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Prescription Sports

RUNNING ON A HARD SURFACE

Running is one of the most popular sports in the world. This not only covers marathons and track and field running – running is also part of the training in virtually all other sports, including soccer, rugby, handball and triathlon. Running is a very efficient method for maintaining or improving […]

Puncture Wounds of the Foot

Basics Description Puncture injuries of the foot typically occur on the plantar surface of the forefoot or heel. The injuring object usually is a nail, needle, or pin, but it can be anything that punctures the soft tissue, including thorns, glass, and splinters. Classification: Early presentation: Day of injury Late presentation: At least 3-5 […]

Posteromedial Bow of the Tibia

Basics Description Posteromedial bowing of the tibia is an angulation of the lower leg noticed at birth. The foot typically is in a calcaneovalgus position. The angulation of leg is secondary to a deformity in the tibia. In most children, the angle gradually corrects itself during growth. The limb-length discrepancy persists and increases proportionately […]

Lisfranc Fracture-Dislocation

Basics Description Dislocation of the TMT joints of the foot. Can occur at any age Often accompanied by fractures around the TMT joints Classification: Type A: Total incongruity of TMT joint Type B: Partial incongruity of TMT joint complex, either medial or lateral Type C: Divergent (1st metatarsal medial, 2nd-5th lateral) Epidemiology Incidence Lisfranc […]

Jones Fracture

Basics Description Fracture of the base of the 5th metatarsal of the foot Injuries may be acute or stress fractures. Classification is by location of the fracture. Tuberosity avulsion fracture: No involvement of the 4th to 5th intermetatarsal joint True Jones fracture: Proximal metaphyseal fracture with involvement of the 4th to 5th intermetatarsal joint […]

Friedreich Ataxia

Basics Description Friedreich ataxia is an uncommon, heritable disorder causing progressive spinocerebellar degeneration. Scoliosis, ataxia, and foot deformities are the most common findings. Systems affected: Central nervous system; Heart; Skeleton Classification: No subclassifications are used in Friedreich ataxia. It is classified under the category spinocerebellar degeneration, and it is the most common example of […]

Foot and Ankle Anatomy and Examination

Basics Description The major function of the foot and ankle is to allow even stress distribution between the foot and lower extremity during walking and running. For adequate function, the foot must be plantigrade (i.e., rest evenly flat on the ground) and painless. The muscles that control foot and ankle function include extrinsic (originating […]

Compartment Syndrome of the Foot

Basics Description Compartment syndrome of the foot occurs when bleeding and interstitial edema in the muscle compartments of the foot cause a substantial decrease in capillary perfusion, resulting in myoneural ischemia and eventual necrosis. General Prevention Prevention of the long-term sequelae of compartment syndrome requires a high level of suspicion for the diagnosis. Epidemiology […]

Clubfoot

Basics Description Clubfoot, or talipes equinovarus, is a complex deformity seen at birth. It can be divided into 3 elements: Equinus of the heel Varus and internal rotation of the hindfoot Adductus of the forefoot Equinus (horse) is used to describe a plantarflexed position because horses walk with their heels in complete plantarflexion, and […]

Charcot-Marie-Tooth Disease

Basics Description Charcot-Marie-Tooth disease is the most common hereditary motor and sensory neuropathy. Involvement progresses from distal to proximal: Lower extremity wasting, weakness, and cavovarus feet develop, followed in some cases by upper extremity weakness. 5 recognized types: Type I (hypertrophic form): The most common form (50% of patients) Thickened nerves have abnormal myelin […]