Sports Injuries of the Foot and Ankle Dominic Nielsen. Parkside Hospital Ashtead Hospital St George s
|
|
- Virgil Walton
- 5 years ago
- Views:
Transcription
1 Sports Injuries of the Foot and Ankle Dominic Nielsen Parkside Hospital Ashtead Hospital St George s
2 Themes Ankle instability Ankle impingement Stress fractures 5 th MT fractures Peroneal subluxation
3 Ankle instability Common Sports injury Often worse initial injury than appreciated
4 Ankle instability Lateral most common ATFL CFL
5 Ankle instability Remember the syndesmosis High ankle sprain
6 Ankle instability Excessive supination of the rearfoot about an externally rotated leg ATFL injured first then CFL CFL has higher load to failure than ATFL (Attarian) Grade 1 Ligament stretch Grade 2 ATFL torn, CFL intact Grade 3 ATFL and CFL torn (Chapman 1975)
7 Ankle Instability Key anatomic considerations ATFL is weakest CFL is 3.5 x as strong, PTFL is strongest Deep deltoid ligament is crucial Syndesmotic ligaments may be injured with soft tissue injury
8 Ankle instability subtalar joint GRF acts through COP to act as everter and dorsiflexor
9 Ankle instability Gauffin Knee and Ankle Kinesiology and Joint Instability 1991 Everters cannot withstand lever arm >3-4cm
10 Ankle instability - shoes Why is this (hopefully) lady at risk of spraining their ankle?
11 Ankle instability - shoes
12 Ankle instability usually a combination Mechanical stability Functional stability PAINLESS PAINFUL
13 Ankle instability - causes Pathologic laxity Biomechanical - Equinus, hindfoot varus Pain - intra-articular lesions Loss of proprioceptive control
14 Ankle instability - examination Localise areas of tenderness/swelling Examine subtalar joint Examine TA and Gastrocnemius Impingement tests (Molloy) Anterior drawer Inversion stress testing Syndesmotic squeeze test
15 Impingement test Indicative of anterolateral soft tissue impingement lesion (synovitis)
16 Anterior drawer test To test anterior subluxation ATFL function Hanging or fixed Foot in 10 degrees plantarflexion 2mm normal / 5mm pathologic
17 Syndesmotic test Indicative of syndesmotic injury Pilling s test
18 MRI The main indication for MRI is to identify any other pathology This test looks for functional instability
19 Treatment considerations Conservative treatment 3-6 months improve functional instability Is the ankle painful? If so MRI Proprioception Neuromuscular control Postural control Strength Is the ankle unstable? If so screening? Deal with pain 1 st -> Arthroscopy Surgical reconstruction Anatomic/non-anatomic?
20 Surgery Non-anatomic and anatomic repair Evans, Watson-Jones are non-anatomic Brostrom/Gould is anatomic Contemporary option is anatomic Non-anatomic reserved for revision surgery Excellent results 80% (Karlsson et al 1988)
21 Surgery Gould Modification reinforcement with inferior extensor retinaculum
22 Key points Most patients have an element of functional instability If painful then you must treat pain first Screening can identify mechanical instability MRI for functional instability (pain) Arthroscopy for pain (75% will not need reconstruction) Then proceed with reconstruction if needed
23 Ankle Impingement Footballer s ankle Morris 1943 Anterior ankle pain with forced dorsiflexion Scranton 1992 open vs arthroscopic resection, improved results
24 Anterior impingement Meniscoid lesion Glassman 1950 Seen after 3% of ankle sprains (Umans 2002) Positive impingement test (Molloy s test) Responsive to intra-articular LA Arthroscopy indicated after 6 months conservative treatment (Ogilvie-Harris 1997) 90% excellent results with resection (Kim 2002)
25 Syndesmotic impingement Due to High ankle sprains Rarer injury, amenable to arthroscopic debridement (Pritsch 1993) Tenderness along syndesmosis
26 Osteochondral injuries Microfracture Current standard Poor prognosis related with subchondral cyst formation (Hepple 1999) New developments MACI
