Sports Injuries of the Foot

  • Berat DemajEmail author
  • Stephan F. E. Praet


About 40–50 % of the general population will develop a foot disorder at some stage in their lives. Of these injuries, 90 % will concern the forefoot. This comprehensive chapter on injuries of the foot aims to discuss the most common foot injuries in either recreational or elite athletes. Although technological advances in nuclear medicine and radiology enable physicians to obtain a precise diagnosis and monitor the rehabilitation process, a sound understanding of the pathophysiology of these common foot injuries remains the basis for a successful diagnosis and treatment.

This chapter summarizes the most common foot problems that an athlete can encounter. In describing these foot pathologies, the foot is divided into six different zones. For each zone, a description of possible foot injuries is provided in a concise manner. After reading this chapter, the reader will have a better understanding of normal and abnormal foot anatomy in relation to the biomechanical etiology of common overuse injuries of the foot. Although this review is not intended to provide the reader with a complete overview of sports-related foot problems, it will assist clinicians in their differential diagnosis when requesting, e.g., a radiological examination.


Achilles Tendon Metatarsal Head Plantar Fascia Posterior Tibial Tendon Navicular Bone 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. Alexander I (1997) The foot: examination & diagnosis (J. Mitchell (ed) 2nd edn). Churchill Livingstone, USAGoogle Scholar
  2. Allen L, Flemming D, Sanders T (2004) Turf toe: ligamentous injury of the first metatarsophalangeal joint. Mil Med 169(11):xix–xxivCrossRefPubMedGoogle Scholar
  3. Aronow M (2005) Posterior heel pain (retrocalcaneal bursitis, insertional and noninsertional Achilles tendinopathy). Clin Podiatr Med Surg 22(1):19–43. doi: 10.1016/j.cpm.2004.08.003 CrossRefPubMedGoogle Scholar
  4. Bjerregaard P, Siggaard J (1981) March fracture caused by a motion instrument? Ugeskr Laeger 143(28):1769PubMedGoogle Scholar
  5. Caino S, Dello Ruso B, Fano V, Obregon MG (2012) Tarsal-carpal coalition syndrome: a familial case. An Pediatr (Barc) 76(6):355–359. doi: 10.1016/j.anpedi.2011.12.004 CrossRefGoogle Scholar
  6. Chi L, Li C, Zhang D, Li Z, Huang B, Zhang T, Wang P (2009) Surgical treatment of the accessory navicular syndrome with simple excision. Zhongguo Gu Shang 22(12):933–934PubMedGoogle Scholar
  7. Chiereghin A, Martins M, Gomes C, Rosa R, Loduca S, Chahade W (2011) Posterior ankle impingement syndrome: a diagnosis rheumatologists should not forget. Two case reports. Rev Bras Reumatol 51(3):283–288CrossRefPubMedGoogle Scholar
  8. Childs SG (2006) The Pathogenesis and Biomechanics of Turf Toe. Orthop Nurs 25:276–280; quiz 81-2.Google Scholar
  9. Chu N, Lew H, Chen C (2012) Ultrasound-guided injection treatment of retrocalcaneal bursitis. Am J Phys Med Rehabil 91(7):635–637. doi: 10.1097/PHM.0b013e31825a15d5 CrossRefPubMedGoogle Scholar
  10. Cook J, Purdam C (2009) Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy. Br J Sports Med 43(6):409–416. doi: 10.1136/bjsm.2008.051193 CrossRefPubMedGoogle Scholar
  11. Demaj B (2009) The adult acquired flatfoot resulting from posterior tibial tendon dysfunction: pathomechanics and podiatric treatment, Bachelor literary review. Artevelde College, GhentGoogle Scholar
  12. English C, Coughlan R, Carey J, Bergin D (2012) Plantar and palmar fibromatosis: characteristic imaging features and role of MRI in clinical management. Rheumatology (Oxford) 51(6):1134–1136. doi: 10.1093/rheumatology/ker522 CrossRefGoogle Scholar
  13. Erdemir A, Hamel AJ, Fauth AR, Piazza SJ, Sharkey NA (2004) Dynamic loading of the plantar aponeurosis in walking. J Bone Joint Surg Am 86-A(3):546–552PubMedGoogle Scholar
  14. Fredericson M, Jennings F, Beaulieu C, Matheson G (2006) Stress fractures in athletes. Top Magn Reson Imaging 17(5):309–325. doi: 10.1097/RMR.0b013e3180421c8c CrossRefPubMedGoogle Scholar
  15. Greida B (1988) March fracture (Deutschlander’s disease) in sportsmen. Sov Med (7):118–119Google Scholar
  16. Heimkes B, Posel P, Stotz S, Wolf K (1987) The proximal and distal tarsal tunnel syndromes. An anatomical study. Int Orthop 11(3):193–196CrossRefPubMedGoogle Scholar
  17. Howard MST (2009) Tendinopathies of the foot and ankle. Am Fam Physician 80:1107–1114PubMedGoogle Scholar
  18. Jahss M, Michelson J, Desai P (1992) Investigations into the fat pads of the sole of the foot: anatomy and histology. Foot Ankle 13:233–242CrossRefPubMedGoogle Scholar
