Beruflich Dokumente
Kultur Dokumente
Longitudinal
ARCHES
Transverse
NORMAL NERVES
Severe intermittent pain radiating from the distal metatarsal heads to the tips of the toes. Pain relieved when not bearing weight. Burning numbness made worse with running, squatting and stairs.
CAUSES
Tight Shoes
TREATMENT
Mobilization of foot. Test strength of Peroneus Longus and Tib. Posterior. Metatarsal Pad.
CONSERVATIVE TREATMENT
NORMAL
ANATOMY
HEEL SPURS
TREATMENT PLANS
Foot taping. Orthotics? Strengthen weak muscles. Stretch tight muscles.
Ta
Flex. Hallucis Longus Flex. Digitorum Longus Tib. Posterior Tib. Anterior Ext. Hallucis Longus
LATERAL LIGAMENTS
Plantar
Neutral
Dorsi
10
INVERSION SPRAIN
BOTH INVERSIONS?
INVERSION SPRAIN 85% of all sprains Happens during loading and unloading of the ankle.
11
Post. Talofib.
12
WEIGHT BEARING
OR
NON-WEIGHT BEARING
13
FIELD ASSESSMENT Ankle Sprains - General Mechanism of Injury Pain where? Hear/feel anything? Injured before? Continue with activity?
Metatarsal
PALPATION
Least common sprain. Most fractures happen in eversion. Stability of the medial ankle depends upon the Deltoid Ligament and the lateral malleolus.
EVERSION SPRAIN
14
Slight medial tenderness. Pain and slight limitation on active eversion. Stand to determine if there is leg pain. Walk off playing surface if not antalgic.
EVERSION
ANKLE SPRAIN SEVERE Rigid, high footwear. Unable to continue on with the activity. Leg pain on standing.
15
1. Deltoid
Eversion and External Rotation of the ankle without Deltoid Ligament tear.
16
Hockey Player Inversion Minimal Pain Mild swelling Mild bruising Return in five days
17
Day 6
Can this athlete return to play during this contest? Pain changes the way you do things!
18
Dissect the sport into its components starting from the most simple on the ankle and progress to the most difficult. If they can perform the test without pain then return. (Following taping?)
Crutches for proper gait. Referral for physio. Prepare for return.
19
Aside from the formal rehabilitation, the athlete must work on maintaining conditioning and doing whatever sport skills they can.
20
Speed
SHUTTLE
Speed 25 m
???
21