踝关节生物力学.pptVIP

Anterior Compartment Ant. Tibialis Ext. Hallicus Longus Extensor Digitorum Longus Contains Ant. Tibial Nerve Contains Anterior Tibial Artery Dorsiflexors of the foot (lifts foot up) -Ant. Comp 第21页，共55页，2022年，5月20日，9点43分，星期六 Lateral Compartment Everters of the foot (turns foot outward) Peroneus Longus Peroneus Brevis Peroneus Tertius Contains the superficial peroneal nerve -Lat. Comp. 第22页，共55页，2022年，5月20日，9点43分，星期六 Posterior Superficial Group Plantar flexors (pushes foot downwards) Gastrocnemius Soleus Superficial Posterior? 第23页，共55页，2022年，5月20日，9点43分，星期六 Posterior Deep Assists with Plantarflexion Tibialis Posterior Flexor Hallicus Longus Flexor Digitorum Longus Posterior tibial artery Post. Deep---? 第24页，共55页，2022年，5月20日，9点43分，星期六 Assessing the Lower Leg and Ankle History Past history Mechanism of injury When does it hurt? Type of, quality of, duration of pain? Sounds or feelings? How long were you disabled? Swelling? Previous treatments? 第25页，共55页，2022年，5月20日，9点43分，星期六 Observations Postural deviations? Is there difficulty with walking? Deformities, asymmetries or swelling? Color and texture of skin, heat, redness? Patient in obvious pain? Is range of motion normal? 第26页，共55页，2022年，5月20日，9点43分，星期六 Percussion and compression tests Used when fracture is suspected Percussion test is a blow to the tibia, fibula or heel to create vibratory force that resonates w/in fracture causing pain Compression test involves compression of tibia and fibula either above or below site of concern Thompson test Squeeze calf muscle, while foot is extended off table to test the integrity of the Achilles tendon Positive tests results in no movement in the foot Homan’s test Test for deep vein thrombophlebitis With knee extended and foot off table, ankle is moved into dorsiflexion Pain in calf is a positive sign and should be referred 第27页，共55页，2022年，5月20日，9点43分，星期六 Compression Test Percussion Test Homan’s Test Thompson Test 第28页，共55页，2022年，5月20日，9点43分，星期六 Ankle Stability Tests Anterio