Foot Injuries

Foot Injuries

Dr. Wahby Ghalib CABMS FJMC MRCS

Fractures of the talus

Head : articulates with navicular Neck Body : articulates with tibia fibula & calcaneum

Why significant ?

Major weight bearing bone Vulnerable blood supply

Blood vessels enter the neck & pass in anteroposterior direction

The commonest part injured is the neck


Mechanism
Hyperdorsiflexion

Rx

Undisplaced : cast + NWB 4 w Displaced : CR + cast ORIF


Cx
A.V.N. N.U. O.A.

Fractures of calcaneum

Articulates anteriorly with cuboid Articulates superiorly with talus

Mechanism

FFH



Classification
Intraarticular #s : 75 % Extraarticular #s : 25 %


Rx

Intraarticular #s need perfect reduction to prevent OA of subtalar joint

Cx
Compartment syndrome Peroneal tendon impingement Subtalar OA : 50 % within 5 yr

Fractures of metatarsal bones

Mechanism
Direct trauma Twisting Avulsion Stress

Rx


Undisplaced # : cast 6 w ( 3 w NWB)

Displaced #

Displacement in the coronal plane of 2nd, 3rd & 4th MTBs is accepted Otherwise : CR + K. Wires or ORIF

Avulsion # of base of 5th MTB

DDx : peroneal ossicle 5th MTB apophysis Healing is good

Objectives :

Stressing the importance of foot injuries as being common and associated with significant morbidity. Training the students to acquire the basic skills of managing foot injuries including diagnosis reduction and POP stabilization.

Objectives :

Stressing the importance of close observation for possible soft tissue complications. Stressing the importance of proper classification of the injury as a key for proper management. Stressing the importance of physiotherapy in the management of foot injuries.

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