27 Stress fractures Failure of bone due to repeated mechanical stress Lack initial displacement Often not on early XR Repeat if clinical suspicion
28 Stress fractures
29 Stress fractures Most common in metatarsals Happen elsewhere Navicular common in athletes 30 year old runner 6/12 significant pain in midfoot
30 Stress fracture
31 Stress fracture
32 Stress fracture
33 Stress fracture Majority unite uneventfully PROVIDED load is reduced
34 Jones fracture 5 th metatarsal base fracture very common Prognosis depends on zone of injury
35 Jones fracture 5 th metatarsal base fracture very common Prognosis depends on zone of injury
36 Jones fracture Relative avascular zone In between forces applied Higher chance non union Lower threshold for early surgery
37 Jones fracture Relative avascular zone In between forces applied Higher chance non union Lower threshold for early surgery
38 Jones fracture Stabilise fracture Early weight bearing Earlier return to function
39 Jones fracture Stabilise fracture Early weight bearing Earlier return to function
40 Peroneal Subluxation Pain and clicking on lateral side Visible tendon sliding over fibula Common in skiers Land from small height on uneven snow
41 Peroneal subluxation Test with circumduction or resisted eversion MRI to look for tendon splits and fibula anatomy
42 Repair any splits
43 Reconstruction Consider bony augmentation
44 Rehabilitation 6 weeks in a plaster Active rehab thereafter
45 Thank you
Outline. Ankle/Foot Anatomy Ankle Sprains Ottawa Ankle Rules DDx: The Sprain That Wasn t
Ankle Injuries Outline Ankle/Foot Anatomy Ankle Sprains Ottawa Ankle Rules DDx: The Sprain That Wasn t Anatomy: Ankle Mortise Bony Anatomy Lateral Ligament Complex Medial Ligament Complex Ankle Sprains
More informationSports Injuries of the Ankle and Ankle Arthritis. Mr Amit Amin Consultant Foot and Ankle Surgeon Parkside Hospital
Sports Injuries of the Ankle and Ankle Arthritis Mr Amit Amin Consultant Foot and Ankle Surgeon Parkside Hospital Impingement Painful mechanical limitation of full ankle movement secondary to osseous
More informationV E R I TAS MGH 1811 MGH 1811 V E R I TAS. *Gerber JP. Persistent disability with ankle sprains. Foot Ankle Int 19: , 1998.
MGH 1811 Management of Ankle Instability Richard J. de Asla, M.D. V E R I TAS MGH 1811 I have no potential conflicts with this presentation. V E R I TAS It s just a sprain Lateral Ankle Sprains Most common
More informationAnkle Pain After a Sprain.
Ankle Pain After a Sprain www.fisiokinesiterapia.biz Anterior Drawer Stress Test Talar Tilt Talar Tilt (CFL) Difficult to isolate from subtalar ROM Slight plantar flexion (dorsi = relative subtalar isolation)
More informationLigament lesions of the ankle. Marc C. Attinger
Ligament lesions of the ankle Marc C. Attinger Anatomy Mechanism of injury Each lig with its function during ROM in dorsiflexion/er ATFL slack, CFL tight in plantarflexion/ir CFL slack, ATFL tight Acute
More informationAnkle Ligament Injury: Don t Worry- It s Only a Sprain Wes Jackson MD Orthopaedic Foot & Ankle
Ankle Ligament Injury: Don t Worry- It s Only a Sprain Wes Jackson MD Orthopaedic Foot & Ankle Outline I. Epidemiology II. Classification and Types of Sprains III. Anatomy IV. Clinical Assessment and Imaging
More information5 COMMON INJURIES IN THE FOOT & ANKLE
5 COMMON INJURIES IN THE FOOT & ANKLE MICHAEL P. CLARE, MD FLORIDA ORTHOPAEDIC INSTITUTE TAMPA, FL USA MECHANISM OF INJURY HOW DID IT HAPPEN? HIGH ENERGY VS LOW ENERGY DIRECTION OF FORCES INVOLVED LIVING
More informationDonald Stewart, MD. Lateral ligament injuries Chronic lateral ligament instability Syndesmosis Injuries
Donald Stewart, MD Arlington Orthopedic Associates Lateral ligament injuries Chronic lateral ligament instability Syndesmosis Injuries Anatomy Mechanism of Injury Classification Diagnostic Tests Management
More informationIndex. Clin Sports Med 23 (2004) Note: Page numbers of article titles are in boldface type.
Clin Sports Med 23 (2004) 169 173 Index Note: Page numbers of article titles are in boldface type. A Achilles enthesopathy, calcaneal spur with, 133 clinical presentation of, 135 136 definition of, 131
More informationClin Podiatr Med Surg 19 (2002) Index
Clin Podiatr Med Surg 19 (2002) 335 344 Index Note: Page numbers of article titles are in bold face type. A Accessory soleus muscle, magnetic resonance imaging of, 300 Achilles tendon injury of, magnetic
More informationAnkle Sprains and Their Imitators
Ankle Sprains and Their Imitators Mark Halstead, MD Dr. Mark Halstead is the Associate Professor of the Departments of Orthopedics and Pediatrics at Washington University School of Medicine; Director of
More informationMary Lloyd Ireland, M.D. Associate Professor University of Kentucky Dept. of Orthopaedic Surgery and Sports Medicine Lexington, Kentucky
Common Ankle Injuries: Diagnosis and Treatment Mary Lloyd Ireland, M.D. Associate Professor University of Kentucky Dept. of Orthopaedic Surgery and Sports Medicine Lexington, Kentucky Disclaimer Slide
More informationAnterior Impingement
Anterior Impingement Ziali Sivardeen BMedSci, (MRCS), AFRCS, FRCS (Tr & Orth) Consultant Trauma and Orthopaedic Surgeon (Shoulder, Knee and Sports Injuries) Aims Causes of Anterior Ankle Pain Ankle Impingement
More informationCopyright 2004, Yoshiyuki Shiratori. All right reserved.
Ankle and Leg Evaluation 1. History Chief Complaint: A. What happened? B. Is it a sharp or dull pain? C. How long have you had the pain? D. Can you pinpoint the pain? E. Do you have any numbness or tingling?
More informationAnatomy and evaluation of the ankle.
Anatomy and evaluation of the ankle www.fisiokinesiterapia.biz Ankle Anatomical Structures Tibia Fibular Talus Tibia This is the strongest largest bone of the lower leg. It bears weight and the bone creates
More informationManagement of Chronic Lateral Ligament Instability
Management of Chronic Lateral Ligament Instability Bony Anatomy Curved trochlear surface of talus produces a cone-shaped articulation whose apex is directed medially; thus the fan-shaped deltoid is all
More informationBurwood Road, Concord Dora Street, Hurstville Lethbridge Street, Penrith 160 Belmore Road, Randwick
www.orthosports.com.au 47 49 Burwood Road, Concord 29 31 Dora Street, Hurstville 119 121 Lethbridge Street, Penrith 160 Belmore Road, Randwick Update on Syndesmosis Ankle Sprains By Todd Gothelf Foot,
More informationReview relevant anatomy of the foot and ankle. Learn the approach to examining the foot and ankle
Objectives Review relevant anatomy of the foot and ankle Learn the approach to examining the foot and ankle Learn the basics of diagnosis and treatment of ankle sprains Overview of other common causes
More informationPeggers Super Summaries: Foot Injuries
Lisfranc Injury ANATOMY Roman arch with recessed 2 nd MT base AP medial side of intermediate cuneiform to 2 nd MT base Oblique medial side of lateral cuneiform with 3 rd MT base and 4 th with medial boarder
More informationArthroscopy Of the Ankle.
Arthroscopy Of the Ankle www.fisiokinesiterapia.biz Ankle Arthroscopy Anatomy Patient setup Portal placement Procedures Complications Anatomy Portals Anterior Anteromedial Anterolateral Anterocentral Posterior
More informationPhysical Examination of the Foot & Ankle
Inspection Standing, feet straight forward facing toward examiner Swelling Deformity Flatfoot (pes planus and hindfoot valgus) High arch (pes cavus and hindfoot varus) Peek-a-boo heel Varus Too many toes
More informationInvestigation of the factors to affect the duration to return sports after the surgery of anterior talofibular ligament repair with arthroscopy
Investigation of the factors to affect the duration to return sports after the surgery of anterior talofibular ligament repair with arthroscopy Hamamatsu University School of Medicine Mitsuru Hanada, Shoichi
More informationAnkle Injuries. Resident Guidebook. Achilles tendon sprain/tear. Peroneal tendinopathy Peroneal subluxation. Extensor Hallucis Longus Tenosynovitis
Ankle Injuries Achilles tendon sprain/tear Peroneal tendinopathy Peroneal subluxation Extensor Hallucis Longus Tenosynovitis Weber Fracture Stress fracture Calcaneal bursitis Calcaneal fracture Base of
More informationSports Injuries of the Foot and Ankle. Mark McEleney, MD University of Iowa College of Medicine Refresher Course for the Family Physician 4/4/2018
Sports Injuries of the Foot and Ankle Mark McEleney, MD University of Iowa College of Medicine Refresher Course for the Family Physician 4/4/2018 I. Objectives A. By the end of the lecture attendees will
More informationScar Engorged veins. Size of the foot [In clubfoot, small foot]
6. FOOT HISTORY Pain: Walking, Running Foot wear problem Swelling; tingly feeling Deformity Stiffness Disability: At work; recreation; night; walk; ADL, Sports Previous Rx Comorbidities Smoke, Sugar, Steroid
More informationii ANKLE INJURIES SPECIFIC TRAINING AFTER INJURY TO THE FOOT OR ANKLE
40 Ankle injuries are among the most common injuries in sport. Ankle sprain (which is a mechanism rather than a diagnosis) is the most common injury in virtually all epidemiological studies. Being the
More informationDisclosures. Syndesmosis Injury. Syndesmosis Ligaments. Objectives. Mark M. Casillas, M.D.
Disclosures Syndesmosis Injury No relevant disclosures Mark M. Casillas, M.D. 1 Objectives Syndesmosis Ligaments Understand the syndesmosis anatomy and function Classify syndesmosis injuries Describe treatment
More informationTHE LOWER EXTREMITY EXAM FOR THE FAMILY PRACTITIONER
THE LOWER EXTREMITY EXAM FOR THE FAMILY PRACTITIONER Melinda A. Scott, D.O. Orthopedic Associates of Dayton Board Certified in Primary Care Sports Medicine GOALS Identify landmarks necessary for exam of
More information(v) Chronic ankle instability
(v) Chronic ankle instability Hiro Tanaka Lyndon Mason Abstract Injuries to the ligaments of the ankle are common, especially in athletes. Symptomatic ankle instability develops in as many as 10e40% following
More informationBIOMECHANICS OF ANKLE FRACTURES
BIOMECHANICS OF ANKLE FRACTURES William R Reinus, MD MBA FACR Significance of Ankle Fractures Most common weight-bearing Fx 70% of all Fxs Incidence is increasing Bimodal distribution Men 15-24 Women over
More informationBut it s only an ankle sprain. Ankle injuries are the most common injury to the lower limb as a result of sports.
But it s only an ankle sprain Ankle injuries are the most common injury to the lower limb as a result of sports. Fortunately, most of them are minor and require little specific treatment, however, some
More informationAnkle Arthroscopy PAULO ROCKETT, M.D. Porto Alegre Brazil
Ankle Arthroscopy PAULO ROCKETT, M.D. Porto Alegre Brazil Ankle sprains are among the most common injuries in sports and at work. Between 20 and 40% of patients treated with conservative therapy may have
More information17/10/2017. Foot and Ankle
17/10/2017 Alicia M. Yochum RN, DC, DACBR, RMSK Foot and Ankle Plantar Fasciitis Hallux Valgus Deformity Achilles Tendinosis Posterior Tibialis Tendon tendinopathy Stress Fracture Ligamentous tearing Turf
More information11/2/17. Lateral Collateral Complex Medial Collateral Complex Distal Tibiofibular Syndesmosis Spring Ligament
Andrew J Grainger Leeds, UK Lateral Collateral Complex ial Collateral Complex Distal Tibiofibular Syndesmosis Spring Ligament Brief anatomy review Scan tips and tricks Pathological appearances andrewgrainger@nhs.net
More informationUltrasound of Mid and Hindfoot Pathology
Ultrasound of Mid and Hindfoot Pathology Levon N. Nazarian, M.D. Professor of Radiology Thomas Jefferson University Hospital Disclosures None relevant to this presentation Educational Objective Following
More informationAnkle and Foot Orthopaedic Tests Orthopedics and Neurology DX 612
Ankle and Foot Orthopaedic Tests Orthopedics and Neurology DX 612 James J. Lehman, DC, MBA, DABCO University of Bridgeport College of Chiropractic Ankle & Foot Anatomy Stability of the ankle is dependent
More informationLateral Ankle Instability: The Predictive Value of Ankle Stress Radiographs vs MRI
Lateral Ankle Instability: The Predictive Value of Ankle Stress Radiographs vs MRI Natalie R. Danna, MD Rachel J. Shakked, MD Steven C. Sheskier, MD Lateral Ankle Instability: The Predictive Value of DISCLOSURES
More informationLeg and Ankle Problems in Primary Care.
Leg and Ankle Problems in Primary Care www.fisiokinesiterapia.biz Leg and Ankle Presentations 4Trauma 4Pain Ankle Trauma 41. Twist and Fall--Fracture or Sprain 42. Patient hears/feels a pop--tendon or
More informationANKLE SPRAIN: DIAGNOSIS AND THERAPY STARTS WITH KNOWLEDGE OF ANATOMY
ANKLE SPRAIN: DIAGNOSIS AND THERAPY STARTS WITH KNOWLEDGE OF ANATOMY Written by Pau Golanó, Spain and Jordi Vega, Switzerland A thorough knowledge of anatomy is imperative for adequate assessment of joint
More informationSurgery-Ortho. Fractures of the tibia and fibula. Management. Treatment of low energy fractures. Fifth stage. Lec-6 د.
Fifth stage Lec-6 د. مثنى Surgery-Ortho 28/4/2016 Indirect force: (low energy) Fractures of the tibia and fibula Twisting: spiral fractures of both bones Angulatory: oblique fractures with butterfly segment.
More informationACL AND PCL INJURIES OF THE KNEE JOINT
ACL AND PCL INJURIES OF THE KNEE JOINT Dr.KN Subramanian M.Ch Orth., FRCS (Tr & Orth), CCT Orth(UK) Consultant Orthopaedic Surgeon, Special interest: Orthopaedic Sports Injury, Shoulder and Knee Surgery,
More informationClinical evaluation where no obvious fracture a. Squeeze test
7:43 am The Syndesmotic Injury: From Subtle to Severe Robert B. Anderson, MD Chief, Foot and Ankle Carolinas Medical Center OrthoCarolina (Charlotte, North Carolina) 7:30-8:25 am Symposium 1: Management
More informationAnkle instability surgery
Ankle instability surgery Ankle instability surgery is generally reserved for people with chronic ankle instability who have failed to respond to conservative treatment. The surgical technique used will
More informationBarriers Between Injury and Returnto-Work. Lower Extremity. Why the Extreme Variability
Barriers Between Injury and Returnto-Work in the Lower Extremity Why the Extreme Variability Barriers to Diagnosis Failure or delay in reporting injury Employee expectations: Not really a serious injury
More informationANKLE SPRAINS Learning objectives
ANKLE SPRAINS Learning objectives Upon viewing this presentation, the physical therapist will be able to define the 3 types of ankle sprains. discuss which ligament (s) are involved in the injury. interpret
More informationHigh Ankle Sprains: Diagnosis & Treatment
High Ankle Sprains: Diagnosis & Treatment Mark J. Mendeszoon, DPM, FACFAS, FACFAOM Precision Orthopaedic Specialties University Regional Hospitals Advanced Foot & Ankle Fellowship- Director It Is Only
More informationAnkle sprain: ORTHOPAEDICS AND TRAUMA 25:256
Ankle sprain: ORTHOPAEDICS AND TRAUMA 25:256 The incidence in the UK of 52.7/10 000/year equates to 300 000 injuries/year. There is linle role for surgery in the acute phase. SymptomaQc ankle instability
More information"The Role of Dynamic Ultrasound and MRI in the poorly resolving ankle sprain."
"The Role of Dynamic Ultrasound and MRI in the poorly resolving ankle sprain." Poster No.: P-0007 Congress: ESSR 2013 Type: Scientific Exhibit Authors: J. M. Zietkiewicz, P. Mercouris, M. C. Marshall;
More informationFoot and ankle update
Foot and ankle update Mr Ian Garnham Consultant Foot and Ankle Surgeon Whipps Cross University Hospital Hallux Rigidus Symptoms first ray and 1st MTP pain and swelling worse with push off or forced dorsiflexion
More informationCHRONIC FOOT PROBLEMS FOOT and ANKLE BASICS
CHRONIC FOOT PROBLEMS FOOT and ANKLE BASICS ABC s of Comprehensive Musculoskeletal Care December 1 st, 2007 Stephen Pinney MD Chief, UCSF Foot and Ankle Service Chronic problems typically occur gradually
More informationEverything. You Should Know. About Your Ankles
Everything You Should Know About Your Ankles How Your Ankle Works The ankle joint is a hinge type joint that participates in movement and is involved in lower limb stability. There are 2 types of motions
More informationModified Brostrom-Evans-Gould technique for recurrent lateral ankle ligament instability
Journal of Orthopaedic Surgery 2007;15(3):306-10 Modified Brostrom-Evans-Gould technique for recurrent lateral ankle ligament instability ZD Ng, S Das De Department of Orthopaedic Surgery, National University
More informationAnkle Tendons in Athletes. Laura W. Bancroft, M.D.
Ankle Tendons in Athletes Laura W. Bancroft, M.D. Outline Protocols Normal Anatomy Tendinopathy, partial and complete tears Posterior tibial, Flexor Hallucis Longus, Achilles, Peroneal and Anterior Tibial
More informationIntroduction Introduction Ankle Sprains Ankle Sprains ankl nkle
s/ Syndesmotic Injuries 21% of all athletic injuries are to the ankle 25% of NFL injuries are foot and ankle related Vast majority are simple inversion twisting types Classic sprains involve the lower
More informationPediatric Ankle Sprains and Their Imitators
Pediatric Ankle Sprains and Their Imitators Mark E. Halstead, MD Abstract Ankle injuries are common in sports, and the ankle sprain is the most common of ankle injuries, but there are many injuries that
More informationA Patient s Guide to Ankle Sprain and Instability. Foot and Ankle Center of Massachusetts, P.C.
A Patient s Guide to Ankle Sprain and Instability Welcome to Foot and Ankle Center of Massachusetts, where we believe in accelerating your learning curve with educational materials that are clearly written
More informationPosterior Tibialis Tendon Dysfunction & Repair
1 Posterior Tibialis Tendon Dysfunction & Repair Surgical Indications and Considerations Anatomical Considerations: The posterior tibialis muscle arises from the interosseous membrane and the adjacent
More informationAnkle Arthroscopy.
Ankle Arthroscopy Key words: Ankle pain, ankle arthroscopy, ankle sprain, ankle stiffness, day case surgery, articular cartilage, chondral injury, chondral defect, anti-inflammatory medication Our understanding
More informationPaul 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
More informationMain Menu. Ankle and Foot Joints click here. The Power is in Your Hands
1 The Ankle and Foot Joints click here Main Menu Copyright HandsOn Therapy Schools 2009 K.8 http://www.handsonlineeducation.com/classes/k8/k8entry.htm[3/27/18, 1:40:03 PM] Ankle and Foot Joint 26 bones
More informationJune 2013 Case Study. Author: T. Walker Robinson, MD, MPH, Nationwide Children s Hospital
June 2013 Case Study Author: T. Walker Robinson, MD, MPH, Nationwide Children s Hospital Chief Complaint: Right ankle pain HPI: A 10 year old female dancer presents to the clinic with a five day history
More informationSURGICAL AND APPLIED ANATOMY
Página 1 de 9 Copyright 2001 Lippincott Williams & Wilkins Bucholz, Robert W., Heckman, James D. Rockwood & Green's Fractures in Adults, 5th Edition SURGICAL AND APPLIED ANATOMY Part of "47 - ANKLE FRACTURES"
More informationAnterior Cruciate Ligament Injuries
Anterior Cruciate Ligament Injuries One of the most common knee injuries is an anterior cruciate ligament sprain or tear.athletes who participate in high demand sports like soccer, football, and basketball
More informationSOFT TISSUE KNEE INJURIES
SOFT TISSUE KNEE INJURIES Soft tissue injuries of the knee commonly occur in all sports or in any activity that requires sudden changes in activity or movement. The knee is a complex joint and any injury
More informationImportance of Topic 5/17/2013. Rethinking Proprioception Training & Ankle Instability. Dr Emily Splichal, DPM, MS, CES
Rethinking Proprioception Training & Ankle Instability Dr Emily Splichal, DPM, MS, CES Evidence Based Fitness Academy Applying Research Achieving Results Importance of Topic JBJS 2010 study found average
More informationDr Emily Splichal, DPM, MS, CES Evidence Based Fitness Academy Applying Research Achieving Results
Rethinking Proprioception Training & Ankle Instability Dr Emily Splichal, DPM, MS, CES Evidence Based Fitness Academy Applying Research Achieving Results Importance of Topic JBJS 2010 study found average
More informationCommonly Missed Foot and Ankle Conditions. David Miller, DPM AMG Podiatry
Commonly Missed Foot and Ankle Conditions David Miller, DPM AMG Podiatry Lisfranc Injuries Wide spectrum of injuries High energy Subtle subluxation which could be easily missed injuries Men are 2-4x s
More informationRecognizing common injuries to the lower extremity
Recognizing common injuries to the lower extremity Bones Femur Patella Tibia Tibial Tuberosity Medial Malleolus Fibula Lateral Malleolus Bones Tarsals Talus Calcaneus Metatarsals Phalanges Joints - Knee
More informationAnterior ankle impingement in sports Hrefna Thorbjorg Hakonardottir
Anterior ankle impingement in sports Hrefna Thorbjorg Hakonardottir Anterior ankle impingement in sports Ankle impingement syndromes are classified by their anatomical location around the tibiotalar joint
More informationFoot and Ankle Complaints.
