What are the most prevalent foot and ankle injuries?

Sprained ankles are one of the most common injuries in sports. Because the inner ankle is more stable than the outer ankle, the foot is likely to turn inward (ankle inversion) from a fall, tackle, or jump. This stretches or tears ligaments; the result is an ankle sprain. The lateral ligament on the outer ankle is most prone to injury.

The strongest and largest tendon, the Achilles tendon connects muscles in the lower leg with the heel bone. Sports that tighten the calf muscles, such as basketball, running and high-jumping can overstress this tendon and cause a strain (Achilles tendinitis) or a rupture. A direct blow to the foot, ankle, or calf can also cause it.

Excessive training, such as running long distances without rest, places repeated stress on the foot and ankle. The result can be stress fractures and muscle/tendon strains.

Pain in front of the shin bone (tibia) usually is caused by a stress fracture, called shin splints. Overtraining, poorly fitting athletic shoes, and a change in running surface from soft to hard puts athletes at risk for this injury.

Athletes who jump risk ankle sprains because they can accidentally land on the side of their foot. Extensive running, exercise, or training also can overstress the ligaments, leading to injury. Contact and kicking sports expose the foot and ankle to potential trauma-direct blows, crushing, displacement, etc. Especially prevalent in football, hockey, and soccer-trauma can dislocate a joint, fracture a bone, stretch or tear ligaments, or strain muscles and tendons.

Improperly fitting shoes or improper footwear for a particular sport can damage your feet. Training errors, i.e., running up hills, or running on bumpy roads, predispose you to serious sprains and strains. If you start a new sport without proper conditioning, you are at risk.

Most sprains and strains are initially treated with rest, ice, compression, and elevation. Moderate and severe sprains and strains are often immobilized with a cast or splint. Severe fractures often require surgical repair.

No one is immune from these injuries, but the American Academy of Orthopaedic Surgeons developed these tips to help reduce your injury risk:

• Warm up before any sports activity, including practice
• Participate in a conditioning program to build muscle strength
• Do stretching exercises daily
• Listen to your body: never run if you experience pain in the foot or ankle
• Wear protective equipment appropriate for that sport
• Replace athletic shoes as soon as the tread or heel wears out
• Wear properly fitting athletic, dress, and casual shoes

This information was provided by orthoinfo.aaos.org