Transcript Introduction and Anatomy Review

Athletic Injuries of the Foot
ROP SPORTS MEDICINE
Stacy Camou
Skeletal Anatomy – 26 Bones
• __________ bones (7)
–
–
–
–
–
C
T
N
C
Cuneiforms
• M
• I
• L
• Metatarsals ( )
– 1-5: medlat
• Phalanges ( )
– Proximal (1-5)
– Intermediate (2-5)
– Distal (1-5)
Skeletal Anatomy
• Forefoot
–P
–M
• Midfoot
–C
–N
–C
• Rearfoot
–T
–C
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___________
• 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____________
– “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
– “a_________ foot”
– F__________ infection
of skin
• Verrucae plantaris
– “P________ w______”
– V________ infection
of the sole of the foot
Other Foot Injuries
• Morton’s Neuroma
– 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