Test 1 ( take home )

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ChapterSix.ppt

Basic Foot Anatomy

What is the function of the lower extremity? Did you realize the upper and lower extremity have bony arrangements that are almost identical?

Basic Foot Anatomy - Bones

  • Phalanges – 14
  • Metatarsals – 5
  • Tarsals –7
  • Talus
  • Calcaneus (heel bone)
  • Navicular
  • Cuboid
  • Cuneiform (3)

Bones of the Foot

  • The most commonly fractured bone of the foot is the 5th metatarsal, at the base where it spreads out at the mid foot.
  • The calcaneus is probably the hardest bone of the foot to fracture.

Basic Anatomy - Ankle

  • Bones
  • Tibia – weight bearing bone
  • Fibula – non weight bearing bone
  • Talus
  • The tibia and fibula articulate with the talus, that is where the ankle joint is located.

Ligaments

  • There are more ligaments damaged on the lateral side of the ankle, since a vast majority of the ankle sprains are inversion sprains.

Basic Anatomy - Ankle

  • Ligaments
  • Lateral
  • Medial
  • Lateral
  • Anterior Talofibular
  • Posterior Talofibular
  • Calcaneofibular

Basic Anatomy - Ankle

  • Medial
  • Deltoid
  • Arches of Foot
  • Medial Longitudinal
  • Lateral Longitudinal
  • Anterior Metatarsal
  • Transverse

Basic Anatomy – Foot & Ankle

  • Movements – these are the major movements not all the movements at the ankle joint.
  • Inversion
  • Eversion
  • Dorsi-flexion
  • Plantar flexion

Injuries to the Foot & Ankle

  • Some injuries are relatively minor, but that does not make them any less important.
  • We as athletic trainers spend a huge part of our day taping for ankle sprains, but remember there are other injuries just as important.

Injuries to the Foot & Ankle

  • Ankle sprains
  • First degree
  • Second degree
  • Third degree
  • Blisters on Feet
  • Treatment
  • Corns
  • Hard and Soft

Injuries to the Foot & Ankle

  • Ingrown toenail
  • Athletes feet
  • Callus
  • How to prevent
  • How to treat
  • Broken bones
  • Fallen arches

Injuries to the Foot & Ankle

  • Turf Toe
  • Heel Bruise
  • Achilles tendon strain
  • Achilles tendon rupture

Special Tests for Injuries

  • Bump Test
  • Preliminary test for fracture of the ankle
  • Squeeze Test
  • Preliminary test for fracture of fibula
  • Thompson Test
  • Preliminary test for rupture to Achilles

Rehabilitation

  • Remember – all rehab programs will have components that are the same, you will just address the particular injury in a little different fashion.

Rehabilitation for Ankle Injury

  • Stage I – Non Weight Bearing
  • Stage II – Weight Bearing
  • Stage III – Sport Specific Work

Rehab Protocol for Ankle

  • Total Body Conditioning
  • Muscular Strength & Endurance
  • Flexibility
  • Proprioception
  • Body Mechanics
  • Cardiovascular Conditioning
  • Sport Specific Demands

Pre Taping the Ankle

  • There are a number of steps involved in getting the ankle ready for taping. The next slide discusses those steps.
  • One of the most important things is for you the athletic trainer to be in good posture to tape the ankle.

Taping An Ankle

  • Shave the area
  • Clean the area
  • Special Considerations
  • Allergies, infections, cuts, etc.
  • Spray adherent
  • Skin lubricant
  • Underwrap