PPT-Medial Ankle and Heel Pain

Dr Jimmy McLaren Introduction Anatomy amp DDx Hx and Exam Insidious Medial Ankle Medial Ankle Anatomy Bones MM talus calcaneus n avicular Ligaments Deltoid ligament Calcaneonavicular. Sarah Rayner. Extended Scope Practitioner Physiotherapist. Anatomy. The ankle and foot is a complex structure comprised of 28 bones (including 2 sesamoid bones) and 55 articulations (including 30 synovial joints), interconnected by ligaments and muscles. Chair, Physical Medicine & Rehabilitation. The University of Virginia. Medical Director, The Runner’s Clinic at UVA. Team Physician, Ragged Mountain Racing. Common Running Injuries. Objectives. Mr. Ryan – Sports Medicine. Stages of Soft Tissue Healing. Stage 1. — Acute inflammatory, Approx. 2 days. Phagocytes. — Specialized cells that engulf and gobble up the dead cells.. Leukocytes. — Infection fighting white blood cells.. Normal Anatomy. Tibialis posterior part of the deep posterior compartment of the lower leg. Tendon passes behind the medial malleolus. Poor tendon blood supply around the medial malleolus. Tibialis posterior eccentrically contracts during heel strike to resist pronation and . Anatomy. 26 bones : Three interrelated units: . the . hindfoot. (consisting of the ankle, talus and . calcaneus. ), . the . midfoot. (talus/. navicular. /cuneiforms and . cuboid. ) and . the forefoot (metatarsals and associated digits). . Injury Management I. REC1020 . Sports Medicine 10. Ankle. Closed . Basketweave. Heel and Lace Pads. Apply Heel and Lace Pads . Also apply . underwrap. for athletes who have not shaved their legs, to protect from skin breakdown. Bones:. Tibia (Medial . Malleolus. ). Fibula (Lateral . Malleolus. ). Talus Calcaneus (Heel Bone) . Ankle Ligaments (Lateral & Medial) . Lower leg muscles . . (Gastrocnemius = Calf Muscle). Ankle Sprains (cont.). Notes Quiz. 1. What are the long bones of the foot called?. Notes Quiz. 2. What are the three arches of the foot?. Notes Quiz. 3. What is the ligament on the medial side of the ankle?. Notes Quiz. Presented by:. Jonathan Reynolds, PT, PhD. 1/30/19. 1. 22. nd. Annual Orthopaedic and Sports Medicine Conference . Diagnostic Excellence. Detailed history. Thorough examination. Radiology dependence. There are 28 bones in the lower leg/foot including:. Tibia & Fibula: Malleolus – (medial & lateral) ends of the tibia & fibula (commonly referred to as the ankle bones). Talus: sits on top of the calcaneus (forms the ankle joint along with tibia & fibula). MOI. : . Direct blow to the anterior shin. Etiology: . A direct blow causes bleeding into the narrow space housing the nerves and blood vessels. The tight surrounding fascia allows very limited expansion. Most common lower leg injury. Classified as to degree of . ligamentous. severity. Lateral. ankle sprain . Mechanism:. Inversion and plantar flexion. Anterior . talofibular. ligament (ATF) usually first structure to injury. Greg Quinn . FCPodS. Podiatric Surgeon. Pain has a message. . Once . we get the . pain's message. , . and . follow its advice. , . the . pain goes away. .. “The postural erect attitude of man as a bipedal animal renders his species advantaged within his natural environment.” . Munir. . Saadeddin. . ,. FRCSEd. Associate Professor & Consultant. College of Medicine, King Saud University and King Khalid University Hospital. Objectives of this Lecture. To understand the importance of bony and soft tissues structure of Foot and Ankle..