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Ankle and foot problems in

sports
t

Ron L. Diercks

Universitair Centrum voor Sport, Bewegen en Gezondheid


Chronic ankle problems

Pain
Swelling
y
instability

University Center for Sports, Exercise and Health


Ottawa ankle rules
Abnormal position of
foot

Walking < 4 steps

Pain
P i om palpation
l ti off
– Last 6 cm of
backside fibula
– medial malleolus
– base 5th metatarsal
– navicular

University Center for Sports, Exercise and Health


And if we don’t see anything
on the X
X-ray?
ray?

University Center for Sports, Exercise and Health


Cartilage lesion

University Center for Sports, Exercise and Health


Recurrent Ankle instability

< 10% persisting


functional instability

Therapy:
Training
Bracing
surgery

University Center for Sports, Exercise and Health


Ligament reconstruction

University Center for Sports, Exercise and Health


Syndesmotic lesion

University Center for Sports, Exercise and Health


Impingement

University Center for Sports, Exercise and Health


lateral side

University Center for Sports, Exercise and Health


Snapping peroneus

University Center for Sports, Exercise and Health


Peroneal tendinopathy

University Center for Sports, Exercise and Health


Tendovaginitis of the medial tendons

University Center for Sports, Exercise and Health


Acquired flat foot:
posterior tibial tendon dysfunction
p y

University Center for Sports, Exercise and Health


sinus tarsi syndrome

University Center for Sports, Exercise and Health


Plantar faciitis

University Center for Sports, Exercise and Health


Plantar faciitis

Visco heels
Shockwave therapy
Eccentric stretching
socks

University Center for Sports, Exercise and Health


Tarsal coalition

University Center for Sports, Exercise and Health


Calcaneonavicular bar

University Center for Sports, Exercise and Health


Calcaneonavicular bar

Painful flat foot


Giving way symptoms
in adolescence
No pro supination

Excision < age 12


succesful

University Center for Sports, Exercise and Health


Coalition consequences

University Center for Sports, Exercise and Health


Avascular necrosis of the navicular bone

“stress
stress fracture”
fracture
Soccer players
Long delay in
diagnosis
Long conservative
therapy
Often
O te minoro
complaints

University Center for Sports, Exercise and Health


Metatarsal stress fracture

Long healing period


Can go on with
protected p
p playing
y g

University Center for Sports, Exercise and Health


Hallux rigidus

Ballet dancers and


distance runners

Shoe and sole


applicatons
pp

Debridement
eb de e t

artrodesis

University Center for Sports, Exercise and Health


Turf toe

Is a ligament lesion

Needs appropriat
treatment

University Center for Sports, Exercise and Health


University Center for Sports, Exercise and Health

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