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Foot, Ankle, and Lower Leg

Foot, Ankle, and Lower Leg. Chapter 15. The Foot. The three major groups of bones are Tarsals Metatarsals Phalanges A grand total of 28 bones in the foot. The Cup and Saucer. The tibia and fibula fit the talus like a cup and saucer. Muscles in the calf.

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Foot, Ankle, and Lower Leg

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  1. Foot, Ankle, and Lower Leg Chapter 15

  2. The Foot • The three major groups of bones are • Tarsals • Metatarsals • Phalanges • A grand total of 28 bones in the foot

  3. The Cup and Saucer • The tibia and fibula fit the talus like a cup and saucer

  4. Muscles in the calf • There are two major muscles in the posterior calf. • Gastrocnemius • Soleus

  5. Lateral Ligaments The anterior talofibular ligament is the most commonly sprained ligament in the ankle

  6. Medial Ligaments • The deltoid ligament is very strong • When it is injured the athlete should be tested for a tibial fracture • Eversions sprains make up approximately 15% of all ankle sprains

  7. Great Toe Sprain“Turf Toe” • The great toe is very important for a variety of functions • Balance • Kicking • Walking • Running • Push off

  8. Ankle Braces • Bracing has been proven to be more effective than taping in many studies. • Taping tends to loose shape and effectiveness over time (as short as 20 minutes) • Braces should allow the athlete a full range of motion and should be comfortable

  9. AIRCAST • This is not an athletic ankle brace its too restrictive

  10. Ankle dislocations • Important to call 9-1-1 for this injury • Blood vessels and nerves may be damaged

  11. Tendonitis/Tendinitis • Most common at this region is ACHILLES and POSTERIOR TIBIALIS tendonitis • Inflammation of the tendon • Occurs as a result of overuse/under conditioning

  12. Achilles Tendonitis • Can be very painful • Can set you up for a rupture if it does heal/go away

  13. Achilles Rupture • Can happen with • Forceful contraction of gastroc • Blow to the tendon • Forced dorsiflexion

  14. Fractures at the lower leg • ALL fractures must be splinted above and below the injury site • This involves the whole foot and the knee • Refer for xrays and call 9-1-1 if its serious • Do not move athlete if it causes pain

  15. Jones Fracture • An avulsion of the 5th metatarsal • Involves peroneus brevis tendon • Occurs with forceful inversion

  16. Shin Splints • Medial Tibial Stress Syndrome • Pain at the medial tibia • Muscle fibers pulling away from the tibia • Occurs b/c athlete is out of shape, older running shoes, tight calf muscles

  17. Anterior Compartment Syndrome • A very serious condition!! • Diminished pulse • Often occurs after trauma to the area • Requires surgical repair (fascieotomy)

  18. Toe Abnormalities

  19. PRICES • The best way to take care of almost any injury: Protect Rest Ice Compress Elevate Support

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