Foot and Ankle Concepts

A 22 y/o female presents to the orthopedic clinic with generalized forefoot pain without any trauma. She notes that the pain is made worse by her high heals that she wore for a friends wedding. She describes her pain as burning. Which physical exam finding would you expect to see in this patient?

What is the best first approach to treatment of this patients complaint?

A 34 y/o basketball player felt an excruciating pain when landing after a rebound. He was unable to walk immediately following the injury. He also reports having heard a loud pop. On exam, in a prone position a squeeze of his calf muscle does not elicit plantarflexion of the foot. Which treatment is appropriate for this patient?

A 36 y/o female presents to the clinic with a 4 day history of significant midfoot pain. She reports having had several drinks with her husband 4 nights ago and remembers stepping and falling off of a curb and twisting her ankle. On exam she has generalized swelling about the foot and ankle. There is obvious bruising in her mid arch. She has pain severe pain with a pronation abduction test to the midfoot. What radiographic finding would help make your diagnosis?

What is the most common ligament to injure with an inversion ankle sprain?

54 yo Female c/o pain in the plantar aspect of her left heel for 6 weeks. When she gets out of bed she has to hold on to furniture as she navigates her house. She has point tenderness at the medial border of the calcaneus. She has seen another provider who had recommended stretching exercises, night splints, physical therapy, and even complete immobilization. What could you offer the patient as the next step in the patients treatment?

A 68y/o presents to the clinic with a 4 month history of progressively worsening great toe pain. It hurts most when barefoot. He states that he has been taking ibuprofen for some swelling. On exam he has a dorsal prominence. Pain with compression of the first MTP joint and decreased passive ROM. What is the most likely diagnosis.