BRINGING SCIENCE TO TREATMENT

Ankle and foot injuries

Sure footing: why the foot is the foundation of...

in Ankle and foot injuries, Diagnose & Treat

The balance of the articular and muscular systems within the foot and ankle complex is crucial for optimal loading to withstand sporting demands. Tracy Ward explains the architecture, biomechanics, and clinical application to build the foundation from the foot up. The foot and ankle complex controls balance and posture and counteracts gravitational forces. The body’s... MORE

Sesamoid stress fracture: no small issue

in Ankle and foot injuries, Diagnose & Treat

Sesamoid bones are some of the smallest in the body. Yet, they can pose a big problem when injured. Trevor Langford discusses the anatomy, biomechanics, and clinical relevance of a stress fracture of the sesamoid bones and reviews management options. Sports such as running, dancing, and gymnastics often require forceful forefoot dorsiflexion while in a weight-bearing... MORE

Navicular stress fracture: a high-impact risk for young athletes

in Ankle and foot injuries, Diagnose & Treat

Chris Mallac investigates the causes, diagnosis, and management of navicular stress fractures in athletes. First described by Towne and colleagues in 1970(1), stress fractures of the navicular bone are uncommon in the general population. However, male athletes in their mid-20s participating in sports such as sprinting, middle distance running, hurdling, and basketball are more at... MORE

Fractures of the Proximal 5th Metatarsal in Athletes

in Ankle and foot injuries, Diagnose & Treat

Chris Mallac explores the etiology and classification of 5th metatarsal fractures in athletes, provides diagnostic guidance, and available treatment options. First described in 1903 by Sir Robert Jones(1), fractures of the fifth metatarsal (MET) are relatively common fractures of the foot(2). The estimated incidence of fifth MET fracture is 1.8 per 1000 person-years(3,4), and 68%... MORE

Walk it off! Guidelines for preventing overdiagnosis

in Ankle and foot injuries, Email Newsletters, Improve, Prevent

The British Journal of Medicine published two interesting articles this month. The first is an education review on the overdiagnosis and medicalization of athletes (and the public at large)(1). The authors cite several factors supporting this trend in sports medicine, including: The belief that more intervention improves outcomes. Making the definition of disease more inclusive.... MORE

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