Dislocation Sprains and Strains of the Joints and Ligaments

Dislocation, Sprain and Strain of the Joints and Ligaments of Upper Ankle and Foot: Drug Therapy

Therapeutic Objective Reduction of pain Therapy recommendations Analgesia (pain relief) during diagnosis until definitive therapy according to WHO staging scheme: Non-opioid analgesic (paracetamol, first-line agent). Low-potency opioid analgesic (e.g., tramadol) + non-opioid analgesic. High-potency opioid analgesic (eg, morphine) + non-opioid analgesic. Tetanus prophylaxis – for injuries. See also under “Surgical therapy” and “Other therapy”.

Dislocation, Sprain and Strain of the Joints and Ligaments of Upper Ankle and Foot: Diagnostic Tests

Optional medical device diagnostics – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. Radiography of the affected joint – to exclude bone involvement. Sonography (ultrasound examination) of the affected joint. Magnetic resonance imaging (MRI) – for suspected ligamentous injuries (ligament injuries).

Dislocation, Sprain and Strain of the Joints and Ligaments of Upper Ankle and Foot: Operative Therapy

Surgical treatment is usually not necessary. Outer Wall Injuries For external ligament injuries of the upper ankle joint (OSG), conservative therapy (immobilization; external stabilization if necessary; early functional follow-up) remains the gold standard! In the inflammatory phase (see below; the first day 10 days after trauma), consistent application of the PECH rule: “P” break: stop … Dislocation, Sprain and Strain of the Joints and Ligaments of Upper Ankle and Foot: Operative Therapy

Dislocation, Sprain and Strain of the Joints and Ligaments of Upper Ankle and Foot: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate Luxation, Sprain, Strain of the Ankle and Foot: Pain Restriction of movement; appearance painful to impossible Edema (swelling) Formation of a hematoma (bruise) A striated hematoma on the edge of the foot about 24 hours after trauma is indicative of complete ligament rupture. Instability? (due totraumatic (accident) caused … Dislocation, Sprain and Strain of the Joints and Ligaments of Upper Ankle and Foot: Symptoms, Complaints, Signs

Dislocation, Sprain and Strain of the Joints and Ligaments of Upper Ankle and Foot: Causes

Pathogenesis Dislocation describes a joint injury that results from dislocating forces. This involves severe capsular ligament tears that cause bony portions of the joint to briefly dislocate from the joint capsule. A sprain (distortion) or strain describes a closed joint injury that results in lesions of the involved ligaments due to overstretching. Etiology (causes) Biographic … Dislocation, Sprain and Strain of the Joints and Ligaments of Upper Ankle and Foot: Causes

Dislocation, Sprain and Strain of the Joints and Ligaments of Upper Ankle and Foot: Therapy

Conventional Nonoperative Therapeutic Methods If acute dislocation (luxation) occurs, it must be reduced (brought back to a normal position) by a physician to prevent damage to the soft tissue and vessels. Furthermore, the affected limb should be immobilized and cooled. If necessary, a de-/partial load is required. Therapy for external ligament injuries of the upper … Dislocation, Sprain and Strain of the Joints and Ligaments of Upper Ankle and Foot: Therapy

Dislocation, Sprain and Strain of the Joints and Ligaments of Upper Ankle and Foot: Consequential Diseases

The following are the most important diseases or complications that can be caused by dislocation, sprain, strain of the ankle and foot: Injuries, poisoning, and other sequelae of external causes (S00-T98). Recurrent dislocations (recurrent dislocations). Further Chronic OSG instability (instability of the upper ankle joint).

Dislocation, Sprain and Strain of the Joints and Ligaments of Upper Ankle and Foot: Examination

A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Examination of the affected joints, including side-by-side comparison with examination of the extent of movement [pain; restriction of movement (occurrence painful to impossible); swelling (edema), formation of a hematoma (bruise)]. Inspection … Dislocation, Sprain and Strain of the Joints and Ligaments of Upper Ankle and Foot: Examination

Dislocation, Sprain and Strain of the Joints and Ligaments of Upper Ankle and Foot: Medical History

The anamnesis (medical history) represents an important component in the diagnosis of dislocation, sprain, strain of the ankle and foot. Family history Is there a frequent occurrence of skeletal system disorders in your family? Social history What is your profession? Current medical history/systemic history (somatic and psychological complaints). Are you experiencing pain? If yes, when … Dislocation, Sprain and Strain of the Joints and Ligaments of Upper Ankle and Foot: Medical History