Foot and Ankle Complaints www.fisiokinesiterapia.biz INTRODUCTION Anatomy and Function Foot Ankle Common complaints Common diagnoses FOOT AND ANKLE ANATOMY 26 bones and 2 sesamoids Forefoot Metatarsals
More informationAnkle Injuries. Ankle Sprain. Range of Motion. The most likely diagnosis is lateral ligament sprain. Dorsiflexion Plantarflexion Inversion
Ankle Injuries Dr Peter Brukner, OAM Sports Physician Associate Professor Centre for Sports Medicine Research & Education The University of Melbourne Adjunct Professor School of Human Movement Studies
More information3/6/2012 STATE OF THE ART: FOOT AND ANKLE GENERAL KNOWLEDGE 1. TRASP REHABILITATION CONTENTS. General knowledge Trasp Prevention
STATE OF THE ART: FOOT AND ANKLE ILITATION Fabienne Van De Steene. CONTENTS General knowledge Trasp Prevention Rehab Ankle sprain CAI Achilles tendon Plantar fasciitis Take home message 2 1. TRASP Ankle
More informationPRIMARY CARE EXAMINATION OF KEY JOINTS. Thomas M. Howard, MD, FACSM FFPC Sports Medicine
PRIMARY CARE EXAMINATION OF KEY JOINTS Thomas M. Howard, MD, FACSM FFPC Sports Medicine General exam principles: Expose entire joint and opposite limb for comparison Have a Differential Diagnosis Exam
More informationPrevention and Treatment of Injuries. Anatomy. Anatomy. Tibia: the second longest bone in the body
Prevention and Treatment of Injuries The Ankle and Lower Leg Westfield High School Houston, Texas Anatomy Tibia: the second longest bone in the body Serves as the principle weight-bearing bone of the leg.
More information2017 SAFSA CONGRESS PROGRAMME
2017 SAFSA CONGRESS PROGRAMME THURSDAY, MAY 25 07h45 07h55: WELCOME & INTRODUCTIONS Forefoot I: Hallux Valgus and Lesser Toes (08h00-10h00 Lectures) 08h00 08h30: Surgical Management of Hallux Valgus Rippstein,
More information6/27/2016. Disclosures. Implementing the NATA Position Statement Recommendations for Ankle Sprain Rehab: An Evidence-Based Approach
Implementing the NATA Position Statement Recommendations for Ankle Sprain Rehab: An Evidence-Based Approach Thomas W. Kaminski, PhD, ATC, FNATA, FACSM, RFSA Professor/Director of Athletic Training Education
More informationThese FAQs apply to lateral and medial ankle ligament sprains, but not to syndesmosis (high) ankle sprains, which are treated differently.
ISO 9001:2015 FS 550968 What is an ankle sprain? A sprain is a tear of a ligament. Ligaments are the tough fibrous tissues that connect the bones together across a joint. Ligament tears can vary from very
More informationAnkle Fracture in the Athlete: Should I scope? What about the Deltoid? Do I have to repair?
Ankle Fracture in the Athlete: Should I scope? What about the Deltoid? Do I have to repair? DAVID A PORTER, MDPHD METHODIST SPORTS MEDICINE/THE ORTHOPEDIC SPECIALISTS 201 PENNSYLVANIA PKWY INDIANAPOLIS,
More informationA Patient s Guide to Peroneal Tendon Subluxation. Foot and Ankle Center of Massachusetts, P.C.
A Patient s Guide to Peroneal Tendon Subluxation Welcome to Foot and Ankle Center of Massachusetts, where we believe in accelerating your learning curve with educational materials that are clearly written
More informationemoryhealthcare.org/ortho
COMMON SOCCER INJURIES Oluseun A. Olufade, MD Assistant Professor, Department of Orthopedics and PM&R 1/7/18 GOALS Discuss top soccer injuries and treatment strategies Simplify hip and groin injuries in
More informationFoot and Ankle Update
Foot and Ankle Update 2019 Instructional Course Hiro Tanaka It s your on-call weekend Objectives We are going to apply evidence based treatment for 2 patients who are admitted under your care 1. Dislocated
More informationAnatomy of Foot and Ankle
Anatomy of Foot and Ankle Surface anatomy of the ankle & foot Surface anatomy of the ankle & foot Medial orientation point medial malleous sustentaculum tali tuberosity of navicular TA muscle TP muscle
More informationWelcome to the: Orthopaedic Opinion Online Website The website for the answer to all your Orthopaedic Questions
Welcome to the: Orthopaedic Opinion Online Website The website for the answer to all your Orthopaedic Questions Orthopaedic Opinion Online is a website designed to provide information to patients who have
More informationCommon Athletic Injuries of the Ankle
Common Athletic Injuries of the Ankle Common Injuries of the Ankle in Athletes Ankle Sprains Chronic Lateral Ankle Instability Peroneal Tendon Injuries Achilles Tendon Tears Ankle Sprains What s an Ankle
