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Department
of Podiatry
Sports
Medicine - Lecture Four: Foot Injuries
| Lecturer:
Anita
Raspovic |
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| Sports
Medicine Lectures Page |
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Lecture
Overview:
• Learning Objectives
• Midfoot Injuries / Forefoot Injuries
(Common / Less common / Not to be missed)
• For selected conditions:
– Aetiology / Pathology
– Clinical Presentation
– Assessment / Investigations
– Differential Diagnoses / Diagnosis
– Management Plan
Learning Objectives
• To develop a detailed knowledge of the common midfoot and
forefoot sports injuries
• To become aware of the less common and not to be missed midfoot
and forefoot sports conditions, sufficient to inform sound clinical
practice (index of suspicion)
• To know how to assess a patient presenting with a midfoot
/ forefoot sports injury and be able to integrate this knowledge into
clinical practice
• To develop an appreciation for the role of medical imaging
relating to conditions discussed and the tests of choice based on
current technology
• To be able to identify likely differential diagnoses and select
and justify the primary diagnosis based on information collected
• To competently formulate a holistic management plan tailored
to the individual’s situation (injury severity, sporting needs)
• To develop an understanding of the key role of the multidisciplinary
team
Foot Injury Statistics
Midfoot Conditions
Stress Fractures of the Foot
“A stress fracture is a microfracture in bone that
results from repetitive physical loading below the single cycle failure
threshold” Brukner & Khan, 2001
Aetiological factors must be determined:
– Extrinsic:
– Intrinsic:
Navicular Stress Fractures
• Clinical Presentation:
• Specific Assessments / Investigations:
• Management:
Midtarsal Joint Sprain
Extensor Tendonopathy
Flexor Tendonopathy
Tibialis Posterior Dysfunction
Chronic Compartment Syndrome
Other
• Plantar Fascia Strain (acute)
• Peroneal Tendinopathy
• Cuboid Syndrome
Not to be Missed
• Lisfranc’s fracture
• Osteoid Osteoma
• Complex Regional Pain Syndrome (CRPS, RSD)
Forefoot conditions
Dermatological Injuries & Conditions
1st MTPJ Sprain - Turf Toe
Sesamoid Injuries
Sesamoid Injuries
(McBryde & Anderson, 1989)
• Stress fracture 40%
• Chondromalacia 30%
• Acute fracture 10%
• Osteochondritis 10%
• Osteoarthritis 5% (lateral displacement due to pronation)
• Bursitis 5%
Sesamoid Stress #
2-4 Metatarsal Stress Fractures
Most Common Is 2nd Metatarsal:
Why?
Metatarsal stress #
5th Metatarsal Fractures
Not to be Missed
• Complex Regional Pain Syndrome (CRPS, RSD)
Questions ?
Suggested Readings
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Medicine Lectures Page |
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