Ankle Pain
Age: years old
Gender:
HISTORY:
Presents with a - history of ankle pain
Onset was , started
Location is
Radiation to
Rated at / 10
Described as
Pattern
Worsening factors:
Alleviating factors: ,
Occupation:
Associated symptoms: *Try using right-click for negatives*
Contributing factors:
no history of: ,
EXAM:
Ankle:
Inspection:
Palpation: on
Range of motion:
- Dorsiflexion:
- Plantarflexion:
- Inversion:
- Eversion:
Strength: , except on
Neurovascular: pulses , cap refill sec, sensation
Special tests:
- Anterior drawer test:
- Compression test:
Gait: ,
Ottawa rule:
ASSESSMENT:
DDx: ankle sprain, Achilles tendinitis, ankle fracture, gout, osteoarthritis, peroneal tendonitis, tarsal tunnel syndrome, posterior tibial tendon dysfunction, ligamentous injury, synovitis, osteoochondritis dissecans, septic arthritis, bursitis, stress fracture, cellulitis, deep vein thrombosis, compartment syndrome, referred pain from lumbar spine
PLAN:
Investigations:
- Ankle X-ray
- MRI of the ankle
Treatments:
- Rest, ice, compression, elevation
- Ankle brace
-
-
- Physical therapy
- for
Further care:
- Referral to orthopedic surgeon
- Follow-up in
HISTORY: Associated symptoms: EXAM: Ankle: ASSESSMENT: PLAN: