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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 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 • There are two major muscles in the posterior calf. • Gastrocnemius • Soleus
Lateral Ligaments The anterior talofibular ligament is the most commonly sprained ligament in the ankle
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
Great Toe Sprain“Turf Toe” • The great toe is very important for a variety of functions • Balance • Kicking • Walking • Running • Push off
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
AIRCAST • This is not an athletic ankle brace its too restrictive
Ankle dislocations • Important to call 9-1-1 for this injury • Blood vessels and nerves may be damaged
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
Achilles Tendonitis • Can be very painful • Can set you up for a rupture if it does heal/go away
Achilles Rupture • Can happen with • Forceful contraction of gastroc • Blow to the tendon • Forced dorsiflexion
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
Jones Fracture • An avulsion of the 5th metatarsal • Involves peroneus brevis tendon • Occurs with forceful inversion
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
Anterior Compartment Syndrome • A very serious condition!! • Diminished pulse • Often occurs after trauma to the area • Requires surgical repair (fascieotomy)
PRICES • The best way to take care of almost any injury: Protect Rest Ice Compress Elevate Support