Lower Extremity

Common Injuries

Jennifer Jeffrey Bell, PT, ScD

 1. Ankle Sprain
Topics for 2. Patellofemoral Pain
Today 3. Screening for Fracture
 Head to this website and watch this video on Ankle
Sprains

Ankle Sprains https://members.physio-pedia.com/video/?v=understanding-the-ankle-ank

le-sprains
Return to
Sport
• https://www.youtube.com/watch?v=ndDgT-ZVFVU
Decision:
Ankle Sprain
Ankle Sprain Return to Sport Criteria

• Pain
• Ankle Impairments
• Athlete Perception
• Sensorimotor Control
• Sport/Functional Performance
Ankle Sprain Return to Sport Criteria

• Pain
• Pain severity during sport participation and over the last 24 hours
• Ankle Impairments
• Range of Motion
• Muscle strength, power and endurance
• Athlete Perception – Psychological readiness
• Perceived stability
• Confidence/reassurance the athlete feels
Ankle Sprain Return to Sport Criteria

• Sensorimotor Control
• Good proprioception
• Dynamic postural control
• Sport/Functional Performance
• Hopping/jumping
• Agility
• Sport specific
Ankle Sprain Return to Sport Criteria

• Tolerance of full bout of practice

Anterior Knee Pain (Patellofemoral Pain)

• Patellofemoral Pain Clinical Practice Guidelines podcast

• Review the Clinical Practice Guidelines document on course webpage
Knowledge
Check
Fracture Screens
Is it a Fracture??

• Ottawa Knee Rules

• Ottawa Ankle Rules

• Ottawa Foot Rules

Ottawa Rules

• https://www.youtube.com/watch?v=UEnacnxh804
Is it a Fracture at the Knee??

• Ottawa Knee Rules

• Aged 55 years or over; OR
• Tenderness at the head of the fibula; OR
• Isolated tenderness of the patella; OR
• Inability to flex knee to 90 degrees; OR
• Inability to bear weight (defined as an inability to take
four steps, ie. two steps on each leg, regardless of
limping) immediately and at presentation.
Is it a Fracture at the Ankle??
• Ottawa Ankle Rules
• Pain in the malleolar zone; and
• Bone tenderness along the distal 6 cm of the posterior edge of the tibia or tip of the medial malleolus, OR
• Bone tenderness along the distal 6 cm of the posterior edge of the fibula or tip of the lateral malleolus, OR
• An inability to bear weight both immediately and in the emergency department for four steps.
Is it a Fracture at the Foot??

• Ottawa Foot Rules

• Pain in the midfoot zone; and
• Bone tenderness at the base of the fifth metatarsal (for foot injuries), OR
• Bone tenderness at the navicular bone (for foot injuries), OR
• An inability to bear weight both immediately and in the emergency department for four steps.
Knowledge
Check