Lisfranc Injury Research Paper

Turf toe is an injury that affects the joint at the base of the big toe. It occurs when the toe is bent upward by force and extended beyond its normal limits (hyperextension). The joint of the big toe is surrounded by tissues (ligaments and tendons) that help to keep it in place. If any of these tissues are damaged, turf toe may result.

The patient underwent a right foot surgery with bilobed rotational skin flap of the foot, debridement, harvesting of a full thickness skin graft at a separate site and application of a full thickness skin graft per operative report dated 5/29/15.

My diagnosis for the patients injury is medial tibial stress syndrome. I believe this due to the positive special test and the palpation’s. The compression test was positive with pain on the medial distal one third of the tibia. The fulcrum test was the most positive out of the two with the patient pulling back from pain. Also with the palpation's, he had point tenderness over the medial distal one third of the tibia (1985).

The first step in the diagnosis is doing laboratory studies to detect any secondary causes. These include serum chemistry levels of calcium, phosphate, vitamin D, magnesium, PTH, and CBC (complete blood count). Detecting secondary causes is important because it will change the treatment plan. Even though there might be some small fractures can’t be seen

If the infection in the feet and toes entered the bones, it could cause them to soften, which could result in toes falling off; although, this was seen as an advantage because the feet could then be bound even more

The foot is usually smaller than an average foot, but this may affect the heel more. This deformity is most often present at birth, meaning that it is congenital. It can be unilateral or bilateral. This deformity affects tendons, blood vessels, muscles, and bones. It causes the heel to point downwards and the front half of the foot to turn inward. This causes the feet to be short and wide and usually causes a tight Achilles tendon. The tarsal bones make up the heel and the middle of the foot, which connect to the metatarsals and the phalanges. Clubfoot predominantly affects the calcaneus, talus, and navicular bones. It could possibly affect more bones than this depending on the severity of the case. The ligaments of the foot are constricted and the joints do not move the way they should. The actual bones themselves are twisted into unusual forms, so it is not simply their position in the foot that is deformed. The foot is unusually stiff and almost sitting sideways. This makes it impossible for a child to put their foot flat on the ground to walk or properly fit their foot into a shoe (Orthopediatrics.com,

IMAGING: X-rays of the left ankle were taken. I do not see any additional movement of the distal fibula fracture on AP, lateral and mortise. Clear spaces appear to be intact as well.

MTS can be seen using radiology imaging but only after suspected DVT symptoms which are pain, swelling, discoloration,warm to touch, or enlarged veins in left leg. If

Syndesmotic injuries are more common in collision sports and those that involve rigid immobilization of the ankle in a boot, such as skiing and hockey. Athletics noted a shift from lateral ankle sprains to syndesmosis injuries in skiers as ski boots became more rigid. They reported 10 injuries in World Cup skiers that all occurred during the slalom event, when the skier straddled a gate, caught the inner ski on a stake, and experienced a violent external rotation force on the ankle and foot.

The two most common ankle injuries are: Achilles Tendonitis and sprained ankles. The Achilles tendon is the tendon situated just above the back of the heel. It can be injured due to the recurring stress from jumping and landing. A strain or injury to the Achilles tendon can result in Achilles Tendonitis. This occurs when the tendon connecting the back of your leg to your heel becomes swollen and painful near the bottom of your foot. Many of times this limits mobility, causing the area that is supposed to be extremely mobile to now become weak. The second injury mentioned, sprained Ankles, which relate back to the prior mentioned acute injury, consisting of torn ligaments that connect the bones of the foot, ankle and lower leg. This is a common incident during falls from the balance

The ankle joint is the most commonly injured part of the lower leg. It happens from an unusual twisting action

Detailed evaluation of feet is mandatory. Assessment of digital pulses, temperature and appearance of feet, and quality and integrity of feet should be made. The coronary band should be checked for the presence of edema, sinking areas, or tender areas. The shape and position of the sole should be assessed for any abnormalities. All of these should be summed up and assessed to come up with the best podiatry program.

One such test is performed using calibrated, sterile, disposable needle . "A constant force is applied perpendicularly on the skin of the foot until the calibrated mark is reached. A record is made as to whether the patient responded to any sensation felt in the foot (Nather et al., 2011, para.

MRI and CT scans. Rarely used when the fracture is not visible on an X-ray.

On examination, there is no redness or induration at the site of pain and there is a small defect suggestive of a skin break. No foreign body is visible to the eye or on magnified examination. Anteroposterior plain films of the right foot reveal no evidence of a foreign body. The wound