The Foot and Ankle: Acquired Disorders

Abstract

Injuries to the pediatric ankle and foot are common and increasing due to the popularity of organized youth sports. Fracture and dislocation patterns vary based on skeletal maturity, position of the ankle and foot at the time of injury, and direction of force. Ankle fractures unique to children, such as triplane and juvenile Tillaux, are addressed initially. Fractures of the foot are then presented based on their position within the hindfoot, midfoot, and forefoot. Discussions of osteochondritis dissecans of the talar dome and the various osteochondroses of the mid-and forefoot follow, and the chapter concludes with a brief review of ankle impingement syndromes.Injuries to the pediatric ankle and foot are common and increasing due to the popularity of organized youth sports. Fracture and dislocation patterns vary based on skeletal maturity, position of the ankle and foot at the time of injury, and direction of force. Ankle fractures have unique patterns in children, such as triplane and juvenile Tillaux fractures. Fractures of the foot are addressed based on their position within the hindfoot (talus and calcaneus), midfoot (cuneiforms, cuboid, navicular), and forefoot (metatarsals and phalanges). Osteochondritis dissecans of the talar dome and the various osteochondroses of the mid-and forefoot may cause chronic pain