ESS 150 Lecture Notes - Lecture 7: Microtrauma, Avulsion Fracture, Nonsteroidal Anti-Inflammatory Drug

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Direct force or by placing torsional/ twisting stresses on one. Difficult to distinguish fracture from sprain in this cause. Generally present with swelling, pain, point tenderness and possible deformity. Fracture of metatarsal caused by inversion or high velocity rotational forces. High nonunion rate and course of healing is unpredictable. Generally requires 6-8 wees non weight bearing with short leg cast if non- displaced. If nonunion occurs, internal fixation may be required. Hypermobility of metatarsals caused by laxity in ligaments- results in excessive splay of foot. Heavy callus may form in area of pain. Pad to elevate metatarsal just behind ball of foot. Strengthening of foot muscles and heel cord stretching. Result of increased stress on arch of foot. Flattening of foot during mid-stance causing strain on arch. Pain with running, jumping, below posterior tibias tend accompanied by pain and swelling. May also be associated with sprained calcaneonavlcular ligament and flexor hallucis longus strain.

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