  19. Inman VT, Mann RA (1978) Biomechanics of the foot and ankle. In R.A. Mann (Ed.), DuVries’ surgery of the foot pp. 3–21. St. Louis: MosbyGoogle Scholar
  20. James A, Williams C, Haines T (2013) Effectiveness of interventions in reducing pain and maintaining physical activity in children and adolescents with calcaneal apophysitis (Sever’s disease): a systematic review. J Foot Ankle Res 6(1):16. doi: 10.1186/1757-1146-6-16 PubMedCentralCrossRefPubMedGoogle Scholar
  21. Kilmartin T, Wallace W (1991) First metatarsal head shape in juvenile hallux abducto valgus. J Foot Surg 30(5):506–508PubMedGoogle Scholar
  22. Kinoshita M, Okuda R, Yasuda T, Abe M (2006) Tarsal tunnel syndrome in athletes. Am J Sports Med 34(8):1307–1312. doi: 10.1177/0363546506286344 CrossRefPubMedGoogle Scholar
  23. Kirby K (2012) Evolution and history of podiatric biomechanics. Paper presented at the 20 years of podiatry education in Flanders, GhentGoogle Scholar
  24. Kosmahl E, Kosmahl H (1987) Painful plantar heel, plantar fasciitis, and calcaneal spur: etiology and treatment. J Orthop Sports Phys Ther 9(1):17–24CrossRefPubMedGoogle Scholar
  25. Koulouris G, Morrison W (2005) Foot and ankle disorders: radiographic signs. Semin Roentgenol 40(4):358–379. doi: 10.1053/ CrossRefPubMedGoogle Scholar
  26. Kvist M (1994) Achilles tendon injuries in athletes. Sports Med 18(3):173–201CrossRefPubMedGoogle Scholar
  27. Lobo M, Greisberg J (2007) Foot and ankle: core knowledge in orthopaedics. In: JPG, AM Budny, VJ Mandracchia (ed) Clinics in podiatric medicine and surgery. W.B. Saunders Company, PhiladelphiaGoogle Scholar
  28. Lysack J, Fenton P (2004) Variations in calcaneonavicular morphology demonstrated with radiography. Radiology 230(2):493–497. doi: 10.1148/radiol.2302021543 CrossRefPubMedGoogle Scholar
  29. Mertens E (2012) Effective pain management after hallux valgus correction. Pflege Z 65(6):339PubMedGoogle Scholar
  30. Morton D (1964) The human foot: its evolution, physiology and functional disorders. Hafner Publishing Company, INC., New YorkGoogle Scholar
  31. Murphy P, Baxter D (1985) Nerve entrapment of the foot and ankle in runners. Clin Sports Med 4:753PubMedGoogle Scholar
  32. O’Kane J, Kadel N (2008) Anterior impingement syndrome in dancers. Curr Rev Musculoskelet Med 1(1):12–16. doi: 10.1007/s12178-007-9001-4 PubMedCentralCrossRefPubMedGoogle Scholar
  33. Perera A, Mason L, Stephens M (2011) The pathogenesis of hallux valgus. J Bone Joint Surg Am 93(17):1650–1661. doi: 10.2106/JBJS.H.01630 CrossRefPubMedGoogle Scholar
  34. Reinherz R, Smith B, Henning K (1990) Understanding the pathologic Haglund’s deformity. J Foot Surg 29(5):432–435PubMedGoogle Scholar
  35. Roosen PH, Van De Steene F (2007) Oefentherapie bij voet- en enkelaandoeningen. Standaard Uitgeverij, AntwerpenGoogle Scholar
  36. Root M, Orien W, Weed J (1977) Normal and abnormal function of the foot, vol 2, 1st edn. Clinical Biomechanics Corporation, Los AngelesGoogle Scholar
  37. Ruch J (1974) Haglund’s disease. J Am Podiatry Assoc 64(12):1000–1003CrossRefPubMedGoogle Scholar
  38. Salzler M, Bluman E, Noonan S, Chiodo C, Asla R (2012) Injuries observed in minimalist runners. Foot Ankle Int 33(4):262–266. doi: 10.3113/FAI.2012.0262 CrossRefPubMedGoogle Scholar
  39. Schepsis A, Jones H, Haas A (2002) Achilles tendon disorders in athletes. Am J Sports Med 30(2):287–305PubMedGoogle Scholar
  40. Sherman K (1999) The foot in sport. Br J Sports Med 33(1):6–13PubMedCentralCrossRefPubMedGoogle Scholar
  41. Thomas J (2001) The diagnosis and treatment of heel pain. J Foot Ankle Surg 40(5):329–340CrossRefGoogle Scholar
  42. Thomas J, Christensen J, Kravitz S, Mendicino R, Schuberth J, Vanore J, Baker J (2010) The diagnosis and treatment of heel pain: a clinical practice guideline-revision 2010. J Foot Ankle Surg 49(3 Suppl):S1–S19. doi: 10.1053/j.jfas.2010.01.001 CrossRefPubMedGoogle Scholar
  43. Verdonk R (2006) Orthopedie. Syllabus. Revalidation science and physiotherapy. University of Ghent, GhentGoogle Scholar
  44. Wiegerinck J, Kok A, Dijk CV (2012) Surgical treatment of chronic retrocalcaneal bursitis. Arthroscopy 28(2):283–293. doi: 10.1016/j.arthro.2011.09.019 CrossRefPubMedGoogle Scholar
  45. Zollinger H, Jacob H (1989) Could biomechanical factors affect the etiology of Morton’s neuralgia? Acta Orthop Belg 55(3):473–477PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  1. 1.PodoFoot BVBABrugesBelgium
  2. 2.MoveFIT-Sports Medicine Division, Department of Rehabilitation MedicineErasmus MC University Medical CentreRotterdamThe Netherlands

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