fmCases -4: 19 year old female with
sports injury
History of Ankle Injury
Severe- seeks immediate help, non weight bearing
Less Severe- presents a few days after, fully weight bearing
Risk factors- previous ankle injuries
Compartment Syndrome
serious life- and limb-threatening complication of extremity trauma that occurs when
rising pressure in a muscle compartment impairs perfusion to that same muscle
compartment. Fractures, crush injuries, burns, and arterial injuries all can result in an
acute compartment syndrome. You must have a high clinical suspicion for compartment
syndrome, as delay in diagnosis or treatment can ultimately lead to compromised blood
supply, nerve damage, and muscle death.
Compartment Syndrome Tx
Treatment is emergent decompression via fasciotomy
6 Ps of limb threatening injury
1. Pain
2. Pallor
3. Pulselessness
4. Paresthesia (A skin sensation, such as burning, prickling, itching, or tingling. ) 5.
Perishing cold (The inability to regulate one's body temperature.)
6. Paralysis
Pain, especially disproportionate pain, is often the earliest sign and clinical hallmark of
compartment syndrome.
Plantar flexion and inversion injury
The lateral stabilizing ligaments, which include the anterior talofibular, calcaneofibular,
and posterior talofibular ligaments, are most often damaged.
The anterior talofibular ligament is the most easily injured. Concomitant injury to this
ligament and the calcaneofibular ligament can result in appreciable instability.The
posterior talofibular ligament is the strongest of the lateral complex and is rarely injured
in an inversion sprain.
Anterior Drawer Test
The anterior drawer test can be used to assess the integrity of the anterior talofibular
ligament
Inversion stress test
the inversion stress test can be used to assess the integrity of the calcaneofibular
ligament.
Excessive eversion and dorsiflexion
sports injury
History of Ankle Injury
Severe- seeks immediate help, non weight bearing
Less Severe- presents a few days after, fully weight bearing
Risk factors- previous ankle injuries
Compartment Syndrome
serious life- and limb-threatening complication of extremity trauma that occurs when
rising pressure in a muscle compartment impairs perfusion to that same muscle
compartment. Fractures, crush injuries, burns, and arterial injuries all can result in an
acute compartment syndrome. You must have a high clinical suspicion for compartment
syndrome, as delay in diagnosis or treatment can ultimately lead to compromised blood
supply, nerve damage, and muscle death.
Compartment Syndrome Tx
Treatment is emergent decompression via fasciotomy
6 Ps of limb threatening injury
1. Pain
2. Pallor
3. Pulselessness
4. Paresthesia (A skin sensation, such as burning, prickling, itching, or tingling. ) 5.
Perishing cold (The inability to regulate one's body temperature.)
6. Paralysis
Pain, especially disproportionate pain, is often the earliest sign and clinical hallmark of
compartment syndrome.
Plantar flexion and inversion injury
The lateral stabilizing ligaments, which include the anterior talofibular, calcaneofibular,
and posterior talofibular ligaments, are most often damaged.
The anterior talofibular ligament is the most easily injured. Concomitant injury to this
ligament and the calcaneofibular ligament can result in appreciable instability.The
posterior talofibular ligament is the strongest of the lateral complex and is rarely injured
in an inversion sprain.
Anterior Drawer Test
The anterior drawer test can be used to assess the integrity of the anterior talofibular
ligament
Inversion stress test
the inversion stress test can be used to assess the integrity of the calcaneofibular
ligament.
Excessive eversion and dorsiflexion
