I would appreciate arenees thoughts on the following unusual case:
Members do not see these Ads. Sign Up.
24 elite Australian Rules footballer:
Bilateral, poorly defined mid/forefoot pain, loosely located around the TMTJ's
# year history. this athlete has benefited from the investigation and care of the medical staff (all very competent) at a professional team.
Hx.. L Jones fracture.. ORIF.. 1 year later.. same foot Jones #.. bigger better ORIF.
Facet joint issues now completely resolved.
investigations.. CT and MRI show mild bony injury not characteristic with fracture. Some marrow oedema and signal change in area of pain, but indicative of bony overload more than anything.
Biomechanics.. unremarkable. Mild genu valgum with efficient stride. Mid to forefoot strike pattern which would not be helping. Has full length laterally posted orthoses which have not helped.
Has persistent long standing 1st MCPJ pain which makes me think about undisclosed ideopathic arthropathy.
Plan.. specific taping to try to change FF loading and reduce pain to give a pointer to long term management. Bloods to rule out arthropathy.
Any PEARLS Ladies and gentlemen?
Tags:
<
Sensory Re-Weighting in Human Bipedal Postural Control: The Effects of Experimentally-Induced Planta
|
Cobra style prefab
>
<
Sensory Re-Weighting in Human Bipedal Postural Control: The Effects of Experimentally-Induced Planta
|
Cobra style prefab
>
Loading...
- Similar Threads - Unusually persistent forefoot
-
- Replies:
- 0
- Views:
- 456
-
- Replies:
- 0
- Views:
- 942
-
- Replies:
- 1
- Views:
- 4,022
-
- Replies:
- 10
- Views:
- 11,862
-
- Replies:
- 11
- Views:
- 19,305
-
- Replies:
- 0
- Views:
- 4,814
-
- Replies:
- 0
- Views:
- 4,163