Common Foot Problems

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Common Foot Problems
Would you date someone with these feet?

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A. Common Arch Issues

• Cavus Foot
• high arch

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• Pes Planus flat foot

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Footprints of Arch Disorders
Cavus Normal Arch
Pes Planus
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B. Disorders of the Foot
Usually result from some kind of genetic or
developmental abnormality- not necessarily
sports related but are sometimes treated
therapeutically as if they are
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Corn

• Caused by thickening of skin tissue
• Calluses of Dead Skin
• MOI- Frequent rubbing of the skin on coarse
  surfaces

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Sesamoiditis

• Sesamoids are bones beneath the first metatarsal-
  Big toe
• Often referred to as the balls of your feet
• MOI Tendons can swell due to overuse and
  constant impact

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Hallux Rigidus

• Very closely related to Turf Toe
• Caused by swelling of the MTP Joint of Big Toe
• Causes a stiffening and loss of motion of Big Toe!

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Osteochondritis Dissecans

• Loss of Blood Flow causes deterioration of bone
  tissue and or cartilage of the joint between
  talus and tibia and fibula!

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Mortons Foot/Toe (NOT MORTONs Neuroma)
short first metatarsalCauses second toe to be
longer than big toe
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Hallux Valgus A prominence of the 1st
metatarsal head due to a lateral shift of the big
toeBUNION

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Bunionette prominence at lateral aspect of 5th
toe

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Claw Toes hyperextension of the MP joint and a
hyperflexion of the IP joints
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Hammertoes flexion of distal IP joint resulting
in pressure on the nail and the end of the toe
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Comparison of Claw Toe to Hammertoe!
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Common Injuries of the Foot(Or not so Common!)
Diagnosis Doctors?
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Turf Toe

• A sprain of the metatarsophalangeal joint (MP) of
  the big toe, usually as a result of a sudden
  hyperextension

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Turf Toe Injury and Treatment

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Cause and Treatment of Turf Toe
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Sesamoiditis

• Inflammation of the sesamoid bones under the ball
  of the foot
• A sesamoid bone is a small, round bone formed in
  a tendon where it passes over a joint

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Stress Fractures

• An incomplete break in a bone occurring after
  prolonged, repetitive exercise

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Jones Fracture

• A stress fracture at the base of the 5th
  metatarsal
• (Pinkie toe!)
• Most common metatarsal fracture
• 1902 Sir Robert Jones

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Jones Fracture X-Rays

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• Lisfranc Fracture
• Fracture and dislocation of the joints of the
  Midfoot
• Arch on the top of foot fracture
• (Remember Chien Ming Wang Yankees Fans?)

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Location of the Lisfranc Complex
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• Snowboarders Fracture-

Fracture of the lateral section of the Talus
where it meets the calcaneus Often misdiagnosed
as a lateral ankle sprain! Caused by a twisting
motion of the ankle while foot is held in place
by bindings
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X-Ray of Fractured Talus

• 15 times more
• likely to happen to
• snowboarders than
• any other portion of
• the population

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• Stone Bruise
• Bruise to pad of heel
• Caused by hard impact on a pointed object
  (Like a Stone)

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Plantar Fascia Strain(plantar fasciitis)

• A strain of the plantar fascia, a band of
  connective tissue that fans out from heel to
  metatarsal heads

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Mortons Neuroma

• Inflammation of nerve between the 3rd and 4th
  metatarsals
• 1845 - Durlacher

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Plantar Warts

• Skin growths on the sole
• of the feet caused by the
• human papillomavirus
• (HPV)
• Treatment Salicylic acid,
• duct tape, freezing

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Blisters

• Fluid buildup between skin layers caused by
  friction
• Prevention proper shoe size, keep feet dry,
  change socks frequently, apply lubrication or
  protection to hot spots
• Care Cover and lubricate
• Should I pop it?

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