Pta 216 Ortho Foot And Ankle

Front 1

aa

Back 1

a

Front 2

b

Back 2

b

Front 3

c

Back 3

c

Front 4

function of the foot

Back 4

Support.bale that provides stability in ah upright posture © Allows rotationbf~!he tibia andti buda - © Provides flexibility for absorption of shock )\ \ © Allows for adaptation of w.I uneven terrain © Acts as a lever during push off of gait

Front 5

Foot Problems ,

Back 5

© Alter the,ipechanics of gait ) Causing pain/pathology in other LE joints \ © 80% of the population will be I plagued.by foot problems at I some point I © Most conditions can be treated conservatively

Front 6

Plantar Fascist

Back 6

Chronic i:hflgmmation of the plantar aponeurosis~\.. not have an associated ) May or may n he el s pur (depending.f)n chronic ws acute) ) Repetitive micro-trauma ) Chronic traction

indicated by pain along the medial border of the calcaneus

some may have pain throughout the entire length of the fascia

Front 7

treatment for Plantar Fasciitis ©

Back 7

Conservative ) lce ) NSAIDS ) Gentle gastroc/soleus. stretching

Modalities as needed Strengthening Manual therapy techniques Steroid injections

Night splinting

surgical

fasciotomy

plantar facia release

p3 s2

Front 8

~Achilles Tendinitis ©

Back 8

Overuse~inj\Jry following repetitive microtraumb/Q.verloading of the tendon ) Localized pain ih tRe distal aspect of tendon © Symptoms include: ) Soft tissue swelling '\ ) Pain ) Crepitus- caused by the ) Formation of fibrous tissue ) in the latter staaes of disease.

Front 9

~Achilles Tendinitis

Back 9

© Conservative managem ) Rest ) lcd ) NSAIDS ) Progressive exercise as t61erated/eccentrics ) Physical agents as needed © ALL AGGRAVATING FACTORS MUST BE STOPPED . . ,

Front 10

~'Achilles Tendon Rupture

Back 10

© Injury res01tir)g from excessive sudden plantarflexion © Usually occur 3 to 4'Cm proximal to the insertion\ ' ' at the calcaneus :: (decreased vascularity). . © Mostly common in males between 20 50 years of age

Front 11

Achilles Tendon Rupture

op treatment

non op

Back 11

© Non-operative treatment: ) Immobilization.x 8 weeks © Operative treatment: ) End to end primary repair Ff» Direct repair with augmentation with tendon

Front 12

op vs non op

Back 12

p5

s2

Front 13

Compartment Syndrome

Back 13

© Clinical symptoms: ) Pain ) Palpable swelling , Parasthesias © Acute or chronic eJevations ihtissue pressure within closed fascial space,. ) Results in occlusion of the vessels with compromised xP) ] neuromuscular function ) Warm and shiny skin

Front 14

compartmwnt sydrome compartments

Back 14

p6

s2

Front 15

Treatment for Compartment syndrome

Back 15

Fasciotorhy; relieves intra- , compartmehtal pressure K\ .I ' by opening/re16aling the fascial compartment. ) Surgical incision will be ieft. open and managed with sterile bandaging to allow _: . for release of pressure

Front 16

Post-op Fasciotomy Care

Back 16

© lce packs and elevation (imiediatelyj..' © Gentle ROM of knee and ankle/ ambulation as tolerated (2 days post-oP) © Musclee £l11115191Elghy is following surgery '\ '\ ) Heavyresistance.and intense exercise should be avoided

Front 17

morton's neuroma

Back 17

Benign tumor of a nerve causing pain . into t'he toegand plantar and/or dorsal surfaces of thefoot hUsuallsy in befwe en'the and 4th metatarsal © Present bilaterally in 1 5%of all cases © Patient will present with: \. \ ) Burning ) Cramping ) Catching sensation

Front 18

morton's Neuroma conservative treatments

Back 18

© Usually treated..conservatively ) Metatarsal pad ) Wider, softer shoes \:\ ) Cortico-steroid injections~x.... ) Physical Therapy: : . . Active range of motion . Thermal agents as necessary

Front 19

Marton's Neuroma

surgical

Back 19

Surgical intervention requires an excision \ of the neurorna '\ \ \- © Post-op care: \ \ ) Early ROM to limit stiffness ) PWB -) FWB as tolerated .\* ) Compression bandaging ) Thermal agents as indicated

Front 20

Hallux Valgus

Back 20

© Lateral (&algus) deviation of the.gr eat of soft tissue and toe with deft)rarity o © Irritated by improperfootwear ) Pain is usually eliminated by removal of shoes © Conservative management:\ . , , ) Change in footwear ) Orthotics ) Modification of activity

Front 21

hammer toe

claw toe

mallet toe

Back 21

a

b

c