Abstract
Ankle pain is a common presenting chief complaint that spans the offices of multiple care providers. As with all encounters, the first step in examining a patient with ankle pathology includes a thorough history. This should include any pertinent past medical history, thorough documentation of past treatment modalities, and previous goals of care. Next, a step-wise, anatomic-based physical examination should be conducted. This includes range of motion, neurovascular status, detailed palpation, and a standing assessment of anatomic alignment. After correlation with radiographic findings, a plan of care should be agreed upon between the practitioner and the patient with clear goals of care and follow-up established.
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References
Tarabichi M, et al. Determining the threshold for HbA1c as a predictor for adverse outcomes after total joint arthroplasty: a multicenter, retrospective study. J Arthroplast. 2017;32(9S):S263–7.
Cancienne J, Werner B, Browne J. Is there a threshold value of hemoglobin A1c that predicts risk of infection following primary total hip arthroplasty? J Arthroplast. 2017;32(9S):S235–40.
Mackenzie E, Bosse MJ. Factors influencing outcomes following limb-threatening lower limb trauma: lessons learned from the lower extremity assessment project (LEAP). JAAOS. 2006;14(10):205–10.
Tull F, Borrelli J. Soft-tissue injury associated with closed fractures: evaluation and management. JAAOS. 2003;11(6):431–8.
Herbst SA, Jones KB, Saltzman CL. Pattern of diabetic neuropathic arthropathy associated with peripheral bone mineral density. J Bone Joint Surg (Br). 2004;86:378–83.
Smieja M, Hunt DL, Edelman D, Etchells E, Cornuz J, Simel DL. Clinical examination for the detection of protective sensation in the feet of diabetic patients. International Cooperative Group for Clinical Examination Research. J Gen Intern Med. 1999;14:418–24.
Robertson GS, Ristic CD, Bullen BR. The incidence of congenitally absent foot pulses. Ann R Coll Surg Engl. 1990;72(2):99–100.
Chiodo CP, et al. American Academy of Orthopaedic Surgeons Clinical Practice Guidelines on Treatment of Achilles tendon rupture. JBJS Am. 2010;92(14):2466–8.
Teitz CC, Harrington RM. A biomechanical analysis of the squeeze test for sprains of the syndesmotic ligaments of the ankle. Foot Ankle Int. 1998;19:489–92.
Cotton FJ. Fractures and joint dislocations. Philadelphia, PA: WB Saunders; 1910.
Alonso A, Khoury L, Adams R. Clinical test for ankle syndesmosis injury: reliability and prediction of return to function. J Ortho Sports Phys Ther. 1998;27:276–84.
Ogilve-Harris DJ, Reed SC. Disruption of the ankle syndesmosis: diagnosis and treatment by arthroscopic surgery. Arthroscopy. 1994;10:561–8.
Beumer A, van Hemert WL, Swierstra BA, Jasper LE, Belkoff SM. A biomechanical evaluation of clinical stress tests for syndesmotic ankle instability. Foot Ankle Int. 2003;24:358–63.
Mayer SW, et al. Stress fractures of the foot and ankle in athletes. AJSM. 2014;6(6):481–91.
Bassett FH, Gates HS, Billys JB, Morris HB, Nikolaou PK. Talar impingement by the anteroinferior tibiofibular ligament. A cause of chronic pain in the ankle after inversion sprain. J Bone Joint Surg Am. 1990;72(1):55–9.
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Jacobson, J., Kadakia, R., Bariteau, J. (2023). Evaluation of Ankle Pain. In: Herscovici Jr., D., Anglen, J.O., Early, J.S. (eds) Evaluation and Surgical Management of the Ankle. Springer, Cham. https://doi.org/10.1007/978-3-031-33537-2_4
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DOI: https://doi.org/10.1007/978-3-031-33537-2_4
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