By David A. Porter MD PhD, Lew C. Schon MD
The one booklet that focuses completely at the commonest sports-related accidents of the foot and ankle!
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Additional info for Baxter's The Foot and Ankle in Sport
After the season, two small screws and a bone graft were used in the navicular, preventing reoccurrence in a 5-year professional basketball career ( Fig. 1-8 ). Porter & Schon: Baxter's The Foot and Ankle in Sport, 2nd ed. 31 32 Porter & Schon: Baxter's The Foot and Ankle in Sport, 2nd ed. 32 Porter & Schon: Baxter's The Foot and Ankle in Sport, 2nd ed. Porter & Schon: Baxter's The Foot and Ankle in Sport, 2nd ed. 33 Figure 1-8 (A) Centrally located navicular stress fracture seen on the anteroposterior (AP) x-ray (arrow).
During this time, a strengthening program is initiated and the ankle can be put through a range of motion from maximum dorsiflexion to 30 to 40 degrees of plantarflexion, avoiding any inversion. Cardiovascular workout can be achieved using an exercise bike or elliptical trainer. At 6 weeks postoperatively, an Airsport or lace-up ankle brace is applied, allowing for more mobility. Dancing at the barre is permitted but relevé beyond the 40-degree plantarflexed position must be avoided so as not to stretch the repair.
The timing obviously is important. Being cost conscious is laudable, but the cost of a conservative or surgical treatment sometimes is dwarfed by the cost of missed games and bad seasons. If an operation is warranted, it Porter & Schon: Baxter's The Foot and Ankle in Sport, 2nd ed. 59 60 Porter & Schon: Baxter's The Foot and Ankle in Sport, 2nd ed. should be well conceived, striving for a biomechanically logical and anatomically sound reconstruction with limited surgical trauma. Postoperative rehabilitation and return to sport or dance should be mapped and reassessed along the way to avoid a setback.