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Case Study Of The Bones In The Ankle Discussion

Question





**ankle case study (bone related)







case1:

17 year old male state level badminton player has noticed a gradual onset of pain in the right posterior ankle. He does not remember a specific incident, but remembers that his pain started after a particularly hard training session. He reports pain with agility running around the court, jumping off his right side, and accelerating to chase down shots from his opponent. He has stiffness in the morning when getting out of bed but this warms up with movement.

1a) What is the MOST likely injury concern for this person?

1b)What are some of the important structures in the leg, ankle and foot that would have to be carefully assessed for you to make a clear differential diagnosis about the cause of the ankle pain? Case Study Of The Bones In The Ankle Discussion
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Case2:

11 year old male basketballer has a rapid growth spurt but shortly afterwards starts to complain of a 6 week history of gradually worsening left heel pain. He cannot remember a specific incident but noticed the pain after a basketball training session. He is also in the school athletics team, so he has had a significantly increased training load. His pain comes on throughout the session and gradually worsens as he continues to run. He is particularly sore the next day after training.

2a)What is the MOST likely injury concern for this person?

2b)What are some of the key things you will need to consider in the diagnosis, management and rehabilitation from this injury?








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This solution was written by a subject matter expert. It's designed to help students like you learn core concepts Case Study Of The Bones In The Ankle Discussion








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Case 1:
1a) The most likely injury concern for this person is a posterior ankle impingement, which is caused by compression of soft tissue structures between the bones in the ankle joint. This condition commonly affects athletes who perform repetitive motions that involve ankle dorsiflexion, such as jumping and running.

1b) Some of the important structures in the leg, ankle, and foot that would have to be carefully assessed include the Achilles tendon, the plantar fascia, the tibialis posterior tendon, and the posterior ankle joint capsule. Other conditions that can cause similar symptoms, such as ankle sprains, stress fractures, and peroneal tendon injuries, would also need to be ruled out.








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Case 2:
2a) The MOST likely injury concern for this person is Sever's disease, which is a common cause of heel pain in children aged 8-15 years old. This condition is caused by repetitive stress to the growth plate at the back of the heel bone (calcaneus) due to the increased activity levels during growth spurts. Basketball and running activities can exacerbate this condition. It is important to note that this is not a true

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Case Study Of The Bones In The Ankle Discussion

Question

**ankle case study (bone related)
case1: 17 year old male state level badminton player has noticed a gradual onset of pain in the right posterior ankle. He does not remember a specific incident, but remembers that his pain started after a particularly hard training session. He reports pain with agility running around the court, jumping off his right side, and accelerating to chase down shots from his opponent. He has stiffness in the morning when getting out of bed but this warms up with movement. 1a) What is the MOST likely injury concern for this person? 1b)What are some of the important structures in the leg, ankle and foot that would have to be carefully assessed for you to make a clear differential diagnosis about the cause of the ankle pain? Case Study Of The Bones In The Ankle Discussion

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Case2: 11 year old male basketballer has a rapid growth spurt but shortly afterwards starts to complain of a 6 week history of gradually worsening left heel pain. He cannot remember a specific incident but noticed the pain after a basketball training session. He is also in the school athletics team, so he has had a significantly increased training load. His pain comes on throughout the session and gradually worsens as he continues to run. He is particularly sore the next day after training. 2a)What is the MOST likely injury concern for this person? 2b)What are some of the key things you will need to consider in the diagnosis, management and rehabilitation from this injury?

Expert Answer

This solution was written by a subject matter expert. It's designed to help students like you learn core concepts Case Study Of The Bones In The Ankle Discussion

Step-by-step

Step 1/2
Case 1:
1a) The most likely injury concern for this person is a posterior ankle impingement, which is caused by compression of soft tissue structures between the bones in the ankle joint. This condition commonly affects athletes who perform repetitive motions that involve ankle dorsiflexion, such as jumping and running.
1b) Some of the important structures in the leg, ankle, and foot that would have to be carefully assessed include the Achilles tendon, the plantar fascia, the tibialis posterior tendon, and the posterior ankle joint capsule. Other conditions that can cause similar symptoms, such as ankle sprains, stress fractures, and peroneal tendon injuries, would also need to be ruled out.
Step 2/2
Case 2:
2a) The MOST likely injury concern for this person is Sever's disease, which is a common cause of heel pain in children aged 8-15 years old. This condition is caused by repetitive stress to the growth plate at the back of the heel bone (calcaneus) due to the increased activity levels during growth spurts. Basketball and running activities can exacerbate this condition. It is important to note that this is not a true "disease" but rather a temporary condition that typically resolves once growth plate fusion occurs. Case Study Of The Bones In The Ankle Discussion

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2b) In the diagnosis and management of Sever's disease, it is important to consider the age and stage of growth of the child. The treatment typically involves activity modification, such as avoiding activities that cause pain, reducing the training load, and using heel lifts to reduce the tension on the Achilles tendon. Stretching and strengthening exercises for the calf muscles can also be helpful. In more severe cases, immobilization with a cast or boot may be required. Rehabilitation typically involves a gradual return to activity and monitoring for any recurrence of symptoms. It is also important to address any potential contributing factors, such as overuse or poor biomechanics.
Final answer
In conclusion, both cases highlight the importance of careful assessment and differential diagnosis when dealing with bone-related ankle injuries. Early recognition and appropriate management can help prevent long-term complications and allow for a safe return to sport or activity. Case Study Of The Bones In The Ankle Discussion

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