ankle/foot

• Jones fracture

  5th metatarsal fracture
• Jones fracture

  • Can be a stress fracture, not just an avulsion injury
• Lisfranc fracture


  Injury to the Lisfranc ligament causing disruption of the stable tarsometatarsal complex
• Lisfranc fracture

  • Midfoot swelling, plantar ecchymosis, unable to bear weight
• Lisfranc fracture causes dislocation and widening between 1st and 2nd metatarsals
• Lisfranc fractures are caused by axial load on a plantar flexed foot (low or high energy), or a crush injury
• Navicular fracture requires radiographic evaluation
• Lateral malleolus fracture


  Generally stable when isolated and distal to the syndesmosis
• Lateral malleolus fracture

  • Requires orthopedic referral
• Lateral malleolus fracture

  • Mechanism is inversion injury, often in the setting of osteoporosis
• Ankle sprain

  Acute inflammation and tenderness
• Plantar fasciitis


  First step pain on the plantar heel/arch
• Surgery for plantar fasciitis includes gastroc lengthening or plantar fascia release, requires orthopedic consultation
• Achilles tendon rupture


  • Patient reports a pop, swelling, ecchymosis, lack of skin tension, increased dorsiflexion
• Fluoroquinolone antibiotics are a risk factor for Achilles tendon rupture