BRINGING SCIENCE TO TREATMENT

Ankle and foot injuries

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

Posterior ankle impingement syndrome

in Ankle and foot injuries, Diagnose & Treat

Adam Smith discusses the various causes of posterior ankle impingement syndrome, its clinical presentation, and goes onto describes both conservative and operative treatment options. Posterior ankle impingement syndrome (PAIS) is a common ankle injury in athletes who participate in sports that involve repetitive and/or forced plantar flexion(1). It is a painful condition. which limits end... MORE

Ankle deep in the wrong diagnosis

in Ankle and foot injuries, Email Newsletters

  Any number of pathologies produces lateral heel pain (see table 1). As Chris Mallac explains in the first installment of his master class on chronic ankle instability(CAI), lateral heel pain is often the result of repeated ankle sprain. Mallac goes on to describe how CAI can lead to sinus tarsi syndrome, causing lateral heel... MORE

Peroneal dysfunction: an under diagnosed cause of lateral ankle...

in Acute injuries, Ankle and foot injuries, Diagnose & Treat, Overuse injuries

Lateral ankle sprain is a common sports injury. Alicia Filley explains why peroneal dysfunction may be to blame for the persistent pain and instability after the acute injury has healed.  Ankle sprains generate a significant amount of emergency room charges in the United States with a significantly greater number of lateral than medial sprains noted(1).... MORE

Frustrating foot pain in cyclists? These 7 treatment strategies...

in Ankle and foot injuries, Diagnose & Treat, Overuse injuries

Although rarely discussed, research suggests that foot pain in cycling is surprisingly common. Andrew Hamilton explains how foot/pedal interface can lead to foot pain and gives advice to clinicians with cyclists in their care Although rarely discussed, research suggests that foot pain in cycling is surprisingly common. Andrew Hamiltonexplains how foot/pedal interface can lead to... MORE

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