Ligamentous Sprain

Question 1

What is a ligamentous issue that is not age or gender specific and also has 3 grades?

Answer 1

Ligamentous Sprain

Question 2

What is a grade I sprain?

Answer 2

Mild and a few fibers are torn

Joint Capsule integrity is maintained

Question 3

What is a grade II sprain?

Answer 3

Moderate, decreased function

Increased motion at joint but joint may remain stable

Question 4

What is a grade III sprain?

Answer 4

Complete rupture with loss of joint integrity

Joint is unstable

Question 5

What are the specific history findings for a sprain?

Answer 5

Caused by passive injury
#1 ankle
#2 low back

Question 6

What are the increased risks for a sprain?

Answer 6

Steroid use
Muscle weakness
RA
Previous Injury
Ligamentous Laxity

Question 7

What are some of the physical exam findings for a sprain?

Answer 7

Discrepancies between AROM and PROM and End Feel
Weakness against resistance
Increased Pain
Discoloration, swelling, spasm
Joint challenges for abnormal movement

Question 8

What are the special studies for a sprain?

Answer 8

X-ray (avulsion fx)

MRI

Question 9

What is the treatment for a sprain?

Answer 9

Ice
Compression
Cold Laser
Ultrasound
Rehab

Question 10

What is the prognosis for a grade I sprain?

Answer 10

2-4 Weeks

Question 11

What is the prognosis for a grade II sprain?

Answer 11

4-6 Weeks

Question 12

What is the prognosis for a grade III sprain?

Answer 12

3mo-1 year depending on location of injury