Transcript Foot ankle Injuries - Liberty Union High School District

Foot, Ankle, & Lower
Leg
Injuries
Great Toe Sprain
 At
the 1st Metatarsal-phalangeal joint
 Hyper extension or hyper flexion
 Pain, tenderness, and/or swelling is
on dorsal or plantar surface of MTP
joint
Ingrown Toe Nail
Ingrown Toe Nail
 Nail
grows into surrounding tissue
 Cause : poor trimming of toe nails;
rounded instead of straight; or too
short
Inversion Ankle Sprain
Lateral ligaments usually injured due
to stretching mechanism
85% of ankle sprains are inversion
Fibula prevents severe eversion
Deltoid ligament is stronger
Inversion Ankle Sprain
 Deformities
 Swelling,
discoloration, pain & point
tenderness
 ROM decreased
 Strength decreased
 Orthopedic Test : Anterior Drawer
Test – Grade I, II, III
Inversion
Ankle
Sprain
Ankle Sprains
 So
What structures are normally
injured?
– Grade 1: Anterior Talofibular
– Grade 2: ATF & Calcaneofibular
– Grade 3: ATF, CF, & Posterior
Talofibular
Jones’ Fracture
Jones’ Fracture
 Avulsion
fracture of the 5th
metatarsal head in inversion sprain
 Xrays needed to rule out fracture if
suspected
Achilles Tendonitis
 Irritation
or inflammation of the
Achilles Tendon
 Swelling, tenderness, heat, crepitus
(crunchiness), pain
 If worsens, can lead to complete tear
Achilles’ Rupture
Achilles Tendon Rupture
 Athlete
usually falls, grabbing leg in
pain
 Feels as if they were shot in the back
of their leg
 Extreme pain, swelling, deformity or
depression, weakness or complete
loss of plantar flexion
 Orthopedic Test: Thompson’s Test
Thompson’s Test
 GASTROCNEMIUS
 STRAIN
Shin Splints
 Called
Medial Tibial Stress Syndrome
 It is inflammation of the periosteum
lining of the tibia
 Caused from the Soleus muscle
insertion
– Pronation
– Out of shape or overuse
– Change in running distance, surface,
footwear, or form
Shin Splints (cont.)
 Dull
achy pain, can be present
before, during, and after activity
 Point tender on medial border of tibia
 Pain with resisted plantar flexion
(due to Soleus) involvement
Stress Fractures
 Caused
by repetitive stress
 Usually to tibia, fibula, and
metatarsals (but can occur in any
bone)
 Complain of most intense pain after
activity and during night
 Pain and swelling on bone at fracture
site
Stress Fracture
 Bone
scan is
 needed to
 diagnose
Using those X-ray Eyes
 Percussion
 Bump
test
test
 Squeeze Test
 Vibration (tuning fork)
 Compression/Distraction