patellofemoral joint. There are several ligaments around the knee joint and these are crucial because they limit movements and stabilize the joint. Ligaments are durable bands of fibrous tissue that connect joints and strengthen them. There are two main pairs of ligaments in the knee – the cruciate ligaments, which are inside your knee joint, and the collateral ligaments, which run on either side of the knee. The cruciate ligaments can be seen through the intercondylar notch of the femur. There’s the anterior cruciate ligament, or ACL, and the posterior cruciate ligament, or PCL, which stabilize the knee. The ACL prevents the tibia from being pushed forward relative to the femur, while the PCL prevents it from being pushed backwards relative to the femur. Now for the collateral ligaments – there’s a medial collateral ligament and a lateral collateral ligament. Medial means at the middle, while lateral means on the side. Hence, the medial collateral ligament is found on the inner side of the knee, running from the femur to the tibia. The lateral collateral ligament is found on the outer side of the knee, however, it runs from the femur to the fibula! Note that the medial collateral ligament is significantly wider than the lateral collateral ligament. Together, the medial and lateral collateral ligaments resist sideways movements of the bones relative to one another. Looking back inside the intercondylar notch, we can see the transverse ligament – otherwise called the anterior meniscomeniscal ligament. This ligament connects the anterior lateral meniscus to the anterior medial meniscus. This ligament is important during knee extension, since it prevents the anterior horns of the menisci from coming forward, which would cause the condyles of the femur and tibia to put pressure on them. A ligament discovered in 2013 is the anterolateral ligament, or ALL. It originates at the femur and inserts into the tibia. It is thought that it might control internal tibial rotation. Here we have the ligament of Wrisberg, also called the posterior meniscofemoral ligament. This ligament attaches to the posterior lateral meniscus and crosses behind the PCL to attach to the medial condyle of the femur. Now I’d like to bring your attention to a structure that some call a tendon, and some call a ligament. As a reminder, the difference between ligaments and tendons is that ligaments connect bones to bones, while tendons connect bones to muscles. Here we have the patellar tendon… which some people call the patellar ligament. The patellar tendon connects the patella (or kneecap) to the tibia. Since these are two bones, shouldn’t it be a ligament? Well, this structure is really connecting the quadriceps muscle to the tibia. The patellar tendon is part of a more extensive mechanism, which includes the tibia, the patellar tendon, the patella, the quadriceps tendon, and the quadriceps muscle. Together, these structures allow you to straighten your knee. As a side note, the patella is what is known as a floating sesamoid bone. A sesamoid is a bone embedded in a tendon. To close off, I just want to bring your attention to a couple of other structures visible in this model. The medial and lateral menisci are composed of connective tissue with extensive collagen fibers. They protect the ends of the bones from rubbing against each other. Similarly to the collateral ligaments, the medial one is on the inner side of your knee and the lateral one is on the outer side of your knee. We can also see the articular cartilage on this model. This smooth, white tissue covers the ends of bones where they converge at joints, minimizing friction and allowing bones to glide over each other. As you get older, the articular cartilage and the menisci wear down, exposing underlying bone. This changes the load distribution and biomechanics of your knee and causes pain and inflammation as your bones grind together. 3D model modified from https://www.turbosquid.com/FullPreview/Index.cfm/ID/1123337
Views: 3841 Neural Academy
How to visualise the anterior talofibular ligament on ultrasound, a brief tutorial on how to ultrasound the lateral ankle ligaments.
Views: 6039 Stuart Wildman
Do you have a nagging lateral (outside) ankle sprain that just won't go away? The following information may help. The anterior talofibular ligament (swipe left) is the most common ankle ligament injured. It is often sprained during an acute ankle inversion. As per a previous post, it is important to understand the stages of injury rehab. Such that too much or too little stress/exercise on the injured tissue is not recommended after the inflammation is gone. That being said, often too little stress is often imposed on the anterior talofibular ligament while scar tissue accumulates, thus making it weaker and prone to reinjury. Our recommendation is to try cross fibre friction massage (swipe left) for approximately 2 min everyday. This will break down the scar tissue, which will reorganize in a stronger fashion with a focused prescribed exercise routine. . Make it a great day! Contact us for online coaching and/or injury management. www.endurance8health.com #onlineplans #doctorswholift #rehabspecialist #fitoverfourty #OnlineFitness #OnlineNutrition #DowntownYYCChiropractor #DowntownYYCChiropractic #protein #ThisIsOurSport #fitfam#fitparents #realisticfitness#yycweightloss#yycfitmom#yegfitness #vegetarian#fitvancouver#vanfitfam #yycchiro#balance#vegan #yyc #yycfitness #yycnow #fitblogger #fitigblogger
Views: 151 Endurance on 8th Health Centre
Dr Donald A Ozello DC of Championship Chiropractic in Las Vegas, NV is the author of "Running: Maximize Performance & Minimize Injuries." He can be found on the web at http://www.championshipchiropractic.com/index.htm "Running: Maximize Performance & Minimize Injuries" is available in paperback & ebook. https://www.amazon.com/dp/1493618741/ref=cm_sw_r_tw_dp_x_tfQIyb7X7W0WF Two Minutes of Anatomy is a twice weekly video show. Dr Ozello gives a short anatomy lesson that is beneficial for all levels of education. Dr Donald A Ozello DC wishes you success in life, academics, business & athletics. Work hard, work smart, be healthy & accomplish your goals. ***Lateral Ankle Ligaments: Three ligaments attach the lower aspect of the fibula bone (Medial Malleolus) to the lateral foot (calcaneous & talus). From front to back, they are the anterior talofibular ligament, calcaneofibular ligament & posterior talofibular ligament. Most ankle sprains occur to the anterior talofibular ligament or the calcaneofibular ligament.
Views: 128 Dr Donald A Ozello DC
Welcome to the very first video that is part of our new series entitled "Moy Stories". In this episode Moyman retells his emotional injury - Part 1
Views: 3455 GamingGuysAustralia
Links to related videos: Knee Joint Pain https://youtu.be/_plrktSp4ks Knee Injuries https://youtu.be/6cJSDNzAB1Q ACL Surgery https://youtu.be/kjgB4aRuMeA ACL Injury https://youtu.be/_afh-iFegbE What Is The ACL? https://youtu.be/msipc9cGmqQ Ligament Injury https://youtu.be/-A9EAMyDVsk Your ACL - Anterior Cruciate Ligament In The Knee https://youtu.be/_wYqd1pjgpg Cruciate Ligament https://youtu.be/Cw-Ry-9iyQg PCL Injury https://youtu.be/5HzxObGkmz0 Transcript: Knee Ligaments Knee ligaments are short bands of tough, flexible tissue that connect the bones that form your knee joint. Four major ligaments in your knee include the following Anterior cruciate ligament (ACL) and the posterior cruciate ligament (PCL). These cross each other in the form of an "X." They stabilize the joint while allowing a very large range of motion. The other two ligaments are the medial collateral ligament (MCL) and lateral collateral ligament (LCL). The medial collateral ligament is located on the inner part of your knee, but outside the joint. It links the thigh bone and the shin bone. The lateral collateral ligament runs along the outside of the knee, connecting thigh bone to the calf bone. Your doctor is always your best source of information about injuries to the ligaments. I have a number of videos on YouTube that go into more detail on such injuries. you can find links to those videos above.
Views: 1294 WS Westwood