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1 Perry Julien, D.P.M. Past President, American Academy of Podiatric Sports Medicine Podiatry Coordinator, 1996 Summer Olympic Games Atlanta Georgia Private Practice, Atlanta Foot and Ankle Center, Atlanta, Georgia
2 Ankle Anatomy Ankle joint Ankle Ligaments Anterior talofibular Calcaneofibular Subtalar joint Sinus Tarsi
3 DIAGNOSISTIC CONSIDERATIONS History/mechanism of injury Radiographs Ankle Stress Radiographs MRI Computed Tomography (CT Scan)
4 DIAGNOSISTIC CONSIDERATIONS History/mechanism of injury Radiographs Ankle Stress Radiographs MRI Computed Tomography (CT Scan)
5 DIAGNOSISTIC CONSIDERATIONS History/mechanism of injury Radiographs Ankle Stress Radiographs MRI Computed Tomography (CT Scan)
6 DIAGNOSISTIC CONSIDERATIONS History/mechanism of injury Radiographs Ankle Stress Radiographs MRI Computed Tomography (CT Scan)
7 DIAGNOSISTIC CONSIDERATIONS History/mechanism of injury Radiographs Ankle Stress Radiographs MRI Computed Tomography (CT Scan)
8 DIFFERENTIAL DIAGNOSIS Anterior process fracture of the calcaneus Osteochondral fracture of the talus Subtalar joint sprain Sinus tarsi syndrome Fifth metatarsal avulsion fracture Peroneal Tendon Injury
9 DIFFERENTIAL DIAGNOSIS Anterior process fracture of the calcaneus Osteochondral fracture of the talus Subtalar joint sprain Sinus tarsi syndrome Fifth metatarsal avulsion fracture Peroneal Tendon Injury
10 DIFFERENTIAL DIAGNOSIS Anterior process fracture of the calcaneus Osteochondral fracture of the talus Subtalar joint sprain Sinus tarsi syndrome Fifth metatarsal avulsion fracture Peroneal Tendon Injury
11 DIFFERENTIAL DIAGNOSIS Anterior process fracture of the calcaneus Osteochondral fracture of the talus Subtalar joint sprain Sinus tarsi syndrome Fifth metatarsal avulsion fracture Peroneal Tendon Injury
12 DIFFERENTIAL DIAGNOSIS Anterior process fracture of the calcaneus Osteochondral fracture of the talus Subtalar joint sprain Sinus tarsi syndrome Fifth metatarsal avulsion fracture Peroneal Tendon Injury
13 DIFFERENTIAL DIAGNOSIS Anterior process fracture of the calcaneus Osteochondral fracture of the talus Subtalar joint sprain Sinus tarsi syndrome Fifth metatarsal avulsion fracture Peroneal Tendon Injury
14 TREATMENT Immobilization Proprioception Strengthening Taping Ankle Brace Gradual return to functional activity Surgery
15 TREATMENT Immobilization Proprioception Strengthening Ankle Brace/ Taping Gradual return to functional activity Surgery
16 TREATMENT Immobilization Proprioception Strengthening Ankle Brace /Taping Gradual return to functional activity Surgery
17 TREATMENT Immobilization Proprioception Strengthening Ankle Brace/Taping Gradual return to functional activity Surgery
18 TREATMENT Immobilization Proprioception Strengthening Ankle Brace/Taping Gradual return to functional activity Surgery
19 Immobilization Proprioception Strengthening Gradual return to functional activity Ankle Brace/ Taping Surgery removal of osteochondral fragments Peroneal tendon repair lateral ankle stabilization TREATMENT
20 Immobilization Proprioception Strengthening Gradual return to functional activity Ankle Brace/ Taping Surgery removal of osteochondral fragments Peroneal tendon repair lateral ankle stabilization TREATMENT
21 Immobilization Proprioception Strengthening Gradual return to functional activity Ankle Brace/ Taping Surgery removal of osteochondral fragments Peroneal tendon repair lateral ankle stabilization TREATMENT
22 It s not JUST an ankle sprain
23 Muchas Gracias
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Posterior Tibial Tendon Dysfunction Page ( 1 ) Posterior tibial tendon dysfunction is one of the most common problems of the foot and ankle. It occurs when the posterior tibial tendon becomes inflamed
SUBTALAR ARTHROEREISIS IN THE OLDER PATIENT
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Paul Alley MD,DPM,MS,FACS,FAAOS,BFD Eby Orthopaedics,Jasper,Indiana
Paul Alley MD,DPM,MS,FACS,FAAOS,BFD Eby Orthopaedics,Jasper,Indiana Very common Bone=fractures Description (cracked,broke,busted,or smashed) A=anatomic area of bone eg: head,neck,shaft B=bone involved