When my teammate was kicked in the shin, the anterior compartment of her leg was affected. From the description of her symptoms, this injury is not merely a bad cramp, but a more serious issue. She is described as having anterior swelling, lack of feeling between her first and second toes, and the inability to dorsiflex her toes and foot. The most likely cause of these symptoms is acute compartment syndrome of the anterior leg. At this stage, we should apply ice to her injury, forfeit the game, and head to the hospital. Acute compartment syndrome occurs when there is bleeding in a closed muscle compartment surrounded by fascia and bone, often caused by blunt force trauma (Physiopedia Contributors). The bleeding increases the pressure inside …show more content…
The common fibular nerve is a branch off of the sciatic nerve, which originates from L4 and L5. The deep fibular nerve has motor and sensory functions. The motor functions include the innervation of the anterior leg. It also supplies sensory function for the region between the first and second toes (“The Deep…”). My teammate’s lack of feeling to that region indicates loss of sensory function for the deep fibular nerve.
The inability of my teammate to dorsiflex her foot and toes also indicates damage to the motor function of the deep fibular nerve, which innervates the muscles responsible for those actions. The anterior leg contains tibialis anterior, extensor digitorum longus, extensor hallucis longus, and fibularis tertius. They all help with dorsiflexion of the ankle. Extensor hallucis longus extends the big toe, and extensor digitorum longus extends the lateral four digits. (Agur et all, 359).
Although applying ice to her leg could help, it is important to seek actual medical help. The longer swelling lasts, and the more intense it becomes, the more damage is possible to the nerves and muscles, up to and including paralysis. The most effective treatment is called a fasciotomy. It involves making an incision to open the skin and fascia of the leg, until the pressure from swelling is
In spite of this the rate of ACL injury is almost equal through all levels of sports, from beginner, to recreational, to professional athletes. The most widely publicized incident of ACL damage has come from Theresa Edwards who was a top female athlete. She was a basketball player who went to the limit with sports. She went beyond her capability and her ligament couldn’t withstand the pressure and snapped. She is not the only but just one example of many who have suffered this same problem. As female athletes continue to become more competitive and aggressive, ACL damage continues to rise.
Therapeutic stretches of the gastrocnemius and soleus muscles. If the ligament are weakened, cross fiber friction them to try to regain some of the integrity of the ankle back.
Earlier in the spring I was playing a soccer game against the South Anchorage varsity soccer team. I was playing left midfield, taking the ball up the left side of the field when the other team’s right fullback stepped up to get the ball. I cut to the right and heard a loud snap that rung in my ears. I could not stand up. Every time I tried to move my leg, waves of pain pounded from my knee. I had to be carried off the pitch. I learned a few days later
On 11/14/17 I met Mr. Rasak at the office of Dr. Marquart. Mr. Rasak arrived with his wife. He walks using a cane. We had an extremely long wait. Mr. Rasak moved his right leg frequently getting up and walking at times. He reports the injection done on 9/7/17 did not help for the first few days. Then it seemed to “kicking”. He said it helped then seemed to peak before not helping at all with pain. He did report though that the pain is not as severe as it was before the injection. Dr. Marquart took time to review the prior x-rays. He showed Mr. Rasak the fracture alignment. Mr. Rasak asked if the bone had slipped out of place. He was told no that the bone healed just off the mark. There is a lot of post-traumatic arthritis in the
The majority of ACL injuries suffered during athletic participation are of the noncontact variety. Three main noncontact mechanisms have been identified planting and cutting, straight-knee landing and one-step stop landing with the knee hyperextended. Pivoting and sudden deceleration are also common mechanisms of noncontact ACL injury. Basketball, soccer, and volleyball consistently produce some of the highest ACL injury rates across various age groups. Other activities with a high rate of injury are gymnastics, martial arts, and running. In most sports, injuries occur more often in games than in practice. Many injuries have occurred during the first 30 minutes of play. One-reason physicians are seeing more ACL injuries in female patients that more women play sports, and they play more intensely. But as they continued to do more studies, they are finding that women's higher rate of ACL is probably due ...
