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Posterior tibial/fexorPosterior tibial/fexor

retinaculumretinaculum

Deltoid ligamentDeltoid ligament

Achilles tendonAchilles tendon

Posterior tibialis m. and plantariPosterior tibialis m. and plantari

m.m.

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Peroneus longus and brevisPeroneus longus and brevis

m.m.

Extensors o the toesExtensors o the toes

Posterior tibialisPosterior tibialis

m.m.

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Pes cavushigh, rigidarch

Pes planuslow,hper!mobile arch

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" #ulge at $stmetatarso!phalangeal

%oint

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UsuallyUsually INVERSIONINVERSIONsprainssprains

Damage to the anterior talo-fibular ligament occurs firstDamage to the anterior talo-fibular ligament occurs first

Second, the calcaneo-fibular ligament is sprainedSecond, the calcaneo-fibular ligament is sprained

any times strains of the peroneus longus and bre!is m"any times strains of the peroneus longus and bre!is m"occuroccur

S#ells $generally% according to se!erity $grades &,',(%S#ells $generally% according to se!erity $grades &,',(%

Often happens because the athlete steps on someone else)sOften happens because the athlete steps on someone else)s

footfoot

Or, the athlete lands from a *ump or a step #ith his+her footOr, the athlete lands from a *ump or a step #ith his+her foot

in!erted and plantar-fleedin!erted and plantar-fleed

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&upports the&upports the

oot inoot in

plantarfexedplantarfexed

positionposition

&upports the an'le in the () degree *fat&upports the an'le in the () degree *fat

oot+ position.oot+ position.

&upports the an'le in&upports the an'le indorsifexiondorsifexion

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Anterior talobularAnterior talobular

ligamentligament

-alcaneobular-alcaneobular

ligamentligament

Anterior tibiobularAnterior tibiobular

ligamentligament

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Posterior tibialisPosterior tibialis

tendontendon

&pring&pring

ligamentligament

Peroneus m.Peroneus m.

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ExtensorExtensor

0etinaculum0etinaculum

ExtensorExtensortendonstendons

Extensor 0etinaculumExtensor 0etinaculum

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1he proximal end is a snovial %oint,

acting as part o the 'nee

1he distal end is a sndesmosis %oint,which is a side!b!side arrangement

held together b transverse ligaments

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Avulsion fracture at base of the 5thmet

Peroneus brevis tendon causes it

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The posterior tibialis m. gets strained and irritated,especially when the athletes foot over-pronates

Another form of shin splints is periostitisof thetibia.

Periostitis is in!ammation of the outer bone lining"periosteum# of the tibia, and possiblyof theinterosseus membrane between the tibia and $bula

%ce massage and deep manual massage often bringrelief. Anti-in!ammatory medications are also helpful

Additional arch support, shin splint taping, plusanterior tibialis m. and posterior tibialis m.strengthening, and calf stretching, are alsoimportant parts of treatment for this condition

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&uscles on the anterior aspect of lower leg areenclosed in connective tissue

'ecause of overuse or severe impact, the musclesin the compartment will swell and e(pand, but the

connective tissue will not, causing the pressure inthe leg to increase

)auses severe pain that increases with activity

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*ou will notice hot, red s+in, loss of foot motion,and hardness of the area

)an be confused with shin splints, shin splinttaping can aggravate the problem

Athlete may also notice parasthesia or wea+nessin lower part of shin andor foot

This condition can cause permanent nerve andcirculation problems

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efer to doctor immediately

)an be resolved with surgery

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Soreness *ust anterior to the heel"

Initially caused by tightness of the

heel cord $chilles tendon% " One ofthe classic signs of this condition is

sharp pain *ust anterior and medial

of the heel upon stepping out of bedin the morning"

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.reatment

Stretching

plantar fascia

calf

Ice massage

US

rch supports

n/le strengthening

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eels li+e youve been +ic+ed in the bac+ of theleg

/ccurs with over pronation, or sudden forcefulcontraction of the calf

*oull notice a lac+ of plantar!e(ion whens0uee1ing the calf

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Turf toe

2prain of &TP 3oint

4sually due to e(cessive e(tension

2ubungual hematoma

etting stepped on causes it

emedied through drilling into nail to relievepressure

%ngrown toe nails

4sually cut out by doc

6i7cult to come bac+ from bc athletes tend torush it

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