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Foot, Ankle, Lower Leg

Injuries, Special tests, Evaluation

AB
March FractureOccurs in the 2nd Metatarsal; due to stress and a short 1st metatarsal
Jones FractureOccurs in the proximal end of the 5th metatarsal from stress or acute inversion
Plantar Fasciitismicrotears; inflammation of medial heel
Morton's Neuromaa mass in the common plantar nerve between 3rd/4th metatarsal heads; pain, numbness
Turf Toe1st metatarsal-phalangeal sprain caused by hyperextension;dorsiflexion
BunionHallux valgus deformity; enlargement of 1st metatarsal
Shin Splintschanging surfaces; tight achilles; faulty mechanics/footwear; stretch heel cord, get orthotics, ice massage
Compartment SyndromeIncreased pressure causes compression of muscular/neurovascular structures
Morton's ToeForces 2nd metatarsal to bear a greater % of forces
Lis Francsprain; fracture/dislocation between 1-2metatarsals/1-3 cuneiforms
Achilles RuptureComplete tear; most common in people over 30
Achilles Tendinitismicrotears; chronic; running uphill; overuse
Jones FractureAvulsion of proximal end of 5th metatarsal by Peroneus Brevis
Plantar FasciitisCaused by leg length discrepancy; overuse; poor arch support
Achilles RuptureAcute; forceful plantar/dorsiflexion
Compartment Syndromeacute/chronic; ice-no compression; fasciotomy
Turf ToeTape 1st toe into plantarflexion; replace insole with a stiffer one
Morton's NeuromaPlace a teardrop pad between 3rd/4th metatarsal heads
Shin SplintsPronator- medial pain; Supinator-lateral pain; pain is diffuse; muscle and sheath irritation
Achilles Tendinitisheel cup; heel cord stretching; tape ankle into plantarflexion
Stress Fracturepool running, bike, swim, upper body bike/weights
Thompson TestPositive indicates an achilles rupture
Talar TiltCF Ligament and Deltoid Instability
Anterior Drawer TestTests For ATF Instability; talus shifts forward
Kleiger's TestTests Deltoid and Syndesmosis Instability
Bump TestTap the heel; stress fracture test
Squeeze TestTibia/Fibula Fractures
Syndesmosis SprainStretch of ligaments between tibia/fibula
Eversion SprainDeltoid Injury
Inversion SprainLateral Ligaments-ATF,CF, PF
Anterior Talofibular LigamentWeakest ligament; injured in plantarflexion/inversion
Phase 1 Ankle RehabRest, protect, reduce swelling/pain
Phase 2 Ankle rehabRestore rom, proprioception, strength
Phase 3 Ankle rehabGradual return; sports specific exercises
Horseshoe padKeeps swelling out of ankle joint
Compression Wrapno gaps; 50% overlap; even pressure; start where toes meet metatarsals, finish where ankle meets calf
SubjectiveWhat the athlete tells you; guides your evaluation; chief complaint/mechanism
ObjectiveObservation, Palpation, ROM/strength testing, Special tests, Functional tests - all done by examiner
AssessmentName of Injury and related problems
PlanImmediate treatment; short term and long term goals
Achilles Rupture"I feel as if I have been kicked in the back of the leg; pop!!
Compartment SyndromeHot skin, deep aching pain that doesn't subside with rest, swelling, loss of foot motion and sensation
BunionsCaused by narrow toe box; poor mechanics,joint damage due to arthritis
Jones FractureSharp pain on lateral border of foot
Turf ToeShoe grips hard on surface, toes hyperextend and body weight goes forward
Achilles RuptureExaminer observes and palpates a defect in distal calf
Plantar FasciitisWear a night splint to keep the ankle in dorsiflexion; heel cup, arch tape
Inversion Ankle SprainsStretch the ATF, CF, PTF Ligaments
Anterior talofibular ligamentMost common ligament injured; plantarflexion and Inversion
1st Degree Ankle SprainMild pain swelling and discomfort, little or no joint laxity, mild swelling and stiffness
2nd Degree Ankle SprainModerate tearing of ligament fibers, difficulty walking, swelling
3rd Degree ankle SprainTotal Rupture of ligament, total instability of joint
Eversion SprainLeaset common; deltoid ligament
Deltoid ligamentCan be contused in a lateral ankle sprain
Syndesmosis Sprainstretches fibers of the tibia-fibular ligaments; foot rolls inward, leg rotates outward


Sports Medicine Instructor
Lenape High School

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