Baxter's The Foot and Ankle in Sport by David A. Porter MD PhD, Lew C. Schon MD

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

Sample text

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.

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