Foot and Ankle Disorders: Achilles
Tendon Rupture, Plantar Fasciitis, Turf
Toe, Lisfranc Injury, Charcot Foot,
Diabetic Foot Complications, Arthritis,
Bunions, Hammer Toe, and Freiberg
Infraction Questions Complete with
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Updated 2026
Achilles tendon tear
rupture of the mid-substance of the tendon between 5-7cm from the calcaneal insertion
Clinical:
- severe sudden onset of pain
- edema, palpatory defect
- (+) Thompson test
- weakness with plantar flexion
- stop and go sports
Treatment:
***immobilization, surgical repair, serial casting, RICE, stretching, PT
a (+) Thompson test is associated with what?
achilles tendon tear
- foot does not plantar flex when squeezing
achilles tendon tear treatment
1. serial casting
- plantar flex the foot in the cast, gradually decrease plantar flexion back to neutral
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, 2. surgical repair
- end to end repair
- wound healing is really SLOW
where is arthritis commonly found in the foot?
ankle
1st MTP joint
tarsometatarsal joints
subtalar joint
***typically osteoarthritis
presentation of foot arthritis
pain, swelling, loss of motion, crepitus
worse with prolonged standing/walking
pain on uneven ground
pain and crepitus with inversion and eversion of the foot =
subtalar arthritis
pain and crepitus with flexion and extension of the ankle =
ankle arthritis
Arthritis of Foot/Ankle: hallux rigidus
condition in which degenerative arthritis affects the MTP joint at the base of the big toe,
causing pain and stiffness
- pain, crepitus, bunion
Treatment for arthritis of the foot
shoe modifications
NSAIDs
Injections
Ankle brance
Surgical Treatment:
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