foot/ankle/lower leg Flashcards
Which pre-exercise inter compartmental pressure reading is indicative of one being clinically diagnosed with exertional compartment syndrome?
More than 15mg
which compartment is most common for compartment syndrome?
anterior compartment
45% of all cases
Protocol for Post fasciotomy for compartment syndrome
After wound is healed-walking and bicycling are encouraged.
2 weeks- light jog
6 weeks- resume run training
Usually 3 months of rehab before RTPlay
Diagnostic Values for compartment syndrome
Pre-exercise > 15 mmHg
1 minute post > 30 mmHg
5 minute post > 20 mmHg
Compartment syndrome treatment
Treatment: Fasiotomy: may not return 2-4 months
Haglund’s Deformity
pump bump- bony enlargement on back of heel
Jogger’s Foot
Local nerve entrapment of medial plantar nerve at tunnel of abd hallicus and navicular tuberosity
Medial plantar nerve entrapment
Local nerve entrapment of medial plantar nerve at tunnel of abd hallicus and navicular tuberosity
associated with valgus hindfoot deformity and long distance running
Cause: Running induced nerve pain
Exam: Pain medial arch into medial toes
Syndesmotic injury is more common with sports that involve limited motion of foot/ankle i.e. hockey, skiing
Syndesmotic x-ray findings may show
*Increased tibiofib clear space
*Decreased tibiofib overlap
*Increased medial clear space
Syndesmotic Sprain symptoms
Decreased PF
Tenderness at ant + post tibiofib lig
Pain between distal tib and fib
Pain posteromedially at level of ankle jt
syndesmotic sprain cause
ER/ forced DF