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Abstract

About 40–50 % of the general population will develop a foot disorder at some stage in their lives. Of these injuries, 90 % will concern the forefoot. This comprehensive chapter on injuries of the foot aims to discuss the most common foot injuries in either recreational or elite athletes. Although technological advances in nuclear medicine and radiology enable physicians to obtain a precise diagnosis and monitor the rehabilitation process, a sound understanding of the pathophysiology of these common foot injuries remains the basis for a successful diagnosis and treatment.

This chapter summarizes the most common foot problems that an athlete can encounter. In describing these foot pathologies, the foot is divided into six different zones. For each zone, a description of possible foot injuries is provided in a concise manner. After reading this chapter, the reader will have a better understanding of normal and abnormal foot anatomy in relation to the biomechanical etiology of common overuse injuries of the foot. Although this review is not intended to provide the reader with a complete overview of sports-related foot problems, it will assist clinicians in their differential diagnosis when requesting, e.g., a radiological examination.

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Notes

  1. 1.

    From the French neurologist Jules Tinel (1879–1952): to elicit a sensation of tingling one taps lightly over the nerve

References

  • Alexander I (1997) The foot: examination & diagnosis (J. Mitchell (ed) 2nd edn). Churchill Livingstone, USA

    Google Scholar 

  • Allen L, Flemming D, Sanders T (2004) Turf toe: ligamentous injury of the first metatarsophalangeal joint. Mil Med 169(11):xix–xxiv

    Article  PubMed  Google Scholar 

  • Aronow M (2005) Posterior heel pain (retrocalcaneal bursitis, insertional and noninsertional Achilles tendinopathy). Clin Podiatr Med Surg 22(1):19–43. doi:10.1016/j.cpm.2004.08.003

    Article  PubMed  Google Scholar 

  • Bjerregaard P, Siggaard J (1981) March fracture caused by a motion instrument? Ugeskr Laeger 143(28):1769

    CAS  PubMed  Google Scholar 

  • Caino S, Dello Ruso B, Fano V, Obregon MG (2012) Tarsal-carpal coalition syndrome: a familial case. An Pediatr (Barc) 76(6):355–359. doi:10.1016/j.anpedi.2011.12.004

    Article  CAS  Google Scholar 

  • Chi L, Li C, Zhang D, Li Z, Huang B, Zhang T, Wang P (2009) Surgical treatment of the accessory navicular syndrome with simple excision. Zhongguo Gu Shang 22(12):933–934

    PubMed  Google Scholar 

  • Chiereghin A, Martins M, Gomes C, Rosa R, Loduca S, Chahade W (2011) Posterior ankle impingement syndrome: a diagnosis rheumatologists should not forget. Two case reports. Rev Bras Reumatol 51(3):283–288

    Article  PubMed  Google Scholar 

  • Childs SG (2006) The Pathogenesis and Biomechanics of Turf Toe. Orthop Nurs 25:276–280; quiz 81-2.

    Google Scholar 

  • Chu N, Lew H, Chen C (2012) Ultrasound-guided injection treatment of retrocalcaneal bursitis. Am J Phys Med Rehabil 91(7):635–637. doi:10.1097/PHM.0b013e31825a15d5

    Article  PubMed  Google Scholar 

  • Cook J, Purdam C (2009) Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy. Br J Sports Med 43(6):409–416. doi:10.1136/bjsm.2008.051193

    Article  CAS  PubMed  Google Scholar 

  • Demaj B (2009) The adult acquired flatfoot resulting from posterior tibial tendon dysfunction: pathomechanics and podiatric treatment, Bachelor literary review. Artevelde College, Ghent

    Google Scholar 

  • English C, Coughlan R, Carey J, Bergin D (2012) Plantar and palmar fibromatosis: characteristic imaging features and role of MRI in clinical management. Rheumatology (Oxford) 51(6):1134–1136. doi:10.1093/rheumatology/ker522

    Article  Google Scholar 

  • Erdemir A, Hamel AJ, Fauth AR, Piazza SJ, Sharkey NA (2004) Dynamic loading of the plantar aponeurosis in walking. J Bone Joint Surg Am 86-A(3):546–552

    PubMed  Google Scholar 

  • Fredericson M, Jennings F, Beaulieu C, Matheson G (2006) Stress fractures in athletes. Top Magn Reson Imaging 17(5):309–325. doi:10.1097/RMR.0b013e3180421c8c

    Article  PubMed  Google Scholar 

  • Greida B (1988) March fracture (Deutschlander’s disease) in sportsmen. Sov Med (7):118–119

    Google Scholar 

  • Heimkes B, Posel P, Stotz S, Wolf K (1987) The proximal and distal tarsal tunnel syndromes. An anatomical study. Int Orthop 11(3):193–196

    Article  CAS  PubMed  Google Scholar 

  • Howard MST (2009) Tendinopathies of the foot and ankle. Am Fam Physician 80:1107–1114

    PubMed  Google Scholar 

  • Jahss M, Michelson J, Desai P (1992) Investigations into the fat pads of the sole of the foot: anatomy and histology. Foot Ankle 13:233–242

    Article  CAS  PubMed  Google Scholar 

  • Inman VT, Mann RA (1978) Biomechanics of the foot and ankle. In R.A. Mann (Ed.), DuVries’ surgery of the foot pp. 3–21. St. Louis: Mosby

    Google Scholar 

  • James A, Williams C, Haines T (2013) Effectiveness of interventions in reducing pain and maintaining physical activity in children and adolescents with calcaneal apophysitis (Sever’s disease): a systematic review. J Foot Ankle Res 6(1):16. doi:10.1186/1757-1146-6-16

