SOFT TISSUE INJURIES SERIES
Soft tissue injury commissioned series: 6 Lower leg, ankle and foot
1 Pinderfields Hospital, Wakefield, UK
2 Countess of Chester Hospital, Chester, UK
3 Leeds General Infirmary, Leeds, UK
Correspondence to:
Dr J Sloan, Countess of Chester NHS Foundation Trust, Liverpool Road, Chester CH2 1UL, UK; drjohnsloan@mac.com
Accepted 11 December 2008
| The first 150 words of the full text of this article appear below. |
This sixth paper in the soft tissue series deals with common injuries to the lower leg, together with assessment, imaging and therapy considerations. We have divided the lower leg into five areas, ie, shin, Achilles, calf, ankle and foot. For each section we have used a patient-centred approach with treatment regimes and relevant physiotherapy comments.
The lower leg is subject to much greater forces than most of the body as it bears all of its weight. Often this is carried through one limb and is accompanied by rotational forces and lateral tilting due to uneven surfaces. Extremely rapid responses to proprioceptive stimuli are absolutely key to protection from injury. This, and other aspects of biomechanics, are covered more fully in the second paper in this series.1
Anatomically, the foot and ankle are relatively complicated. The novice should concentrate on naming key structures and understanding their interrelationship. See fig 1 and
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