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Foot & Ankle
Orthopedics
Question | Answer |
---|---|
Pain on plantar foot @ 2 – 3rd metatarsal. Associated w/ tight shoes, relieved by removing shoes. Palpable painful mass | Morton’s neuroma; Tx w/ NSAIDs, wide shoes, then steroid injections |
Painful swelling over bony prominences; hallux valgus | bunion |
clawtoe / hammertoe | F>M 5:1; flexor tendon imbalance; claw FDP; hammer FDB |
ankle sprain site of injury | ATFL>CFL>PTFL (85% inversion / plantarflexion) |
ankle injury: Ottawa rules: xray if: | Bone tenderness, esp at distal fibula, or post edge or tip of medial/lateral malleolus; Inability to bear weight; Age over 60 |
Foot injury: Ottawa rules: xray if: | pain in the midfoot zone and in base of 5th metatarsal or navicular bone; inability to bear weight |