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Foot and Ankle

This document discusses various foot and ankle injuries including Morton's neuroma, plantar fasciitis, heel spurs, ankle sprains, and ingrown toenails. It provides details on the symptoms, causes, and treatment options for these conditions. The focus is on assessing and managing ankle sprains on the field through examination, initial treatment, rehabilitation progression, and return to play criteria.

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Ali Mulla
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We take content rights seriously. If you suspect this is your content, claim it here.
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168 views

Foot and Ankle

This document discusses various foot and ankle injuries including Morton's neuroma, plantar fasciitis, heel spurs, ankle sprains, and ingrown toenails. It provides details on the symptoms, causes, and treatment options for these conditions. The focus is on assessing and managing ankle sprains on the field through examination, initial treatment, rehabilitation progression, and return to play criteria.

Uploaded by

Ali Mulla
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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SUBUNGUAL HEMATOMA

MORTONS, INTERDIGITAL OR PLANTAR NEUROMA

Longitudinal

ARCHES

Transverse

NORMAL NERVES

Severe intermittent pain radiating from the distal metatarsal heads to the tips of the toes. Pain relieved when not bearing weight. Burning numbness made worse with running, squatting and stairs.

Signs and Symptoms

CAUSES

Tight Shoes

Dropped Transverse Arch of the Foot.

TREATMENT

Mobilization of foot. Test strength of Peroneus Longus and Tib. Posterior. Metatarsal Pad.

INGROWN TOE NAIL

CONSERVATIVE TREATMENT

NORMAL

ANATOMY

FOOT MOTION and PLANTAR FASICIA

HEEL SPURS

TREATMENT PLANS
Foot taping. Orthotics? Strengthen weak muscles. Stretch tight muscles.

MOST COMMON INJURY

BONY ANKLE JOINT


F T

Ta

Achilles Tendon P. Longus P. Brevis P. Tertius Ext. Digitorum Longus

Flex. Hallucis Longus Flex. Digitorum Longus Tib. Posterior Tib. Anterior Ext. Hallucis Longus

LATERAL LIGAMENTS

ANKLE MOVEMENT AND THE EFFECTS ON LIGAMENTS

Plantar

Neutral

Dorsi

10

INVERSION SPRAIN

BOTH INVERSIONS?

INVERSION SPRAIN 85% of all sprains Happens during loading and unloading of the ankle.

11

What ligament is the first line of defence?

Depends on ankle position

Peroneus Brevis Base 5th

Post. Talofib.

Lateral Structures Ankle


Anterior Inf. Tib-fib. Ant. Talofibular. Calcaneofibular P. Brevis Base 5

12

MANDATE ON PLAYING SURFACE


HOW SEVERE IS THE INJURY. HOW DO WE REMOVE THEM FROM THE FIELD

WEIGHT BEARING
OR

NON-WEIGHT BEARING

13

FIELD ASSESSMENT Ankle Sprains - General Mechanism of Injury Pain where? Hear/feel anything? Injured before? Continue with activity?

Metatarsal

3 Calcaneofibular Lig. Base of 5th 4

Anterior Inferior 1 Tibiofibular Ligament 2 Anterior Talofibular

PALPATION

Least common sprain. Most fractures happen in eversion. Stability of the medial ankle depends upon the Deltoid Ligament and the lateral malleolus.

EVERSION SPRAIN

14

Slight medial tenderness. Pain and slight limitation on active eversion. Stand to determine if there is leg pain. Walk off playing surface if not antalgic.

EVERSION

ANKLE SPRAIN SEVERE Rigid, high footwear. Unable to continue on with the activity. Leg pain on standing.

15

3. Fracture 2. Ant. Inf. Tib-fib.

1. Deltoid

Eversion and External Rotation of the ankle without Deltoid Ligament tear.

16

Hockey Player Inversion Minimal Pain Mild swelling Mild bruising Return in five days

17

Day 6

Can this athlete return to play during this contest? Pain changes the way you do things!

THE MINOR SPRAIN

Definition Discomfort versus pain?

18

Dissect the sport into its components starting from the most simple on the ankle and progress to the most difficult. If they can perform the test without pain then return. (Following taping?)

NON-RETURNING ATHLETE C.I.C.E.R.

Crutches for proper gait. Referral for physio. Prepare for return.

19

PREPARE FOR RETURN

Aside from the formal rehabilitation, the athlete must work on maintaining conditioning and doing whatever sport skills they can.

WHEN DO I KNOW THAT I AM READY TO RETURN?????

20

WALK Pain JOG FIGURE 8 SHUTTLE RUN

Figure 8 and Shuttle Run


FIGURE 8

Speed

SHUTTLE

Speed 25 m

???

21

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