Sports & Exercise Medicine Differential Guidebook Dr. A Francella, Dr N Dilworth 2018/19

Foot Injuries

Freibergs osteochondritis Hallux injury valux/limitus Seasmoid Bone (plantar) 1st MTP joint *fracture Talus fracture sprain *stress fracture Talus stress fracture MTP plantar plate *sesamoiditis sprain/tear *lateral subluxation MTP synovitis *bipartiate sesamoid sprain Spring ligament tear

Lisfranc injury

Talonavicular dislocation Midtarsal joint sprain Fracture/Stress fracture of navicular,

cuboid, cuneiforms Os naviculare Subtalar Cuboid Syndrome dislocation Tarsal coalition Kohlers disease Metatarsal-cuneiform synovitis

Fracture Stress Fracture Image retrieved from: https://digikalla.info/foot-anatomy-bones/foot-anatomy- bones-foot-bone-metatarsal-bone-tarsal-bone-anatomy-in-detail-bone-free/ Os vesalianum Iselins disease

Hammer/claw toe

Peroneal tendinopathy

Extensor tendinopathy

Medial calcaneal entrapment Tarsal tunnel syndrome Mortons neuroma Joplins neuritis

Flexor digitorum/hallux tenosynovitis Lateral plantar entrapment Flexor tendon tear

Abductor hallucis strain Pes planus Pes cavus Plantar fascia strain

Tibialis posterior tendinopathy

Plantar fascia fasciitis, rupture Fat pad contusion, atrophy Image retrieved from: http://madeinkibera.com/anatomy-top-of-foot

Image retrieved from: http://madeinkibera.com/anatomy-top-of-foot#

33 Sports & Exercise Medicine Differential Guidebook Dr. A Francella, Dr N Dilworth 2018/19

Injury: # of cases Age/Gender Sport Type Comments Hindfoot seen Bone - Facture: talus, calcaneus - Stress #: talus, calcaneus Joint - Subtalar dislocation - Midtarsal joint sprain - Spring ligament tear - Talonavicular dislocation Other - Plantar fascia fasciitis, rupture - Fat pad contusion, atrophy Nerve - medial calcaneal entrapment - lateral plantar entrapment - tarsal tunnel syndrome Midfoot Bone - Fracture cuboid, navicular - Stress # - navicular, cuboid, cuneiform - Os naviculare - Cuboid syndrome - Tarsal coalition - Kohlers disease Joint - Lisfranc injury (sprain, fracture, dislocation) Tendon - Extensor tendinopathy (ie. Tibialis anterior) - Tibialis posterior tendinopathy - Peroneal tendinopathy - Abductor hallucis strain Other - Pes planus - Pes cavus - Plantar fascia strain Forefoot

Bone - Fracture sesamoid, 5th MT (styloid, metaphyseal-diaphyseal, shaft), 1st-4th MTs

34 Sports & Exercise Medicine Differential Guidebook Dr. A Francella, Dr N Dilworth 2018/19 - Stress # - seasomid, MT shaft - 5th MT os vesalinum, Iselins disease - Sesamoid sesamoiditis, lateral subluxation, bipartiate sesamoid sprain - Freibergs osteochondritis Joint - Hallux valgus/limitus - MTP/metatarsal-cuneiform synovitis (metatarsalgia) - 1st MTP joint sprain (turf toe) - MTP plantar plate sprain/tear (floating toe syndrome) Tendon - Flexor digitorum/hallux tenosynovitis - Flexor tendon tear (a/w turf toe) Nerve - Mortons neuroma - Joplins neuritis Skin Corns Calluses Plantar wart Subungal hematoma Onychomycosis Onychocryptosis Pieogenic Papules Other Referred pain Peripheral neuropathy Radiculopathy Complex regional pain syndrome

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