Ankle Injuries. Resident Guidebook. Achilles tendon sprain/tear. Peroneal tendinopathy Peroneal subluxation. Extensor Hallucis Longus Tenosynovitis
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1 Ankle Injuries Achilles tendon sprain/tear Peroneal tendinopathy Peroneal subluxation Extensor Hallucis Longus Tenosynovitis Weber Fracture Stress fracture Calcaneal bursitis Calcaneal fracture Base of 5 th metatarsal fracture/stress fracture/jones fracture/pseudo-jones Medial Tibial Stress / reaction/fracture Tibialis Anterior Tenosynovitis Posterior tibial tendon dysfunction Tibialis Posterior tendinopathy Synovitis FHL tendinitis Posterior tibial artery pseudoaneurysm Referred Pain Image retrieved from: 1
2 Syndesmotic sprain/tear AITFL Sprain/Tear Anterior Impingement Anterolateral Impingement PITFL Sprain/Tear Posterior Impingement PTFL Sprain/Tear Os trigonum Referred pain CFL Sprain/Tear Sinus Tarsi Coarctation of talocalcaneal ATFL Sprain/Tear Chronic Lateral Ankle Instability Gout Pseudogout Cuboid avulsion fracture Cuboid Osteochondral defect Pilon/Plafond fracture Deltoid Sprain/Tear Spring ligament sprain/tear Navicular fracture Navicular impingement Os Naviculare synchondrosis Coarctation of calcaneonavicular Images retrieved from: Dr. A Francella MD CCFP, Dr. Neil Dilworth 2 CCFP (SEM, EM), Dr. Mark Leung CCFP (SEM)
3 Injury: Anterior Anterior talofibular ligament (ATFL) sprain or tear Tibialis anterior tenosynovitis (skate bite) Extensor Hallucis tenosynovitis (skate bite) Anterior inferior tibiofibular ligament (AITFL) sprain or tear Anterior impingement # of cases seen Age/Gender Sport Type Comments Osteochondral defect/ Lateral ATFL sprain or tear Chronic lateral ankle instability Anterolateral impingement Posterior impingement Weber fractures Fibular stress fracture Osteochondral defect/ Peroneal tendinopathy Peroneal subluxation Calcaneofibular ligament (CFL) sprain/tear Sinus tarsi Cuboid 3
4 Cuboid avulsion fracture Base of the 5 th metatarsal fractures (acute fracture/stress fracture/jones fracture/pseudo- Jones fracture) Referred pain from lumbar spine, peroneal nerve, or STFJ Medial Deltoid sprain/tear Tibialis Posterior tendinopathy Posterior tibial tendon dysfunction Spring ligament sprain/tear Synovitis, joint effusion Medial tibial traction /stress reaction/fracture Navicular fracture Navicular impingement Os Naviculare synchondrosis Flexor Hallucis longus tendinopathy Posterior tibial artery pseudoaneurysm Referred pain from lumbar spine Posterior Achilles tendinopathy/tear Os trigonum Posterior inferior tibiofibular ligament (PITFL) sprain or tear Posterior talofibular ligament (PTFL) sprain or tear Pilon/Plafond fracture 4
5 Posterior impingement Calcaneal bursitis Calcaneal fracture Other Syndesmotic sprain/tear Coarctation of talocalcaneal Coarctation of calcaneonavicular Gout Pseudogout Complex regional pain 5
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