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Evaluation of foot and ankle pain in the child or adolescent athlete

Joseph Chorley, MD
Section Editors
Albert C Hergenroeder, MD
Richard G Bachur, MD
Deputy Editor
James F Wiley, II, MD, MPH


Approximately 20 percent of all musculoskeletal complaints are related to the foot and ankle, which is not surprising if one considers the functions of the foot:

It provides a stable base on which the body can stand.

It acts as a rigid lever to propel the body forward during walking.

It provides shock absorption for the force generated during walking and running (approximately two to six times an individual's body weight).

The diagnosis and treatment of foot and ankle injuries in the young athlete require knowledge of anatomy, gait, and biomechanics. These topics and the general evaluation of foot and ankle injuries in the young athlete are reviewed here.


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Literature review current through: Oct 2015. | This topic last updated: Jul 22, 2015.
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  1. Moore, KL. Clinically Oriented Anatomy of the Foot and Ankle, 3rd, Williams & Wilkins, Baltimore 1992.
  2. Noordin, M, Frankel, V. Basic Biomechanics of the Musculoskeletal System, 2nd, Lea and Febiger, Philadelphia 1989.
  3. Reid, DC. Sports Injury Assessment and Rehabilitation, Churchill Livingstone, New York 1992.
  4. Techdijan, MO. Clinical Pediatric Orthopedics, Appleton and Lange, Stamford 1997.
  5. Anderson, AC. Injury - Ankle. In: Textbook of Pediatric Emergency Medicine, 5th, Fleisher, GR, Ludgwig, S, Henretig, FM (Eds), Lippincott, Williams & Wilkins, Philadelphia 2006. p.363.
  6. Staheli, LT. Foot. In: Fundamentals of Pediatric Orthopedics, 2nd, Lippincott-Raven, Philadelphia 1998. p.41.