00:01
All right, I think it's time for us
to review some of what we've learned.
00:05
On this table, I'm going to
highlight just a few key points.
00:08
So when it comes to looking
for specific fractures
of the tibia,
the fibula or the mid foot,
you're going to be using
those auto ankle rules
that are so effective
at helping us to
exclude fracture
and tell us that we don't
need to get plain films
on everyone who
sprains their ankle.
00:24
When we're thinking
about an ankle sprain,
you're going to hone in on the
interior talofibular ligament
should be tender over that area,
and doing the talotilt test
may exacerbate their discomfort.
00:36
The Tinel's sign is
something we would look for
when we're thinking about
Tarsal Tunnel Syndrome
just underneath the
medial malleolus,
interior drawer can also help to
test the integrity of the ATFL
if we're concerned about a
complete tere of that ligament.
00:54
And then the Thompsons test is
also known as the calf squeeze test
is a simple bedside manoeuvre to
look for an Achilles tendon rupture.
01:05
So which of the following is not
part of the Ottawa ankle rules?
The inability to wait bear.
01:12
Tenderness over the fifth
metatarsophalangeal joint.
01:15
Tenderness over the
posterior medial malleolus.
01:19
Tenderness over the
posterior lateral malleolus.
01:22
Or tenderness over the interior
tail fibrillar ligament.
01:29
So all of these are features
of the Ottawa ankle rules
except tenderness over the
anterior talofibular ligament.
01:36
Anybody who sprains their ankle,
it's gonna have tenderness there.
01:38
So you'd be getting
plain films on everybody.
01:41
So it's important to not look
for tenderness in that area.
01:44
The answer is letter E.
01:49
Which of the following
pairings is incorrect?
Tarsal Tunnel Syndrome
and the Tinel's sign.
01:55
Posterior tibial tendinopathy
and resisted eversion.
01:59
Achilles tendon rupture
and the Thompsons test.
02:02
Ankle sprain and tailor tilt.
02:04
Plantar fasciitis and
first toe dorsiflexion.
02:12
All of these pairings
are correctly paired
except for posterior tibial
tendinopathy and resisted eversion.
02:19
Remember that the
posterior tibial tendon
runs along the medial
side of the foot.
02:24
So it is an inverter
of the ankle.
02:28
Therefore resisted inversion
would be what would actually exacerbate
posterior tibial tendinopathy.
02:34
The answer is B.