More informationAchilles Tendonitis and Tears
Achilles Tendonitis and Tears The Achilles tendon is an important structure for normal ankle motion and normal function, even for daily activities such as walking. Achilles tendonitis can occur in patients
More informationObjective. Reducing a displaced Syndesmosis 2/11/2016. Ankle Fractures Common Misconceptions. Common Myths in ankle fracture management
Ankle Fractures Common Misconceptions Jackson Lee, MD Associate Professor Clinical Orthopedics Keck School of Medicine of the University of Southern California Objective Common Myths in ankle fracture
More informationFoot & Ankle Disorders
Foot & Ankle Disorders Hillingdon PGMC 6-7-2013 Htwe Zaw FRCS (Tr&Orth) Consultant Foot & Ankle and Trauma Surgeon Hillingdon Hospitals NHS Foundation Trust Overview Anatomy: hindfoot-midfoot coupling
More informationAnatomy of the inferior extensor retinaculum and its role in lateral ankle ligament reconstruction: a pictorial essay
DOI 10.1007/s00167-016-4082-5 ANKLE Anatomy of the inferior extensor retinaculum and its role in lateral ankle ligament reconstruction: a pictorial essay M. Dalmau Pastor 1,2 Y. Yasui 3,4 J. D. Calder
More informationAnterior Cruciate Ligament (ACL) Injuries
Anterior Cruciate Ligament (ACL) Injuries Mark L. Wood, MD The anterior cruciate ligament (ACL) is one of the most commonly injured ligaments of the knee. The incidence of ACL injuries is currently estimated
More informationMr. Siva Chandrasekaran Orthopaedic Surgeon MBBS MSpMed MPhil (surg) FRACS
Sprained Ankle An ankle sprain occurs when the strong ligaments that support the ankle stretch beyond their limits and tear. Ankle sprains are common injuries that occur among people of all ages. They
More informationObjectives. Sprains, Strains, and Musculoskeletal Maladies. Sprains. Sprains. Sprains. Physical Exam 5/5/2010
Objectives, Strains, and Musculoskeletal Maladies Robert Hosey, MD University of Kentucky Sports Medicine Define sprains and strains Systematically evaluate and manage joint / muscle injuries When to refer
More informationAcute Ankle Injuries, Part 1: Office Evaluation and Management
t June 08, 2009 Obesity [1] Each acute ankle injury commonly seen in the office has associated with it a mechanism by which it can be injured, trademark symptoms that the patient experiences during the
More informationRadiographic assessment. Functional. Paul Tornetta III Professor 11/21/2016. Fracture not in coronal plane May need CT to evaluate
The Posterior Malleolus Paul Tornetta III Professor Boston Medical Center Publications: Disclosures! Rockwood and Green, Tornetta and Einhorn; Subspecialty series, Court-Brown, Tornetta; Trauma, AAOS;
More informationAnterior Cruciate Ligament (ACL) Injuries
Anterior Cruciate Ligament (ACL) Injuries This article is also available in Spanish: Lesiones del ligamento cruzado anterior (topic.cfm?topic=a00697) and Portuguese: Lesões do ligamento cruzado anterior
More informationDEPARTMENT OF TRAUMATOLOGY AND HAND SURGERY INSTITUTE OF MUSCULOSKELETAL SURGERY ANKLE AND FOOT INJURIES
DEPARTMENT OF TRAUMATOLOGY AND HAND SURGERY INSTITUTE OF MUSCULOSKELETAL SURGERY ANKLE AND FOOT INJURIES Presenter: Dr George Ayerh ENGLISH PROGRAM LECTURES EN_11/A - 2018 TOPICS I. Part: Ankle & Foot
More informationTherapeutic Foot Care Certificate Program Part I: Online Home Study Program
Therapeutic Foot Care Certificate Program Part I: Online Home Study Program 1 Anatomy And Terminology Of The Lower Extremity Joan E. Edelstein, MA, PT, FISPO Associate Professor of Clinical Physical Therapy
More informationThe Lower Limb VII: The Ankle & Foot. Anatomy RHS 241 Lecture 7 Dr. Einas Al-Eisa
The Lower Limb VII: The Ankle & Foot Anatomy RHS 241 Lecture 7 Dr. Einas Al-Eisa Ankle joint Synovial, hinge joint Allow movement of the foot in the sagittal plane only (1 degree of freedom): dorsiflexion:
More informationLower Extremity Sports Injuries
Lower Extremity Sports Injuries AAP Musculoskeletal Boot Camp Sigrid F. Wolf, MD Pediatric Sports Medicine Fellow Northwestern University Lurie Children s Hospital Disclosure I have no relevant financial
More informationArthroscopic reconstruction of lateral ligaments of the ankle (Anti-Roll) via three portals: A new technique
Arthroscopic reconstruction of lateral ligaments of the ankle (Anti-Roll) via three portals: A new technique Kentaro Matsui 1,2, Mark Glazebrook 2,Wataru Miyamoto 1, Ken Innami 1, Masato Takao 1 Department
More information