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At least 109 records · Page 6Linked to original sources
PubMed1992

Work-related injuries to the foot. Data from an occupational injury/illness surveillance system.

In 1988, a total of 990 work-related injuries to the foot of employees from private-sector companies were characterized in an occupational injury/illness surveillance system maintained by a network of occupational health centers. The mean age of the worker with a foot injury was 34.2 years (+/- 12.0), with 83% occurring among men; 22.3% of the cases were fractures or sprains/strains. Jobs involving extensive manual material handling or vehicular operations were the most often listed occupations among those with work-related foot injuries. Across occupational groups, being struck by an object accounted for 58.4% of the foot injuries. Regardless of industry group, metal items and vehicles were related to 50.7% of all work-related foot injuries. Specifically, foot injuries were found to be associated with being struck by boxes, metals, or vehicles, or to being caught in, under, or between vehicles or machinery. A peak of work-related injuries involving the foot is observed during the summer months.

Accidents, Occupational↗
PubMed1995

Biomechanical treatment of traumatic foot and ankle injuries with the use of foot orthotics.

Physical therapists commonly treat injuries that occur to the foot and ankle complex following trauma. The goals of rehabilitation typically focus on restoring motion and maximizing functional strength and proprioception. It is important to understand the normal biomechanics of the foot and ankle complex as well as the structural and biomechanical changes that occur following ankle fractures, calcaneal fractures, subtalar joint dislocations, and tarsometatarsal joint dislocations. The purpose of this paper is to provide a theoretical basis for the use of various types of foot orthotics in the biomechanical treatment of traumatic foot and ankle injuries.

Ankle Injuries↗
PubMed2006

Musculoskeletal manifestations of physical abuse after intimate partner violence.

BACKGROUND: Domestic violence is the most common cause of nonfatal injury to women in the United States, with an estimated cost of $50 billion annually. Little is known about the spectrum of musculoskeletal injuries in victims of domestic violence. We examined the characteristics of abused women, the prevalence of musculoskeletal injuries, and the variables associated with increasing frequency of physical violence against women. METHODS: We identified all female survivors of intimate partner violence who were referred to the Minnesota Domestic Abuse Program from January 1, 2002, through December 31, 2003. Characteristics of each woman's background, abuse history, and injuries were obtained by a trained program therapist in an in-depth, 2-hour intake interview. Specific data forms were completed for each interview. Five forms of experienced abuse were explored (physical, emotional, psychological, sexual, and financial). Injuries were subcategorized as (1) head and neck, (2) musculoskeletal, (3) chest, (4) abdomen, and (5) skin (integumentary system). We conducted regression analyses to determine factors associated with the frequency of physical abuse. RESULTS: Of 270 potentially eligible women, 263 (97%) with complete records were included. Women were commonly Caucasian (62%) in their third decade of life with one or more children (87%). A history of abuse was recalled by over half of the women (54%). The most prevalent forms of abuse were emotional (84%), psychological (68%), physical (43%), sexual (41%), and financial (38%). Child protective services were concomitantly involved in half of the women living in abusive relationships. Among those women who reported physical abuse, 36% sought medical attention. We identified 144 injuries in 218 physically abused women. Head and neck injuries were the most prevalent after intimate partner violence (40%). Musculoskeletal injuries were the second most common manifestation of intimate partner violence (28%). The spectrum of injuries included sprains (n = 21 injuries), fracture/dislocations (n = 17 injuries), and foot injuries (n = 2 injuries). Our analysis identified seven variables associated with increasing physical abuse frequency. These included (1) younger age (p = 0.04); (2) shorter length of relationship (p = 0.049); (3) emotional abuse (p = 0.02); (4) psychological abuse (p = 0.003); (5) sexual abuse (p = 0.004); (6) drug dependency (p = 0.05); and (7) alcohol dependency (p = 0.045). CONCLUSIONS: Among women presenting to a domestic violence therapy program seeking counseling, head and neck and musculoskeletal injuries were most common. Frequency of physical abuse was most likely to be associated with younger women who are in short-term relationships, have chemical and alcohol dependency, and concomitant emotional, psychological, and sexual abuse. Recognizing musculoskeletal injuries in women as a potential result of intimate partner violence is warranted. Identifying children exposed to abusive situations may further alert treating surgeons to the potential for intimate partner violence in the mother.

Adolescent↗
PubMed1983

Foot trauma in a rural hospital.

The authors made a survey of a rural hospital emergency room to determine the types of foot injuries seen and the frequency of foot injuries in relation to total emergency room visits. The study showed that foot fractures made up a significant portion of emergency room admissions.

Emergency Service, Hospital↗
PubMed1997

Rehabilitation of foot and ankle injuries.

Rehabilitation of foot and ankle injuries is essential for full functional recovery and prevention of chronic disease. Rehabilitation includes the usage of physical therapy modalities and rehabilitative exercise whose goals are the reduction of pain and edema and the increase of strength and proprioception. Physical therapy modalities may be classified as thermal, mechanical or electrical agents and include the use of ice, heat, ultrasound, phonophoresis, iontophoresis, intermittent compression, therapeutic massage and a variety of electrical currents. Rehabilitative exercises are primarily designed to increase flexibility, range of motion, strength, proprioception and sport-specific development prior to resumption of full activity. Proper rehabilitation of the lateral ankle (inversion) sprain is critical due to its frequency and potential for chronic pain and recurrence.

