Athletic Injuries of the Foot ROP SPORTS MEDICINE Stacy Camou
Skeletal Anatomy – 26 Bones C T N Cuneiforms M I L Metatarsals ( ) 1-5: medlat Phalanges ( ) Proximal (1-5) Intermediate (2-5) Distal (1-5)
Skeletal Anatomy Forefoot P M Midfoot C N Rearfoot T
Skeletal Anatomy - Arches Medial longitudinal Lateral longitudinal Metatarsal Transverse
Skeletal Anatomy - Arches
Skeletal Anatomy - Joints Metatarsophalangeal______ (MP or MTP) Interphalangeal________ (IP, PIP, DIP) Intermetatarsal_________ Subtalar ________ T C
Musculotendinous Anatomy D_______ aspect E________ of toes Extensor digitorum longus Extensor digitorum brevis Extensor hallucis longus Extensor hallucis brevis
Musculotendinous Anatomy P_______ aspect F________ of toes Flexor digitorum longus Flexor digitorum brevis Flexor hallucis longus Flexor hallucis brevis
Circulatory Anatomy Distal p______ Posterior T______artery Dorsal pedis a______
Circulatory Anatomy Distal pulse Posterior t_____ artery Dorsal pedis a______
Neurological Anatomy T_______ nerve – s__________ posterior m_________ P___________ nerve D_____ – anterior compartment Superficial – lateral compartment P_______ nerve Medial and lateral - foot
Plantar Fascia
Plantar Fascia Biomechanics
Fractures of the Foot T_______ bones C___________ T_________ Direct contact (fall/jump) Can be complete or stress T_________ Forced dorsiflexion Susceptible to avasuclar necrosis and osteochondritis dissecans M_______________ Transverse or spiral Avulsion @ base of 5th Jones’ fracture Stress March fracture – usually 2nd or 3rd metatarsal
Metatarsal Fractures
Jones Fracture
March Fracture
Foot Strains and Sprains Arches M_______ longitudinal arch P________ fasciitis Heel spur syndrome M__________ arch Repetitive stress P_________ Great toe MP joint “T______ Toe”
Contusions to the Foot C____________ Metatarsals “Heel bruise” “Stone bruise” SX:Pain often on lateral side of heel due to heel strike pattern Metatarsals Usually at met heads SX: pain on bottom of the foot “balls of the feet”
Structural Conditions M________ Toe S________ toe is longer than the Great toe Can lead to stress fractures and neuroma Hallux V________ Valgus stress on first ray Leads to b_________
Bunions
Structural Conditions H_________ Toes Buckling of an IP joint Commonly due to muscle imbalance Leads to calluses and bunions P_____ P________ Flat feet Excessive p__________ P______ C________ High arches Claw feet Excessive s____________
Pes Planus
Other Foot Injuries Tinea pedis Verrucae plantaris “a_________ foot” F__________ infection of skin Verrucae plantaris “P________ w______” V________ infection of the sole of the foot
Other Foot Injuries Morton’s Neuroma Retrocalcaneal bursitis Inflammation of the n_______ typically between the ___rd and ___th metatarsals Retrocalcaneal bursitis “pump bumps” Caused by i_______________ of A___________ bursa
Other Foot Injuries Sever’s Disease Traction injury at i__________ of A__________ tendon