Flashcards in 04 Foot 2 Deck (29):
stress fx: MOI
excessive increased activity
stress fx: s/s
- pain on palpation of a long bone
- pain increases with WB activity
When do you get callus formation? What does this mean with respect to stress fractures?
- 3 weeks
- won't show up on radiograph until then
cuboid subluxates and pinches the synovium
cuboid syndrome: MOI
- inversion sprain (ankle sprain gets better but they still have point tenderness)
- usually dancers get cuboid syndrome
cuboid syndrome treatment
cuboid whip then taping to stabilize
What type of injury occurs in the midfoot area?
What type of injury occurs in the midfoot to forefoot area?
Lis Franc injury
What is done for a Lis Franc injury?
What is tarsal tunnel syndrome?
entrapment of posterior tibial nerve under the flexor retinaculum against the calcaneus
tarsal tunnel syndrome: What does excessive pronation increase tension in?
- flexor retinaculum
- spring ligament
What type of macrotrauma might cause tarsal tunnel syndrome and what happens?
- compression of tibial nerve
tarsal tunnel syndrome: s/s
- burning pain and paresthesia along plantar surface of foot
- ttp to tarsal tunne
- positive tinel's sign
tarsal tunnel syndrome: treatments
- rest, NSAIDS, modalities
- orthotics, shoe recommendations
- tarsal tunnel release
What is retrocalcaneal bursitis?
inflammation of the retrocalcaneal bursa (anterior/deep to achilles)
What are some common causes for retrocalcaneal bursitis?
- equinus, supinated, or pronated foot
- running uphill
- rigid heel counter (compresses bursa)
retrocalcaneal bursitis s/s
- point ttp
- may have muscle tendon unit sequence
- differentiate from Sever's syndrome
What is Sever's syndrome?
treatment for retrocalcaneal bursitis
- rest, modalities, NSAIDS
- improve flexibility
- shoe evaluation
- modify training program
retrocalcaneal bursitis: what shoe issues might be causing a problem?
- too rigid forefoot
- heel counter
How might you modify a running program for someone with retrocalcaneal bursitis?
What is Haglund's syndrome?
- stress reaction
- starts as hyperplasia of the skin
- creates an osseous response
What is a common cause of plantar fascia?
Why might plantar fasciitis occur in a supinated foot?
decreased shock absorption
plantar fasciitis s/s
- pain along medial tubercle of calcaneus (may have an osteophyte)
- worse with first step in the morning
plantar fasciitis treatment
- rest, modalities, NSAIDs
- limit excessive pronation
- increase flexibility
- nighttime splints/heel cups
- plantar fasciotomy
Where is pain most common in plantar fasciitis?
more medial than lateral because that's where the PF attaches
normal foot position in sleeping
plantarflexion and inversion