Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute right foot pain following a twisting injury. Reports inability to bear weight, localized swelling over the midfoot, and ecchymosis along the plantar aspect of the arch. Denies numbness or paresthesia. Pain is exacerbated by movement and weight-bearing.
Clinical Examination Findings
Right foot examination reveals significant edema and ecchymosis localized to the dorsal and plantar midfoot. Tenderness to palpation noted over the tarsometatarsal (TMT) joint complex. Positive stress test for midfoot instability. Neurovascular status intact with palpable dorsalis pedis pulse and normal capillary refill.
Treatment Protocol
Initial management includes strict non-weight bearing status with crutches, immobilization in a posterior splint, and ice application for edema control. NSAIDs prescribed for pain management. Referral for urgent orthopedic follow-up and advanced imaging (CT/MRI) to evaluate for surgical stabilization.