This week I was at a volley ball match at Virginia high school. Things were going smoothly until the JV team started their match. Right after the first play, a girl comes limping over to the side line. My preceptor had just stepped out for a minute, so I had another student go get him while I started my eval. I didn’t see her fall, but she reported she inverted her ankle and fell while going for a ball. She had never had an injury before so she was pretty worked up. I tried to calm her down and explain everything I was doing to so that she wouldn’t get scared or caught off-guard. Her ankle was really swollen around her lateral malleolus and point tender over the deltoid ligament, ATF, CF, and PTF. She had mildly limited AROM with pain. Next I did special tests. I did: (-) compression, (-) Kleiger, (-) bump, (+) anterior drawer, (+) inversion and eversion talar tilt. I didn’t believe she had a fracture, nor did my preceptor, but he gave them the option of going to get an x-ray. Our conclusion was that she had a grade I inversion ankle sprain. We iced, and elevated her foot for the rest of the game. Then after, we put a horse shoe pad and ace wrap to help push out swelling. We also put her in a walking boot. I was expecting to put her on crutches, but my preceptor said he prefers walking boots to begin mobility as soon as possible. This also makes sense because of Wolff’s law which states, “tissue will respond to physical demands placed on them, causing them to remodel or realign along lines of tensile force.” I felt very confident doing this eval and I feel like I am still working towards my goal of becoming more accurate with the assessment of injuries.
This week I had 5 attempts.
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This is where I do my weekly clinical blog assignment. There is either a prompt I am responding to, or I just talk about something exciting I saw during the week.
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April 2019
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