eMedicine Specialties > Sports Medicine > Foot and Ankle

Athletic Foot Injuries: Follow-up

Author: Timothy J Rupp, MD, FACEP, Associate Medical Director, Physicians Emergency Care Associates, Methodist Health System, Dallas, Texas; Staff Physician, Innovative Emergency Medicine, Frisco, Texas; Staff Physician, Department of Emergency Medicine, Children's Medical Center of Dallas, Dallas, Texas
Coauthor(s): Steven Karageanes, DO, Director, Primary Care Sports Medicine Fellowship, Director, Sports Medicine Education, Center for Orthopedics and Neuroscience; Department of Medical Education, Oakwood Healthcare System
Contributor Information and Disclosures

Updated: Jun 18, 2008

Follow-up

Return to Play

As with all athletic injuries, the athlete's whole being must be considered before he or she returns to action. Athletes should practice before they play and essentially be pain free with all activity. Strength should be at least 90% of the unaffected limb, and proprioception should be restored so that the athlete can avoid recurrence. Mentally, the athlete must feel confident that the foot injury has healed; athletes should be able to compete without conscious awareness of the injury. The mental aspects of the injury are most accurately assessed in practice situations.

Related Medscape topics:
Resource Center Exercise and Sports Medicine
Resource Center Trauma

 


More on Athletic Foot Injuries

Overview: Athletic Foot Injuries
Differential Diagnoses & Workup: Athletic Foot Injuries
Treatment & Medication: Athletic Foot Injuries
Follow-up: Athletic Foot Injuries
Multimedia: Athletic Foot Injuries
References

References

  1. Malanga GA, Ramirez-Del Toro JA. Common injuries of the foot and ankle in the child and adolescent athlete. Phys Med Rehabil Clin N Am. May 2008;19(2):347-71, ix. [Medline].

  2. Birrer RB, Dellacorte MP, Grisafi PJ. Common Foot Problems in Primary Care. 2nd ed. Philadelphia, Pa: Hanley & Belfus Inc; 1998.

  3. Sammarco GJ, Cooper PS. Foot and Ankle Manual. 2nd ed. Philadelphia, Pa: Lippincott Williams & Wilkins; 1998.

  4. Scurran BL. Foot and Ankle Trauma. 2nd ed. New York, NY: Churchill Livingstone; 1996.

  5. Cailliet R. Foot and Ankle Pain. 3rd ed. Philadelphia, Pa: FA Davis Co; 1997.

  6. Weinfeld SB, Haddad SL, Myerson MS. Metatarsal stress fractures. Clin Sports Med. Apr 1997;16(2):319-38. [Medline].

  7. Knapp TP, Garrett WE Jr. Stress fractures: general concepts. Clin Sports Med. Apr 1997;16(2):339-56. [Medline].

  8. DeLee JC, Evans JP, Julian J. Stress fracture of the fifth metatarsal. Am J Sports Med. Sep-Oct 1983;11(5):349-53. [Medline].

  9. Maitra RS, Johnson DL. Stress fractures. Clinical history and physical examination. Clin Sports Med. Apr 1997;16(2):259-74. [Medline].

  10. Ebell MH. Evaluating the patient with an ankle or foot injury. Am Fam Physician. Oct 15 2004;70(8):1535-6. [Medline][Full Text].

  11. Stiell IG, Greenberg GH, McKnight RD, et al. Decision rules for the use of radiography in acute ankle injuries. Refinement and prospective validation. JAMA. Mar 3 1993;269(9):1127-32. [Medline].

  12. Rupp T, Hancock R. Evaluation and management of foot pain in the emergency department. Emerg Med Rep. Jan 22 2007;28(3).

  13. Simon RR, Koenigsknecht SJ. Tarsometatarsal fracture-dislocations. Emergency Orthopedics: The Extremities. 3rd ed. Norwalk, Conn: Appleton & Lange; 1995:331-2.

  14. Hesp WL, van der Werken C, Goris RJ. Lisfranc dislocations: fractures and/or dislocations through the tarso-metatarsal joints. Injury. Jan 1984;15(4):261-6. [Medline].

  15. Lenczner EM, Waddell JP, Graham JD. Tarsal-metatarsal (Lisfranc) dislocation. J Trauma. Dec 1974;14(12):1012-20. [Medline].

  16. Germann CA, Perron AD, Miller MD, Powell SM, Brady WJ. Orthopedic pitfalls in the ED: calcaneal fractures. Am J Emerg Med. Nov 2004;22(7):607-11. [Medline].

