Injuries
Your athlete recieved a blow to their anterior leg and is now experiencing cramping, numbness in the first web space, and cold toes... what do you do?
send them to the ER because they likley have acute compartment syndrome and is lacking blood flow
You have a 42 year old male patient who was playing pickleball and went to quick run after the ball and fell to the ground. When asking what happened he responded with "I swear somebody hit me in the back of my leg." What are you suspicious of? What test do you perform to assess?
achilles rupture
thompson test
What is Morton's test and what is it testing for?
mortons neuroma
How do you treat tinea unguium?
antifungal, create cool, light, dry environment
What ligaments are torn in a 3rd degree inversion ankle sprain?
ATF, CF, and PTF
What issue can result in joint mice?
osteochondritis dessicans
Your patient has severe midfoot pain, parasthesia, swelling, and a flattening arch... what is your dianosis?
lisfranc injury
What is the difference in care between a phalange fracture and a hallux fracture?
hallux = boot and/or wooden show
phalange = buddy tape, compression, ice, turf toe plate
Who normally gets severs disease and why?
7-10 year olds during growth spurt
tractioning problem where the muscle doesn't grow as fast as the bone so it starts to pull on the calcaneus
Your patient has pain between the 3rd and 4th met heads. She tells you that the only thing that makes it feel better is walking barefoot. What is your diagnosis and how would you fix it?
mortons neuroma
neuroma pad, surgery
Your patient hyperextended their great toe but has pain on the top of their foot. What is your diagnosis and why is their pain where it is?
turf toe
when their toe went into hyperflexion the bones compressed together and resulted in a bone bruise
What is the avascular necrosis / osteochondrosis at the epiphysis of the second met called?
freibergs disease
what is a bimallelolar fracture?
deltoid avulses off the medial malleolous
fibula is pushed away and it fractures up the fibula
syndesmosis spreads
How would you help a patient with a bunion?
toe spacer, donut pad, 3/4 length arch, surgery
What are the two inversion ankle sprain tests and which ligaments do each of them test?
anterior drawer = ATF
Talar tilt = CF
What is a pump bump?
rubbing inside the heel over lateral side - causes it to become hard and fibrotic
What are three predisposing factors to tendinopathies?
training errors, direct trauma, infection in tendon, abnormal foot mechanics, poor footwear
What injury do you get a positive tinel sign for?
tarsal tunnel
What causes MTSS and how do you rehab it?
the soleus is too tight and is pulling on the periosteum of the bone
stretch soleus, arch support, strengthen arch
Your patient has a second met that is longer than the first and has pain in the second met.. what two diagnoses could he/she have?
mortons toe and march fracture
which injury is a non healer in the metatarsals and why is it a non healer?
jones fracture
the blood flow has to go "back up hill" in the 5th met to get to the fracture line
What is a maisonneuve fracture?
high fibular fracture, torn interosseous membrane, torn posterior tibiofibular ligament, widened syndesmosis
Your patient has point tenderness at the medial calcaneal tubercle that is worse right when they get up in the morning. What is their diagnosis and potential treatment?
plantar fascitis
immediate care: arch or heel lift
long tern care: stretch soleus
What other injury could you get with an inversion ankle sprain and what causes it?
avulsion fracture of the base of the 5th met
the peroneus brevis is an evertor and tries to save your ankle by pulling you into eversion and by doing so plucks off the bone
How would you use differential diagnosis to determine whether your patient has severs, bursitis, a heel spur, or achilles tendonitis?
Achilles tendonitis would have pain throughout achilles
heel spur would be sharp bone pain
bursitis would be pain right infront of achilles
severs would be bone pain but would likely have to be in a child