Download Avicenne by Le Bon Carra De Vaux PDF

By Le Bon Carra De Vaux

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History and physical examination As emphasized in Chapter 3, the evaluation of pain begins with a detailed history and physical examination. It is imperative to be aware of any history of trauma and the mechanism of injury. In this way any potentially severe injuries that might otherwise be dismissed as trivial at first glance can be identified. Current symptoms including the severity of pain, location, character of the pain (sharp, dull, ache), amount of disability caused by the pain and any prior history of leg pain should be noted.

11). 11 Morton’s neuroma occurring with impingement of digital nerve under the intermetatarsal ligament. Reprinted with permission from Mann RA, Coughlin MJ. The Video Textbook of Foot and Ankle Surgery. Medical Video Productions, St Louis, 1991. LPC04 21/5/05 12:26 PM Page 42 42 Chapter 4 metatarsal bones together laterally may reproduce the pain. X-rays are helpful in excluding other diagnoses such as stress fracture. Neoplasms Because of the lack of subcutaneous tissue, neoplasms are more likely to be noticed in the foot than at more proximal locations in the lower extremity.

Definitive treatment is aimed at re-establishing quadriceps strength while protecting the knee from recurrent subluxations/ dislocations. Once swelling has subsided after about a week, active range of motion is started and the patient is placed in a neoprene patellar sleeve with a lateral pad. Quadriceps strengthening exercises including isometrics are initiated early. In patients with recurrent dislocations who have malalignment of the patella, surgery may be indicated if conservative treatment fails.

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