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Foot Trauma

by Jacob Fassman
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Tuesday, 15 November 2011 Category Trauma

QB Matt Schaub out with significant foot injury

(Brian Blanco/Associated Press) - Houston Texans quarterback Matt Schaub (8) throws an 80-yard touchdown pass to wide receiver Jacoby Jones as center Chris Myers (55) blocks Tampa Bay Buccaneers’ Albert Haynesworth (95) during the first quarter of an NFL football game on Sunday, Nov. 13, 2011, in Tampa, Fla.

HOUSTON — Houston quarterback Matt Schaub is out indefinitely with a “significant” right foot injury and will miss at least the Texans’ next game in two weeks.

Coach Gary Kubiak said Monday that Schaub was injured on a quarterback sneak coming out of the end zone late in the second quarter of Houston’s 37-9 win over Tampa Bay on Sunday. Schaub stayed in the game, but threw only three passes.

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Kubiak said the team was bringing in a specialist from Indianapolis to evaluate Schaub, and the quarterback would fly to Charlotte, N.C., later this week to undergo further examination.

“He’s got a significant foot injury, he’s going to miss some time,” Kubiak said. “But we’re going to do everything we can to get it evaluated correctly and see if can get him back on the football field.

Info from:  The Washington Post 11/13/11

The foot injury the report is referring to is a Lisfranc Injury.  This injury can be season or career ending depending upon the severity.  This injury affects the tarso-metatarsal joint in the middle of one's foot.  When left untreated it can lead to a significant flatfoot deformity and/or debilitating arthritis.  At minimum one should be immobilized for 6-8 wks with crutches.  If further imaging modalities such as CT or MRI show disruption or displacement of the joint/ligaments surgery is indicated, especially for athletes.  This may be approached from a percutaneous technique, carefully inserting screws in the foot so as to realign the Lisfranc joint and prevent further breakdown.

Tags: foot injury, lisfranc
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soccer foot injuries on the rise?

by Jacob Fassman
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Monday, 10 October 2011 Category Sports

According to a recent article in 'peak performance', soccer (known as football in England) foot injuries may be on the rise.  Below is a portion of the article's concern:

 

"With the advent of Wayne Rooney’s injury in the run-up to the World Cup, metatarsal fractures have been topical. Rooney fractured the fourth metatarsal in his right foot. This type of injury has also afflicted other international players, such as Edwin van der Sar (Netherlands and Manchester United), Gaël Clichy (France and Arsenal), Ivan Campo (Spain and Bolton) and Paulo Ferreira (Portugal and Chelsea).The high incidence of metatarsal fractures in football players has raised the question as to whether modern football boots offer enough protection to the foot and whether they are to blame for the high number of foot injuries. Indeed, Rooney was wearing a new Nike model, the Total 90 Supremacy, for the first time on the day that he was injured.Although Nike denies that its boots are linked to a higher risk of injury, Tommy Docherty, the former manager of Manchester United, said that when he was a professional football player in the 1950s, it used to take six weeks to break a pair of boots in and players used to have to put them in a bucket of water (4)!

Another reason why we are hearing more of these types of injury is the terminology now used and the increased reporting of the injury by the media. Tony Book, a former professional UK footballer, told the Manchester Evening News that he believes the name of the injury has changed. He believes the old ‘broken toe’ injury is now reported as ‘fractured/broken metatarsal’ (4). This changing terminology, coupled with increased media reporting, may be giving rise to a perceived increase in the number of injuries. There may not be more metatarsal injuries now than there used to be, but we all certainly know more about them (6).Before MRI scans were widely available, ‘ankle pain’ was common, but now we have various degrees of ‘bone bruises’. Likewise, in 1960, no one had heard of ‘Gilmore’s Groin’, but by 1990 everyone had one! Again, this indicates that with changing times and advances in technology, the terminology changes but the underlying injury does not."

The moral of the story is that soccer can take it's toll on our feet.  Should you suspect an injury, consult a podiatrist who can provide you with a thorough examination to help your current foot condition and prevent any future injuries.

Tags: soccer, football, foot injury
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Ben Roethlisberger Injures Left Foot

by Dr. Diana Tsombaris
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Tuesday, 04 October 2011 Category Trauma

Steelers quarterback Ben Roethlisberger injured his left foot during the 4th quarter of Sunday's game against the Houston Texans.  He finished out the game, but limped off the field and was seen using crutches and wearing a walking boot as he left the stadium.  X rays were taken, followed by an MRI which showed that the foot was not broken.

Roethlisberger sustained a broken bone to the right foot last year and managed to play through the 2nd half of the 2010 season.

One may hear an audible "crack" or "pop" during an injury, followed by swelling, pain and bruising.  Use the "RICE: Rest, Ice, Compression, Elevation" method following any traumatic injury, and be sure to follow up with your foot and ankle specialist.  You will likely need x rays to rule out fracture.  In some cases braces and walking boots may be necessary to properly immobilize your foot. 

Tags: football, foot injury, Roethlisberger
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