Injuries to the Lower Leg Foot and Ankle

Lower Leg Injuries Caution! Graphic Picture

Fasciotomy – surgical procedure in which the fascia is cut to relieve pressure http:

Muscle Strain n Calf is most affected (usually at gastroc-achilles junction)

n Grade 1 Calf Strain: n Grade 2 Calf Strain : n Grade 3

Achilles Tendonitis n Inflammation of the Achilles Tendon n MOI – overuse, microtearing of

Thompson’s test for Achilles Tendon Rupture http: //www. youtube. com/watch? v=8 kx. PFj. SJj

Muscle Spasm n Calf usually affected n MOI – fatigue, dehydration n Treatment –

Leg Fractures n. Direct blows or indirect trauma

Stress Fractures An incomplete break in a bone occurring after prolonged repetitive exercise

Stress Fractures (con’t) n Signs and Symptoms -

Medial Tibial Stress Syndrome n “shinsplints” n Pain along medial border of the tibia

n Causes: - running on hard surfaces - Overuse - Muscle imbalance - Tight

n Plantar Flexion - Usually sprain ankle when in plantar flexion. - Ankle is

n Eversion - usually due to a planted foot that receives a lateral force

Lateral Ligament Sprain n Most common ankle injury n MOI = Inversion and plantar

n Anterior Talofibular Ligament (ATF) is injured first. (mild sprain) n The Calcaneofibular Ligament

Ankle inversion http: //www. youtube. com/watch? v=d. P 17 ZY 3 zxa 4&feature=related http:

$Medial Ligament Sprain (Deltoid Ligament) n Often associated with fractures of lateral malleolus$

Peroneal Tendon Injury n Can occur when lateral ankle ligaments are injured

Slides: 38

Download presentation

Injuries to the Lower Leg, Foot and Ankle

Lower Leg Injuries Caution! Graphic Picture

Contusions n Shin contusion

Compartment Syndrome

Fasciotomy – surgical procedure in which the fascia is cut to relieve pressure http: //www. youtube. com/watch? v=82 Qcxd. Hel 0 Q

Muscle Strain n Calf is most affected (usually at gastroc-achilles junction)

n Grade 1 Calf Strain: n Grade 2 Calf Strain : n Grade 3 Calf Strain:

Achilles Tendonitis n Inflammation of the Achilles Tendon n MOI – overuse, microtearing of tendon

Achilles Tendon Tear n

Thompson’s test for Achilles Tendon Rupture http: //www. youtube. com/watch? v=8 kx. PFj. SJj 0 k

Muscle Spasm n Calf usually affected n MOI – fatigue, dehydration n Treatment – direct compression, gradual stretch, ice, rehydrate

Leg Fractures n. Direct blows or indirect trauma

Stress Fractures An incomplete break in a bone occurring after prolonged repetitive exercise

Stress Fractures (con’t) n Signs and Symptoms -

Medial Tibial Stress Syndrome n “shinsplints” n Pain along medial border of the tibia n Usually with novice runners – well conditioned runners usually due to mechanical abnormalities

n Causes: - running on hard surfaces - Overuse - Muscle imbalance - Tight Achilles

Ankle Injuries

Mechanisms of Injuries n Inversion -

n Plantar Flexion - Usually sprain ankle when in plantar flexion. - Ankle is unstable in this position

n Eversion - usually due to a planted foot that receives a lateral force - stepping in a hole - higher incidence of fractures

Lateral Ligament Sprain n Most common ankle injury n MOI = Inversion and plantar flexion

n Anterior Talofibular Ligament (ATF) is injured first. (mild sprain) n The Calcaneofibular Ligament (CF) is injured in more severe sprains

INVERSION ANKLE SPRAIN n n

Ankle inversion http: //www. youtube. com/watch? v=d. P 17 ZY 3 zxa 4&feature=related http: //www. youtube. com/watch? v=8 Kc 1 CEAk 1 ao&feature=fvwrel n

$Medial Ligament Sprain (Deltoid Ligament) n Often associated with fractures of lateral malleolus$

Medial Ligament Sprain (Deltoid Ligament) n Often associated with fractures of lateral malleolus

The Deltoid Ligament n

Peroneal Tendon Injury n Can occur when lateral ankle ligaments are injured