    Article  PubMed Central  PubMed  Google Scholar 

  • Kilmartin T, Wallace W (1991) First metatarsal head shape in juvenile hallux abducto valgus. J Foot Surg 30(5):506–508

    CAS  PubMed  Google Scholar 

  • Kinoshita M, Okuda R, Yasuda T, Abe M (2006) Tarsal tunnel syndrome in athletes. Am J Sports Med 34(8):1307–1312. doi:10.1177/0363546506286344

    Article  PubMed  Google Scholar 

  • Kirby K (2012) Evolution and history of podiatric biomechanics. Paper presented at the 20 years of podiatry education in Flanders, Ghent

    Google Scholar 

  • Kosmahl E, Kosmahl H (1987) Painful plantar heel, plantar fasciitis, and calcaneal spur: etiology and treatment. J Orthop Sports Phys Ther 9(1):17–24

    Article  CAS  PubMed  Google Scholar 

  • Koulouris G, Morrison W (2005) Foot and ankle disorders: radiographic signs. Semin Roentgenol 40(4):358–379. doi:10.1053/j.ro.2005.01.018

    Article  PubMed  Google Scholar 

  • Kvist M (1994) Achilles tendon injuries in athletes. Sports Med 18(3):173–201

    Article  CAS  PubMed  Google Scholar 

  • Lobo M, Greisberg J (2007) Foot and ankle: core knowledge in orthopaedics. In: JPG, AM Budny, VJ Mandracchia (ed) Clinics in podiatric medicine and surgery. W.B. Saunders Company, Philadelphia

    Google Scholar 

  • Lysack J, Fenton P (2004) Variations in calcaneonavicular morphology demonstrated with radiography. Radiology 230(2):493–497. doi:10.1148/radiol.2302021543

    Article  PubMed  Google Scholar 

  • Mertens E (2012) Effective pain management after hallux valgus correction. Pflege Z 65(6):339

    PubMed  Google Scholar 

  • Morton D (1964) The human foot: its evolution, physiology and functional disorders. Hafner Publishing Company, INC., New York

    Google Scholar 

  • Murphy P, Baxter D (1985) Nerve entrapment of the foot and ankle in runners. Clin Sports Med 4:753

    CAS  PubMed  Google Scholar 

  • O’Kane J, Kadel N (2008) Anterior impingement syndrome in dancers. Curr Rev Musculoskelet Med 1(1):12–16. doi:10.1007/s12178-007-9001-4

    Article  PubMed Central  PubMed  Google Scholar 

  • Perera A, Mason L, Stephens M (2011) The pathogenesis of hallux valgus. J Bone Joint Surg Am 93(17):1650–1661. doi:10.2106/JBJS.H.01630

    Article  CAS  PubMed  Google Scholar 

  • Reinherz R, Smith B, Henning K (1990) Understanding the pathologic Haglund’s deformity. J Foot Surg 29(5):432–435

    CAS  PubMed  Google Scholar 

  • Roosen PH, Van De Steene F (2007) Oefentherapie bij voet- en enkelaandoeningen. Standaard Uitgeverij, Antwerpen

    Google Scholar 

  • Root M, Orien W, Weed J (1977) Normal and abnormal function of the foot, vol 2, 1st edn. Clinical Biomechanics Corporation, Los Angeles

    Google Scholar 

  • Ruch J (1974) Haglund’s disease. J Am Podiatry Assoc 64(12):1000–1003

    Article  CAS  PubMed  Google Scholar 

  • Salzler M, Bluman E, Noonan S, Chiodo C, Asla R (2012) Injuries observed in minimalist runners. Foot Ankle Int 33(4):262–266. doi:10.3113/FAI.2012.0262

    Article  PubMed  Google Scholar 

  • Schepsis A, Jones H, Haas A (2002) Achilles tendon disorders in athletes. Am J Sports Med 30(2):287–305

    PubMed  Google Scholar 

  • Sherman K (1999) The foot in sport. Br J Sports Med 33(1):6–13

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  • Thomas J (2001) The diagnosis and treatment of heel pain. J Foot Ankle Surg 40(5):329–340

    Article  Google Scholar 

  • Thomas J, Christensen J, Kravitz S, Mendicino R, Schuberth J, Vanore J, Baker J (2010) The diagnosis and treatment of heel pain: a clinical practice guideline-revision 2010. J Foot Ankle Surg 49(3 Suppl):S1–S19. doi:10.1053/j.jfas.2010.01.001

    Article  PubMed  Google Scholar 

  • Verdonk R (2006) Orthopedie. Syllabus. Revalidation science and physiotherapy. University of Ghent, Ghent

    Google Scholar 

  • Wiegerinck J, Kok A, Dijk CV (2012) Surgical treatment of chronic retrocalcaneal bursitis. Arthroscopy 28(2):283–293. doi:10.1016/j.arthro.2011.09.019

    Article  PubMed  Google Scholar 

  • Zollinger H, Jacob H (1989) Could biomechanical factors affect the etiology of Morton’s neuralgia? Acta Orthop Belg 55(3):473–477

    CAS  PubMed  Google Scholar 

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Correspondence to Berat Demaj BSc Podiatry .

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Demaj, B., Praet, S.F.E. (2015). Sports Injuries of the Foot. In: Glaudemans, A., Dierckx, R., Gielen, J., Zwerver, J. (eds) Nuclear Medicine and Radiologic Imaging in Sports Injuries. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-46491-5_37

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  • DOI: https://doi.org/10.1007/978-3-662-46491-5_37

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