Tarsometatarsal Joint Injury in a Patient Seen in a Direct-Access Physical Therapy Setting

Robert E. Boyles, Paul E. Mintken

DOI: 10.2519/jospt.2009.0401

A 22-year-old woman presented to a direct-access physical therapy clinic with a 1-week history of right foot pain, following an injury while playing basketball. Unable to bear weight, she went to the emergency department immediately after the injury, where radiographs were taken and interpreted as normal. In the initial physical therapy examination, 7 days after the initial injury, several factors led the authors to suspect a potential tarsometatarsal joint injury. The patient was immediately referred to an orthopaedic surgeon and repeat radiographs were ordered, which revealed widening at the junction of the base of the second metatarsal with the medial and middle cuneiform. The patient was subsequently treated with external fixation.

J Orthop Sports Phys Ther 2009;39(1):28-28. doi:10.2519/jospt.2009.0401

KEY WORDS: radiographs, weight-bearing

A 22-year-old woman presented to a direct-access physical therapy clinic with a 1-week history of right foot pain, following an injury while playing basketball. Unable to bear weight, she went to the emergency department immediately after the injury, where radiographs were taken and interpreted as normal. In the initial physical therapy examination, 7 days after the initial injury, several factors led the authors to suspect a potential tarsometatarsal joint injury.

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