Principles of Athletic Training Chapter 18
Severs disease etiology
A traction injury Apophysitis Usually in adolescent populations
Plantar Fasciitis Etiology
A ubiquitous term used to describe proximal heel pain Increased tensile forces develop through depression of the medial longitudinal arch or with great toe extension
Morton's Toe etiology
Abnormally short 1st Metatarsal Increases weight bearing at the second toe May lead to 2nd metatarsal stress fracture
Jones Fracture etiology
An avulsion fracture of the base of the 5th metatarsal Often associated with lateral ankle sprains
Bunion (Hallux Valgus Deformity) etiology
An exostosis of the 1st metatarsal phalangeal joint
Apophysitis of the Calcaneus (Sever's Disease, "pump bump")
Apophysis----A bony outgrowth such as a tubercle or tuberosity
Tarsometatarsal Fracture/Dislocation (Lisfranc Injury) Signs and symptoms
Foot pain and inability to bear weight
Bunion (Hallux Valgus Deformity) signs and symptoms
Hallux Valgus deformity Pain and swelling over the 1st MTP joint/bursitis
Pes Planus etiology
A "fallen" medial longitudinal arch Hyperpronation
Pes Cavus etiology
A "high" arch Accentuated medial longitudinal arch Often associated with hypersupination of the foot Leads to other injuries
Tarsometatarsal Fracture/Dislocation (Lisfranc Injury) etiology
Hyper plantarflexion of the forefoot Forceful motion
Jones Fracture signs and symptoms
Immediate pain and swelling over the base of the 5th metatarsal
Calcaneal fracture Signs and symptoms
Immediate pain, swelling and disability
Calcaneal fracture managment
Immobilization Referral
Jones Fracture mangment
Immobilization Referral
Talus fracture managment
Immobilization Referral
Retrocalcaneal Bursitis etioligy
Irritation of the retrocalcaneal bursa Often from the heel counter of shoe May be chronic or acute
Calcaneal fracture etiology
Landing from a jump or fall from a height
Pes Planus managment
No management needed in asymptomatic patients Alleviate causative factors: Orthotics Rehabilitation
Morton's toe managment
No management needed in asymptomatic patients Orthotic
Pes Cavus managment
No management needed in asymptomatic patients Orthotic
Retrocalcaneal bursitis signs and symptons
Pain and swelling in the area of the bursa
Plantar Fasciitis signs and symptoms
Pain at the anterior medial heel Pain is exquisite in the morning
Severs disease signs and symptom
Pain at the posterior heel below the attachment of the Achilles tendon
Talus fracture signs and symptoms
Pain with weight bearing Point tender talar dome
Bunion (Hallux Valgus Deformity) managment
RICE Footwear Splinting/wedging
Retrocalcaneal bursitis managnment
RICE NSAIDS Eliminate causative factors
Heel contusion mangment
RICE NSAIDS Eliminate causative factors Padding
Severs disease managment
RICE NSAIDS Heel lift
Plantar Fascitis managment
RICE Orthotics/Heel Cup Flexibility Training Night Splints
Tarsometatarsal Fracture/Dislocation (Lisfranc Injury) mangment
Referral
Heel contusion signs and symptoms
Severe heel pain Decreased weight bearing ability
Talus fracture etiology
Severe inversion and dorsiflexion force with external rotation
Heel contusion etiology
Sudden stopping motion/activity Fat pad trauma
Pes Cavus signs and symptoms
Visible high arch General foot pain Metatarsalgia Clawed or hammer toes
Morton's toe signs and symptoms
Visible deformity
Pes Planus signs and symptoms
Visible depression of the medial longitudinal arch Pain and feeling of weakness in the foot at the arch
Talus Fracture
lateral process of the talus
MTP
metatarsal phlangial joint