The five major nerves that are related to C6 are the Axillary nerve, Radial nerve, Median nerve, Musculocutaneous nerve and the Ulnar nerve. The axillary nerve’s motor function is to supply the teres minor and deltoid muscles which are both found in the shoulder. The Radial nerve motor function it serves the triceps and extensor muscles of the forearm it sensory functions is to supply the posterior part of the arm and forearm and lateral part of the arm. The Median nerve motor function is to serve the flexor muscles and some muscles of the hand and the sensory function is to give off the palmar cutaneous branch which is on the hand. The Musculocutaneous nerve serves the fexor muscles of the arm which allows you to be able have flexibility in your arm. The ulnar nerve motor function is to supply the muscles of the hand and the
The first classification is considered mild. This is when digits two and three have that flexion contracture and they do not have a loss of sensation yet but they are beginning to develop that. This is due to the deep intrinsic muscles being affected by the anterior interosseous branch of the median nerve. The mild category can be further classified into three subcategories. These include twenty-one, three, and two. In the subcategory twenty-one, is in the middle one-third of the forearm is affected and this is the most common classification in the mild subcategory. The
As I have mentioned before, compartment syndrome is when increased pressure is built up within the compartments of the arm or leg that can restrict blood flow and can then lead to progressive ischemia and eventual muscle and never necrosis and even possibly involving the skin depending on the severity of the swelling.
Silver electrodes were used to record the e.m.g of the soleus muscle and tibialis anterior, and stimulate the tibial nerve below the popliteal fossa. The use of the electrodes to stimulate the tibial whilst walking and running was found to be problematic, this is because the nerves distance from the electrode was continually changing, therefore altering the stimulus strength. This was eradicated by repetition at different intensities and use of the M-wave, allowing comparison of similar stimulus intensities through the locomotion
It clinically presents as diffuse tenderness and pain along the tibial border which has strongly associated with contributing factors such as abnormal structure of leg or foot, over duration or intensity of the activities, and individual’s physical history. However the tenderness usually alleviate with rest (Tolbert & Binkley, 2009)
The human foot is an incredibly complex part of the body, it is made up of twenty-six bones which is fully twenty-five percent of the bones in the entire body. The structure of the forefoot includes the five metatarsal bones and the phalanges. The metatarsal bones are for forward movement and provides attachment for several tendons. The phalanges, also known as the toes, movement take place in the joints. The foot movement only has two movements; inversion and eversion. All the joints in the hindfoot and midfoot contributes to these complex movements. The foot has two significant functions: weight bearing and impulsion, which both requires a high degree of stability. The foot must also be flexible so it is able to adapt to uneven surfaces. The various bones and joints of the foot are what allows the foot to be flexible. In order for the foot to be able to support any weight the various of bones must form an arch. The foot has three arches that are maintain by the shape of the bones and by the ligaments. The arches are supported by the muscles and tendons. A foot is a strong, flexible, and durable it allows us to daily activities as we please while carrying all the
An estimated 20 million people in the US have some form of peripheral neuropathy, and more than 100 types of peripheral neuropathies have been identified. (NINDS, 2014) Peripheral neuropathy is damage to peripheral nerves that can cause lack of coordination, weakness, numbness, tingling and pain usually in the hands and feet. Peripheral nerves send sensory information from your central nervous system to the rest of your body, which also helps generate movement. Peripheral neuropathy can be a mild or sever disease leading to disability. Most cases of peripheral neuropathy are caused by a treatable underlying condition. It is rare for peripheral neuropathy to be fatal but it can be extremely painful.
At the beginning of my sophomore year, I was experiencing pain in my right ankle, and the pain was caused from dance. The doctor found an extra bone in my foot and diagnosed me with ankle impingement. Ankle impingement is defined as “when either soft or bony tissues are compressed within the ankle joint at the extreme end of a motion, such as pointing the foot sharply downward” (APTA), and the compression is caused from the extra bone. The extra bone is usually caused from a small part of a bone chipping off the actual bone because of a previous injury, such as twisting or rolling an ankle. Ankle impingement is more common in dancers because we are constantly pointing our foot sharply downward. I also experienced and still do experience pain
Plantar fasciitis is the most ordinary source of heel pain. The plantar fascia (plantar aponeurosis) runs the length of the sole and is a broad flat band of dense connective tissue (ligament) that connects proximally to the medial surface of the calcaneus (heel bone) (Prentice 586). Additionally, the planter fascia fans out distally with fibers and their various small branches attaching to the metatarsophalangeal articulations, which are the joints between the metatarsal bones of the foot and the proximal bones (proximal phalanges) of the toes, and merging into the capsular ligaments (Prentice 586).
The tendon that runs from the toe to the heel is called the plantar fascia. This tendon can be overtaxed and overworked when it's tight. Stretching as well as foot massages can warm the tendon and keep it loose, so that there's less of a chance that the person will end up with plantar fasciitis. Those with flat feet have problems with tendons in the foot, too. Regular foot massages can help prevent a variety of foot-related issues as well cure the conditions (7).