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SECTA Sports Medicine
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Common Injuries of the Foot & Ankle Ankle sprains: The most common injury Mostly due to excessive inversion and plantar flexion Most commonly injured ligament is the anterior talofibular ligament Less common is the eversion sprain due to the deltoid ligament
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Common Injuries of the Foot & Ankle Ankle Sprains 1 st degree: ○ 1 or more of the supporting ligaments are stretched ○ S/S: minor discomfort, point tenderness, little or no swelling, no abnormal joint movement ○ TX: RICE, splinting, taping, bracing, eliminate all activities that cause pain ○ Rehab: ROM exercises, stretching exercises, strengthening exercises
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Common Injuries of the Foot & Ankle Ankle Sprains 2 nd degree: ○ Portion of 1 or more ligaments is torn ○ S/S: pain, point tenderness, swelling, disability loss of function, slight abnormal movement ○ TX: RICE, splinting, taping, bracing, eliminate all activities that cause pain ○ Rehab: ROM exercises, stretching exercises, strengthening exercises
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Common Injuries of the Foot & Ankle Ankle Sprains 3 rd degree: ○ 1 or more of the ligaments have been completely torn ○ S/S: extreme pain (unless nerve damage has occurred), loss of function, point tenderness, rapid swelling, chance of fracture ○ TX: RICE, splinting, taping, bracing, eliminate all activities that cause pain, consult a physician ○ Rehab: ROM exercises, stretching exercises, strengthening exercises, possible surgery
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Common Injuries of the Foot & Ankle Inversion ankle sprain
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Common Injuries of the Foot & Ankle Arch Sprain Most involve the metatarsal or inner longitudinal arch Reduces the ability of the arches to absorb shock Caused by overuse, overweight, fatigue, training on hard surfaces, wearing nonsupportive or worn shoes TX: RICE
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Common Injuries of the Foot & Ankle Great Toe Sprain (Turf Toe) Big toe hyperextends (first metatarsophalangeal joint) often due to slippery surfaces Minor injury but does limit athletes’ performance TX: RICE, support, often x-rays to rule out more severe injury
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Common Injuries of the Foot & Ankle Plantar Fasciitis Plantar fascia becomes strained due to overuse, toe running, unsupportive footwear, running on hard surfaces S/S: Pain near heel (similar signs as heel bruise) TX: RICE, stretching, heel cushion
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Common Injuries of the Foot & Ankle Retrocalcaneal Bursitis Caused by constant rubbing from the heel of the shoe leading to chronic inflammation of the bursa S/S: tenderness, swelling, warmth and redness TX: Doughnut pad place around the area
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Common Injuries of the Foot & Ankle Bunion The head of the 1 st metatarsal enlarges due to wearing improperly fitting shoes S/S: Obvious deformity, tenderness, and swelling TX: Proper shoe selection, protection devices, possible surgery
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Common Injuries of the Foot & Ankle Bunion
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Common Injuries of the Foot & Ankle Pes Planus Over pronation of the foot caused by the lack of support in shoes, genetics, or age S/S: foot pain, lack of longitudinal arch, lateral heel tilt TX: arch stretches, toes curls, ice massage, orthotics
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Common Injuries of the Foot & Ankle Pes Planus
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Common Injuries of the Foot & Ankle Ingrown Toenail Caused by improper shoe size and nail cutting S/S: increased pain, swelling, redness around the nail bed TX: hot, soapy water, antibiotics, raise nail up
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Common Injuries of the Foot, Ankle & Lower Leg Muscle Cramp: A sudden, involuntary contraction of the muscle Contributing factors: ○ Fatigue ○ Fractures (due to atrophy) ○ Dehydration ○ Lack of nutrients in diet (sodium, magnesium, calcium, potassium) ○ Poor flexibility ○ Improperly fitted equipment TX: passive stretching, fluid replacement, massage, rest, ice
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Common Injuries of the Foot, Ankle & Lower Leg Contusions Most commonly occur over the shin due to a blunt force trauma Complication of a severe contusion may lead to Compartment Syndrome or peroneal nerve damage TX: ice
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Common Injuries of the Foot, Ankle & Lower Leg Achilles Tendonitis Caused by repetitive weight bearing activities that increase quicker than the body can adapt S/S: pain and stiffness around the Achilles tendon- gradual onset TX: limit/restrict the activity that caused the irritation, aggressive stretching
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Common Injuries of the Foot, Ankle & Lower Leg Achilles Tendon Rupture Caused by a sudden eccentric force is applied to a dorsiflexed foot with a chronically tight tendon S/S: feel/hear a pop, feels as if kicked in the leg, inability to plantar flex foot TX: Surgery vs. cast
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Common Injuries of the Foot, Ankle & Lower Leg Achilles Tendon Rupture
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Common Injuries of the Foot, Ankle & Lower Leg Medial Tibial Stress Syndrome Shin Splints Caused by changes of any kind in training, abnormal strength in antagonist muscle S/S: anterior medial shin pain TX: eliminate bad changes, modified rest, cryotherapy, arch tape job
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Common Injuries of the Foot, Ankle & Lower Leg Stress Fracture Caused by repeated stress place on a bone that is greater than the body’s ability to adapt or heal S/S: point tender at fracture site, pain relief in the morning TX: rest
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Common Injuries of the Foot, Ankle & Lower Leg Stress Fractures
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Common Injuries of the Foot, Ankle & Lower Leg Fractures Caused by direct blow, twisting force, repetitive use (stress fractures) 10-15% of lower-leg fractures are open fractures Tibial fractures are more easily recognized than fibula fractures
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Common Injuries of the Foot, Ankle & Lower Leg Fractures Closed FractureTibial x-ray
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Common Injuries of the Foot, Ankle & Lower Leg Fractures
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Common Injuries of the Foot, Ankle & Lower Leg Dislocation Caused by S/S: TX:
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Common Injuries of the Foot, Ankle & Lower Leg Dislocation
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