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Orthopedics

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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  
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Painful swelling over bony prominences; hallux valgus   bunion  
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clawtoe / hammertoe   F>M 5:1; flexor tendon imbalance; claw FDP; hammer FDB  
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ankle sprain site of injury   ATFL>CFL>PTFL (85% inversion / plantarflexion)  
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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  
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Foot injury: Ottawa rules: xray if:   pain in the midfoot zone and in base of 5th metatarsal or navicular bone; inability to bear weight  
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