1. Athletic Injuries of the Foot
ROP SPORTS MEDICINE
Stacy Camou

2. Skeletal Anatomy – 26 BonesC T N
Cuneiforms M I L
Metatarsals ( )
1-5: medlat
Phalanges ( )
Proximal (1-5)
Intermediate (2-5)
Distal (1-5)

3. Skeletal Anatomy
Forefoot P M
Midfoot C N
Rearfoot T

4. Skeletal Anatomy - Arches
Medial longitudinal
Lateral longitudinal
Metatarsal
Transverse

5. Skeletal Anatomy - Arches

6. Skeletal Anatomy - Joints
Metatarsophalangeal______ (MP or MTP)
Interphalangeal________ (IP, PIP, DIP)
Intermetatarsal_________
Subtalar ________ T C

7. Musculotendinous Anatomy
D_______ aspect
E________ of toes
Extensor digitorum longus
Extensor digitorum brevis
Extensor hallucis longus
Extensor hallucis brevis

8. Musculotendinous Anatomy
P_______ aspect
F________ of toes
Flexor digitorum longus
Flexor digitorum brevis
Flexor hallucis longus
Flexor hallucis brevis

9. Circulatory Anatomy Distal p______ Posterior T______artery
Dorsal pedis a______

10. Circulatory Anatomy Distal pulse Posterior t_____ artery
Dorsal pedis a______

11. Neurological Anatomy T_______ nerve – s__________ posterior m_________
P___________ nerve
D_____ – anterior compartment
Superficial – lateral compartment
P_______ nerve
Medial and lateral - foot

12. Plantar Fascia

13. Plantar Fascia Biomechanics

14. Fractures of the Foot T_______ bones C___________ T_________
Direct contact (fall/jump)
Can be complete or stress
T_________
Forced dorsiflexion
Susceptible to avasuclar necrosis and osteochondritis dissecans
M_______________
Transverse or spiral
base of 5th
Jones’ fracture
Stress
March fracture – usually 2nd or 3rd metatarsal

15. Metatarsal Fractures

16. Jones Fracture

17. March Fracture

18. Foot Strains and Sprains
Arches
M_______ longitudinal arch
P________ fasciitis
Heel spur syndrome
M__________ arch
Repetitive stress
P_________
Great toe MP joint
“T______ Toe”

19. Contusions to the Foot C____________ Metatarsals “Heel bruise”
“Stone bruise”
SX:Pain often on lateral side of heel due to heel strike pattern
Metatarsals
Usually at met heads
SX: pain on bottom of the foot “balls of the feet”

20. Structural Conditions
M________ Toe
S________ toe is longer than the Great toe
Can lead to stress fractures and neuroma
Hallux V________
Valgus stress on first ray
Leads to b_________

21. Bunions

22. Structural Conditions
H_________ Toes
Buckling of an IP joint
Commonly due to muscle imbalance
Leads to calluses and bunions
P_____ P________
Flat feet
Excessive p__________
P______ C________
High arches
Claw feet
Excessive s____________

23. Pes Planus

24. Other Foot Injuries Tinea pedis Verrucae plantaris “a_________ foot”
F__________ infection of skin
Verrucae plantaris
“P________ w______”
V________ infection of the sole of the foot

25. Other Foot Injuries Morton’s Neuroma Retrocalcaneal bursitis
Inflammation of the n_______ typically between the ___rd and ___th metatarsals
Retrocalcaneal bursitis
“pump bumps”
Caused by i_______________ of A___________ bursa

26. Other Foot Injuries Sever’s Disease
Traction injury at i__________ of A__________ tendon