Download Injuries to the Foot and Ankle

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Injuries to the Lower Leg,
Foot and Ankle
Lower Leg Injuries
Caution! Graphic Picture
Contusions
 Shin
contusion
Compartment Syndrome

Fasciotomy – surgical
procedure in which the fascia
is cut to relieve pressure
http://www.youtube.com/watch?v=82QcxdHel0Q
Muscle Strain
 Calf
is most affected (usually at
gastroc-achilles junction)

Grade 1 Calf Strain:

Grade 2 Calf Strain :

Grade 3 Calf Strain:
Achilles Tendonitis
 Inflammation
of the Achilles
Tendon
 MOI – overuse, microtearing of
tendon
Achilles Tendon Tear


Thompson’s test for Achilles Tendon Rupture
http://www.youtube.com/watch?v=8kxPFjSJj0k
Muscle Spasm
 Calf
usually affected
 MOI – fatigue, dehydration
 Treatment – direct compression,
gradual stretch, ice, rehydrate
Leg Fractures
Direct
blows or indirect
trauma
Stress Fractures
An incomplete break in a
bone occurring after
prolonged repetitive
exercise
Stress Fractures (con’t)
 Signs
-
and Symptoms
Medial Tibial Stress
Syndrome
 “shinsplints”
 Pain
along medial border of the
tibia
 Usually with novice runners – well
conditioned runners usually due to
mechanical abnormalities
 Causes:
- running on hard
surfaces
- Overuse
- Muscle imbalance
- Tight Achilles

Ankle Injuries
Mechanisms of Injuries
 Inversion
-
 Plantar
Flexion
- Usually sprain ankle when in
plantar flexion.
- Ankle is unstable in this position
 Eversion
- usually due to a planted foot
that receives a lateral force
- stepping in a hole
- higher incidence of
fractures
Lateral Ligament Sprain
 Most
common ankle injury
 MOI = Inversion and plantar
flexion
 Anterior
Talofibular Ligament
(ATF) is injured first. (mild sprain)
 The Calcaneofibular Ligament
(CF) is injured in more severe
sprains
INVERSION ANKLE SPRAIN


Ankle inversion
http://www.youtube.com/watch?v=dP17ZY3zxa4&feature=related
http://www.youtube.com/watch?v=8Kc1CEAk1ao&feature=fvwrel

Medial Ligament Sprain
(Deltoid Ligament)
 Often
associated with fractures
of lateral malleolus
The Deltoid Ligament

Peroneal Tendon Injury
 Can
occur when lateral ankle
ligaments are injured