Ankle Injuries↗
PubMed1986

[Therapeutic concepts in neurologic damage following severe soft tissue and bone injuries of the distal lower leg and foot].

In less than 1% of the cases nervous lesions after severe lower leg lesions demand surgical treatment: Neurosurgical Clinic: 28 reconstructive interventions on the lower leg, however, 362 on the forearm in 15 years; Clinic of Accident Surgery: 264 severest lower leg- and foot-injuries, among them only two nervous lesions. The n. peronaeus is more frequently affected than the n. tibialis. Even if continuity of the nerve is maintained, endoneural bleeding and internal ruptures can lead to extensive axonal lesions. The kind of nervous lesion (neurapraxia, axonotmesia, neurotmesia) should be clarified during the first three months, if possible, since it determines the prognosis as well as the kind of operative treatment during the first six months.

Foot Injuries↗
PubMed2005

Evidence-based treatment of foot and ankle injuries in runners.

Foot and ankle injuries are common in runners. Treatment is becoming more evidence-based for the most common of these conditions; however, further research is needed to determine the best treatments for injuries that are encountered less commonly.

Ankle Injuries↗
PubMed1995

Lower leg, foot, and ankle injuries in young athletes.

Most injuries to the young athlete do have a benign natural course--complete resolution of the difficulty without sequelae. In order to develop a contemporary program of management of the more serious disorders in this active population, the practitioner must be certain to carefully analyze the injury and initiate a rapid course of action. A fracture of the tibia must be reduced, held aligned, and then rehabilitated. A compartment syndrome commonly demands early fasciotomy; the young athlete and his or her parents warrant a sensitive understanding from physicians to quell the anxiety that is paramount to all of these disorders.

Adolescent↗
PubMed1997

Lower leg, foot, and ankle injuries in young athletes.

Most injuries to the young athlete do have a benign natural course-complete resolution of the difficulty without sequelae. In order to develop a contemporary program of management of the more serious disorders in this active population, the practitioner must be certain to carefully analyze the injury and initiate a rapid course of action. A fracture of the tibia must be reduced, held aligned, and then rehabilitated. A compartment syndrome commonly demands early fasciotomy; the young athlete and his or her parents warrant a sensitive understanding from physicians to quell the anxiety that is paramount to all of these disorders.

Adolescent↗
PubMed1989

Chronic high velocity projectile injury to the foot.

Acute projectile injuries to the foot can present a challenge for the podiatric physician, especially in terms of their chronic effects. The case of a shrapnel wound to the right foot and ankle that resulted in recurrent episodes of soft tissue infection and disability is presented. Treatment consisted of excision of the shrapnel fragment, debridement, and primary closure of the sinus tract created by the projectile. The authors discuss the acute and chronic effects of projectile injuries, factors responsible for determining the severity of these wounds, and various methods of treatment.

Acute Disease↗
PubMed1986

Diagnostic dilemmas in foot and ankle injuries.

Differential diagnosis of foot and ankle injuries should include stress fractures of the great toe sesamoids, the shaft of the fifth metatarsal, and the tarsal navicular bone; transchondral talar-dome fractures; fractures of the os trigonum; and dislocating peroneal tendons. Diagnosis of these injuries is challenging because the initial roentgenograms often are normal, and special clinical tests and ancillary studies are required.

Ankle Injuries↗
PubMed1988

Foot and foot-related injuries in the young athlete.

This article discusses the more common pediatric problems of the foot associated with microtrauma. In the author's experience, most pediatric foot problems in sports are related to the biomechanics of the foot and lower extremity and most of their treatment is directed toward improving the immediate problem at hand and either at the same time or at a future time improving the biomechanics associated with the problem. It is the author's opinion that much of the macrotrauma is alos related to the biomechanical parameters of the foot type and lower leg function, indirectly or directly contributing to the mechanism of injury. This article elaborates on these mechanisms.

Adolescent↗
PubMed1992

Tendon injuries of the foot and ankle.

Tendon injuries are often caused by direct trauma or overuse. Pathology may consist of inflammatory lesions external to the tendon sheath or inflammation of either the peritenon, sheath, or tendon. This article reviews the diagnosis and treatment of injuries to the peroneal, peroneus brevis, peroneus longus, anterior tibial, flexor hallucis longus, and posterior tibial tendons.

Ankle Injuries↗
PubMed2003

Validation of the Ottawa Ankle Rules in Australia.

OBJECTIVE: This study was a prospective validation of the Ottawa Ankle Rules (OAR) in Australia following appropriate education in the use of the rules. METHODS: The OAR were applied to consecutive patients 18 years and over presenting with acute ankle and foot injuries to the ED of an urban teaching hospital. RESULTS: Three hundred and thirty-three patients had 366 injuries. There were 43 fractures in 265 ankle injuries and 14 fractures in 101 foot injuries. Sensitivity was 100% for ankle (95% confidence interval (CI): 92-100) and midfoot fractures (95% CI: 77-100). Specificity was 15.8% (95% CI: 11-21) for ankle fractures and 20.7% (95% CI: 13-31) for midfoot fractures. CONCLUSION: The OAR had a sensitivity of 100% for ankle and midfoot fractures when used by both junior and senior physicians.

Adolescent↗