First Step Evaluation of Patient with Foot and Ankle Injury
Abstract
Foot and ankle injuries may be due to ligament strain or complicated and unstable distant bone fractures depending on the direction and shape of the trauma. Early diagnosis and treatment prevent complications and long-term morbidity. The specialist should take the patient’s history and determine the mechanism and nature of the trauma (recurrent or not) and post-trauma mobilization predictions to evaluate an injured foot and ankle. The trauma mechanism generally points to the possible location of the damage. Trauma size critical for determining the time it takes the injury to recover and the patient to return to work, which can be shortened by the right immobilization. Foot and ankle injuries are more common in indoor court athletes and people with reduced proprioceptive senses and restricted foot dorsiflexion. The specialist should identify preventable and modifiable risk factors and take necessary measures.
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References
- Vuurberg, G., Hoorntje, A., Wink, L. M., van der Doelen, B., van den Bekerom, M. P., Dekker, R., van Dijk, C. N., Krips, R., Loogman, M., Ridderikhof, M. L., Smithuis, F. F., Stufkens, S., Verhagen, E., de Bie, R. A., & Kerkhoffs, G. (2018). Diagnosis, treatment and prevention of ankle sprains: update of an evidence-based clinical guideline. British journal of sports medicine, 52(15), 956. https://doi.org/10.1136/bjsports-2017-098106
- Boyce, S. H., & Quigley, M. A. (2004). Review of sports injuries presenting to an accident and emergency department. Emergency medicine journal : EMJ, 21(6), 704–706. https://doi.org/10.1136/emj.2002.002873
- Court-Brown, C. M., McBirnie, J., & Wilson, G. (1998). Adult ankle fractures--an increasing problem?. Acta orthopaedica Scandinavica, 69(1), 43–47. https://doi.org/10.3109/17453679809002355
- Bachmann, L. M., Kolb, E., Koller, M. T., Steurer, J., & ter Riet, G. (2003). Accuracy of Ottawa ankle rules to exclude fractures of the ankle and mid-foot: systematic review. BMJ (Clinical research ed.), 326(7386), 417. https://doi.org/10.1136/bmj.326.7386.417
- Odak, S., Ahluwalia, R., Unnikrishnan, P., Hennessy, M., & Platt, S. (2016). Management of Posterior Malleolar Fractures: A Systematic Review. The Journal of foot and ankle surgery : official publication of the American College of Foot and Ankle Surgeons, 55(1), 140–145. https://doi.org/10.1053/j.jfas.2015.04.001
- van den Bekerom, M. P., Mutsaerts, E. L., & van Dijk, C. N. (2009). Evaluation of the integrity of the deltoid ligament in supination external rotation ankle fractures: a systematic review of the literature. Archives of orthopaedic and trauma surgery, 129(2), 227–235. https://doi.org/10.1007/s00402-008-0768-6
- Nikken, J. J., Oei, E. H., Ginai, A. Z., Krestin, G. P., Verhaar, J. A., van Vugt, A. B., & Hunink, M. G. (2005). Acute ankle trauma: value of a short dedicated extremity MR imaging examination in prediction of need for treatment. Radiology, 234(1), 134–142. https://doi.org/10.1148/radiol.2341031060
- Fortin, P. T., & Balazsy, J. E. (2001). Talus fractures: evaluation and treatment. The Journal of the American Academy of Orthopaedic Surgeons, 9(2), 114–127. https://doi.org/10.5435/00124635-200103000-00005
- HERMEL, M. B., & GERSHON-COHEN, J. (1953). The nutcracker fracture of the cuboid by indirect violence. Radiology, 60(6), 850–854. https://doi.org/10.1148/60.6.850
- Carsen, S., Quinn, B. J., Beck, E., Southwick, H., & Micheli, L. J. (2015). "Nutcracker Fracture" in a Ballet Dancer Performing in The Nutcracker. Journal of dance medicine & science : official publication of the International Association for Dance Medicine & Science, 19(3), 124–127.
