Specialists

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Lateral Ankle Ligament Ruptures

SYMPTOMS

The patient refers to a sudden sharp tearing pain around the lateral aspect of the ankle joint after an acute inversion sprain or, on occasions, of recurrent instability after previous sprains.

AETIOLOGY

The anterior talo-fibular (ATF) and fibulo-calcanear (FC) ligaments are the most commonly damaged structures in uncomplicated inversion-plantar flexion ankle sprain. Most […]

Turf Toe

SYMPTOMS

There is a gradually increasing stiffness and diffuse aching pain around MTP I. Commonly affects team sports players who wear studded shoes.

AETIOLOGY

Common theories include repetitive minor trauma to the capsule and cartilage of MTP I from ill-fitting shoes, direct impact and playing on hard turf with shoes that get stuck. […]

Tarsal Coalition

SYMPTOMS

There is diffuse exercise-induced aching pain around the sub-talar joint, sometimes after previous sprain.

AETIOLOGY

The aetiology is unclear. Sub-talar structures fuse over time by fibrosis or callus formation.

CLINICAL FINDINGS

There is tenderness on palpation over the sub-talar joint (sinus tarsi), decreased mobility and swelling.

INVESTIGATIONS

X-ray may show talo-navicular coalition; talo-calcaneal coalition […]

Sub-Talar Instability and Pain

SYMPTOMS

There is increasing stiffness or sense of instability combined with diffuse aching pain around and below the talo-tibial ankle joint, often occurring after previous sprain.

AETIOLOGY

The aetiology is unclear but the trauma may have caused structural damage to the region that can be missed.

CLINICAL FINDINGS

There is tenderness on palpation over the […]

Stress Fractures of the Foot

SYMPTOMS

There is increasing localised pain over a bony prominence, often with no direct preceding trauma. The start of symptoms can be acute. There is often a history of suddenly increased training intensity or jumping or running on hard surfaces. A number of famous footballers’ metatarsal stress fractures have figured in the media over the […]

Sesam Bone Stress Fractures

SYMPTOMS

There is gradually increasing exerciseinduced pain and swelling around and below MTP I or diffuse pain in the forefoot on forefoot landings and running.

AETIOLOGY

This injury is usually caused by excessive direct impact from landing on the forefoot on hard surfaces.

CLINICAL FINDINGS

There is distinct tenderness on palpation over the medial or […]

Plantar Fasciitis

SYMPTOMS

There is increasing sharp or aching localised pain around the insertion of the plantar fascia at the anterior inferior part of the calcaneus, without preceding trauma. This condition commonly occurs in middle-aged athletes who run or jump repeatedly on the forefoot but is also common in manual orkers who stand on hard surfaces in […]

Morton’s Neuroma

SYMPTOMS

Sharp radiating exercise-induced pain or dysaestesia between two metatarsal bones, most often between MT III and MT IV, without obvious preceding trauma. There are often bilateral symptoms. Usually it occurs in adults and particularly in middleaged recreational athletes who wear tight shoes.

AETIOLOGY

This syndrome is caused by entrapment of an inter-digital nerve between […]

Hallux Valgus

SYMPTOMS

Increasing stiffness, aching pain and typical deformation of MTP I without preceding trauma. Often the symptoms are bilateral. This condition is commonly presented by middle-aged recreational athletes or sedentary people, predominantly female, but it can occur in younger individuals.

AETIOLOGY

The aetiology is unclear but there is possibly a genetic predisposition to this disease, […]

Hallux Rigidus

SYMPTOMS

There is increasing stiffness and exercise-induced pain around MTP I without preceding trauma, usually affecting adult athletes. This condition can be mistaken for ‘turf toe’, which is common in young footballers.

AETIOLOGY

The aetiology is unclear but there is a possible genetic predisposition.

CLINICAL FINDINGS

There is decreased active and passive range […]