Abstract

Summary The supportive function of the foot is provided by the bones, joints and ligaments of the midfoot, the central tarsometatarsal joints, and the midtarsal joint. Subtalar, talonavicular, and medial and lateral tarsometatarsal flexibility allows the foot to adjust to uneven ground and for the changing shape of the foot during heel elevation and propulsion. The plantar aponeurosis and deep transverse intermetatarsal ligaments support the foot and also have dynamic functions in stabilisation and movements. The foot is subject to a wide spectrum of injury severity from different injury mechanisms, producing various patterns of injury. The goals of management are to provide pain relief and restore function where possible. Understanding the structure and function of the foot helps us understand how these injuries can occur, how its function will be affected as a consequence, and enables us to define basic principles of management.

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