  17. Conti SF. Posterior tibial tendon problems in athletes. Orthop Clin North Am. Jan 1994;25(1):109-21. [Medline].

  18. Gellman R, Burns S. Walking aches and running pains. Injuries of the foot and ankle. Prim Care. Jun 1996;23(2):263-80. [Medline].

  19. Gilman AG, Rall TW, Nies AS, Taylor P, eds. Goodman and Gilman's the Pharmacological Basis of Therapeutics. 8th ed. New York, NY: McGraw Hill Inc; 1993:489-500, 664-667.

  20. Haverstock BD. Foot and ankle imaging in the athlete. Clin Podiatr Med Surg. Apr 2008;25(2):249-62, vi-vii. [Medline].

  21. Jenkins WL, Raedeke SG, Williams DS 3rd. The relationship between the use of foot orthoses and knee ligament injury in female collegiate basketball players. J Am Podiatr Med Assoc. May-Jun 2008;98(3):207-11. [Medline].

  22. Nunan PJ, Giesy BD. Management of Morton's neuroma in athletes. Clin Podiatr Med Surg. Jul 1997;14(3):489-501. [Medline].

  23. Sherman KP. The foot in sport. Br J Sports Med. Feb 1999;33(1):6-13. [Medline][Full Text].

  24. Sims EL, Hardaker WM, Queen RM. Gender differences in plantar loading during three soccer-specific tasks. Br J Sports Med. Apr 2008;42(4):272-7. [Medline].

  25. Wedmore IS, Charette J. Emergency department evaluation and treatment of ankle and foot injuries. Emerg Med Clin North Am. Feb 2000;18(1):85-113, vi. [Medline].

  26. Wu KK. Morton neuroma and metatarsalgia. Curr Opin Rheumatol. Mar 2000;12(2):131-42. [Medline].

Further Reading

Contributor Information and Disclosures

Author

Timothy J Rupp, MD, FACEP, Associate Medical Director, Physicians Emergency Care Associates, Methodist Health System, Dallas, Texas; Staff Physician, Innovative Emergency Medicine, Frisco, Texas; Staff Physician, Department of Emergency Medicine, Children's Medical Center of Dallas, Dallas, Texas
Timothy J Rupp, MD, FACEP is a member of the following medical societies: American College of Emergency Physicians, American Medical Association, Gay and Lesbian Medical Association, Society for Academic Emergency Medicine, and Texas Medical Association
Disclosure: Nothing to disclose.

Coauthor(s)

Steven Karageanes, DO, Director, Primary Care Sports Medicine Fellowship, Director, Sports Medicine Education, Center for Orthopedics and Neuroscience; Department of Medical Education, Oakwood Healthcare System
Steven Karageanes, DO is a member of the following medical societies: American Medical Association, American Osteopathic Association, and Michigan State Medical Society
Disclosure: Nothing to disclose.

Medical Editor

David T Bernhardt, MD, Director of Adolescent and Sports Medicine Fellowship, Associate Professor, Department of Pediatrics, University of Wisconsin
David T Bernhardt, MD is a member of the following medical societies: American Academy of Pediatrics, American College of Sports Medicine, and American Medical Society for Sports Medicine
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: Nothing to disclose.

Managing Editor

Russell D White, MD, Professor of Medicine, Department of Community and Family Medicine, University of Missouri-Kansas City School of Medicine, Truman Medical Center Lakewood
Disclosure: Nothing to disclose.

CME Editor

Jon B Whitehurst, MD, Clinical Instructor of Surgery, University of Illinois College of Medicine; Partner and Executive Board Member, Rockford Orthopedic Associates; Orthopedic Chairman, Rockford Memorial Hospital
Jon B Whitehurst, MD is a member of the following medical societies: American Academy of Orthopaedic Surgeons, American Orthopaedic Society for Sports Medicine, and Arthroscopy Association of North America
Disclosure: Nothing to disclose.

Chief Editor

Craig C Young, MD, Professor, Departments of Orthopedic Surgery and Community and Family Medicine, Medical Director of Sports Medicine, Sports Medicine Fellowship Director, Medical College of Wisconsin
Craig C Young, MD is a member of the following medical societies: American Academy of Family Physicians, American College of Sports Medicine, American Medical Society for Sports Medicine, Phi Beta Kappa, and Wilderness Medical Society
Disclosure: Nothing to disclose.

 
 
HONcode

We subscribe to the
HONcode principles of the
Health On the Net Foundation

All material on this website is protected by copyright, Copyright© 1994- by Medscape.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.