ABSTRACT
This chapter reviews the anatomy, specific injuries and management of each area in turn. The foot is a common site for both low-and high-energy trauma. Anatomically, it is broadly divided into three regions the hindfoot, midfoot and forefoot. Suboptimally managed injury to the talus can significantly impair ankle and hindfoot movement. Superiorly, the calcaneum articulates with the talus through three facets. A high index of suspicion is required because midfoot injuries are prone to delayed or missed diagnosis. Primary midfoot stability results from the second metatarsal being tightly recessed between medial and lateral cuneiforms; this mortise or 'keystone' configuration locks the tarsometatarsal complex and prevents medial or lateral translation. Navicular fractures may be conservatively managed where the following criteria are met: Treatment comprises a functional boot or short-leg cast for 6-8 weeks, with weightbearing radiographs at 2 weeks. In abduction injuries, the cuboid is crushed between the calcaneum and metatarsals.
