BRINGING SCIENCE TO TREATMENT
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
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
in Ankle and foot injuries, Musculoskeletal injuries
Chris Mallac explores talar dome injury in athletes; how do they occur and how can they be treated? Talar dome injuries such as osteochondral lesions of the talus (OLT) can occur following an ankle injury, resulting in ongoing residual ankle pain and functional disability. Initially, OLT was described and classified as ‘transchondral fractures of the... MORE
in Ankle and foot injuries, Email Newsletters
Surveys report complaints of heel pain in 13.4% of respondents over 50-years-old(1). Amongst runners, the incidence of heel pain is even higher – over 20%(2). Although it often resolves on its own, posterior heel pain can be particularly stubborn. The plantar fascia can even rupture, as Chris Mallac explains in a recent article on... MORE
in Anatomy, Ankle and foot injuries, Diagnose & Treat, Overuse injuries
Chris Mallac explains the anatomy and biomechanics of a retrocalcaneal bursa. How does it interact with the Achilles insertion and how can it be managed? Pain at the posterior heel is common in many athletes such as runners, tennis players and crossfit athletes. Although it is more commonly found in older athletes, young athletes may... MORE
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
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
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
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
in Ankle and foot injuries, Diagnose & Treat, Strength
Chris Mallac looks at the anatomy and biomechanics of the FHL the pathogenesis of possible injury, and provides detailed rehabilitation suggestions. The flexor hallucis longs (FHL) has been referred to as the ‘Achilles of the foot’ due to its unique role controlling mid foot pronation and supination. Its physiological and mechanical properties allow it to act... MORE
