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Trauma to the Foot and Ankle

Trauma to the foot and ankle can occur as a result of a variety of incidents including vehicular accidents, falls from heights, burns, lacerations and other traumas such as sport-related injuries.

Foot and ankle trauma can range from minor cuts and bruises to severe fractures, dislocations and soft tissue damage. The severity of the injury can depend on factors such as the force and direction of the impact, age and preexisting health conditions. Dr. Castelein is trained to diagnose and treat foot and ankle trauma and provides a comprehensive treatment plan to promote healing and minimize long-term complications.
Diagnosing foot and ankle trauma is a vital part of the treatment process, and requires a thorough evaluation by Dr. Castelein. In many cases, imaging tests such as x-rays, CT scans and MRIs are necessary to accurately diagnose the extent and location of the injury. X-rays are first used to help identify fractures and dislocations. In more complex injuries, CT scans or MRI may be ordered to understand bone, ligament, and tendon damage in greater detail. At Brighton Foot and Ankle, our goal is to provide fast and accurate diagnoses to allow our patients a quick return to normal activity. We understand that foot and ankle traumas can be debilitating and impact daily life, which is why we prioritize prompt diagnostic techniques and cutting-edge technology to provide the best care possible. We are committed to supporting you throughout the recovery process and ensuring the best possible outcome.
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Foot and ankle trauma from fractures burns or lacerations

Schedule an appointment today with Dr. Bryant Castelein, DPM – Podiatry Specialist

Fractures to Foot and/or Ankle

Fractures involving the bones of the toes, foot, or ankle are common during trauma events.

These types of injuries typically require an immobilization period of the affected limb with a cast or boot dispensed by Dr. Castelein in our office. When alignment needs to be restored to the bones, surgical intervention may be needed. As a board-certified podiatric surgeon of both the foot and ankle, Dr. Castelein is able to expertly treat your fracture from diagnosis to fully recovery.

Ankle Fracture:

An ankle fracture occurs when one or more of the bones that make up the ankle joint break or crack. This type of injury commonly happens during traumatic events such as falls, sports injuries, or accidents. An ankle fracture can cause pain, swelling, bruising and difficulty bearing weight on the affected ankle.
Diagnosing an ankle fracture requires a thorough evaluation, which may include a review of your medical history, physical examination, and imaging studies such as X-rays or MRI scans. These diagnostic tools enable us to assess the type and severity of the fracture, identify any associated injuries, and develop an appropriate treatment plan.
Treatment options for ankle fractures depend on various factors, including the type and location of the fracture, as well as the stability of the ankle joint. In some cases, non-surgical approaches such as immobilization with a cast or splint, elevation, and non-weight-bearing may be sufficient to allow the bones to heal properly. However, more complex fractures or fractures with significant displacement may require surgical intervention. Surgical procedures for ankle fractures may involve realigning and stabilizing the fractured bones using screws, plates, or other fixation devices.
Following treatment, a comprehensive rehabilitation program is essential to regain strength, flexibility, and range of motion in the ankle joint. Dr. Castelein will work closely with you to design a customized rehabilitation plan that may include physical therapy, exercises to improve stability and balance, and a gradual return to weight-bearing activities.

Jones Fracture:

Jones fractures occur to a specific bone called the fifth metatarsal. This bone is located on the outside of the foot. Sometimes during an inversion injury the peroneus brevis muscle and tendon will suddenly fire to stabilize the foot. This sudden force on a twisting motion of the foot can cause the fifth metatarsal bone to break. A Jones fracture can also occur from repetitive overuse injuries similar to stress fractures. Jones fractures are common in athletes, dancers, and people who spend long hours on their feet. A Jones fracture is especially worrisome as this area of the fifth metatarsal has poor blood flow. This poor blood flow can lead to a delay or abscess in healing to the area. Many times a Jones fracture needs surgery to combat this low healing potential.

Lisfranc Fractures:

Lisfranc fracture or dislocations are a particularly severe type of foot injury that occurs to the midportion of the foot. The Lisfranc region of the foot is a dynamic stabilizer of the foot connecting the metatarsals or long bones in the front of the foot, to the tarsal bones, short bones creating the foot’s arch. Injury to the Lisfranc joint destabilizes the foot. This can result in significant pain, swelling, and instability leading to deformity of the foot. If the stability of the Lisfranc region is lost, patients may require surgery to repair or stabilize the affected bones. Both surgical and conservative treatments include a period of immobilization and rehabilitation. Ensuring proper structure and function of the Lisfranc region helps reduce pain and future arthritis to the foot. Dr. Castelein is a board-certified podiatric surgeon who has extensive knowledge of surgical repair after traumatic events.

Calcaneal Fractures:

A calcaneal fracture refers to a break in the heel bone, known as the calcaneus. This type of injury commonly occurs as a result of high-impact trauma, such as falls from heights, motor vehicle accidents or sports injuries. Calcaneal fractures can cause significant pain, swelling, bruising and an inability to place weight on the affected foot.
Diagnosing a calcaneal fracture requires a thorough evaluation, including a review of medical history, physical examination, and imaging studies. These diagnostic tools allow Dr. Castelein to assess the severity and extent of the fracture, identify any associated injuries, and develop an individualized treatment plan.
Treatment options vary for calcaneal fractures depending on the specific characteristics of the fracture such as location, displacement and joint involvement. In some cases, non-surgical approaches may be sufficient, such as immobilization, the use of crutches to avoid weight-bearing and close monitoring of the healing process. However, in more complex or displaced fractures, surgical intervention is necessary to realign and stabilize the fractured bone fragments. The goal of surgery is to best restore the original shape and complex joint structures of the calcaneus. Surgical procedures for calcaneal fractures may involve the use of plates, screws, or other fixation devices to restore proper alignment and promote healing.

Joint Dislocation of the Foot and Ankle

Dislocations of the foot and ankle are serious injuries that can result from trauma, such as a fall or a sports-related incident. Many different joints of the foot and ankle can become dislocated. The most commonly affected joints are the subtalar joint or ankle joint. The subtalar joint is located just below the ankle joint and is responsible for allowing the foot to move side to side. Dislocation occurs when the bones of the joint are forced out of their normal position, causing pain, swelling, instability, and an inability to move the affected joint.

Symptoms of a subtalar joint or ankle dislocation include severe pain, swelling, and deformity of the affected area. The patient may also experience difficulty bearing weight on the affected limb, as well as numbness, tingling, or loss of normal temperature in the foot or ankle.

Diagnosis of a subtalar or ankle joint dislocation typically involves a physical examination and imaging studies such as an in-office  X-ray or an MRI to evaluate the extent of the injury. In some cases, a CT scan may also be necessary to evaluate the alignment of the bones and determine the best course of treatment.

Treatment of a subtalar or ankle joint dislocation typically involves immediate reduction of the dislocation to return the bones to their normal position. This is usually done under sedation or anesthesia to minimize pain and discomfort for the patient. Once the bones are back in place, the affected limb is immobilized with a cast or splint to allow for proper healing of the bones and soft tissue. Depending on the severity of the injury, surgery may be necessary to repair any damage to the ligaments or tendons surrounding the joint. This may involve the use of screws, plates, or rods to stabilize the affected area and promote proper healing.

Rehabilitation following treatment for a subtalar or ankle joint dislocation typically involves physical therapy to restore mobility, strength, and flexibility in the affected limb. Dr. Castelein provides personalized treatment plans to help patients recover from this type of injury and return to their daily activities as soon as possible.

Burns and Lacerations

Burns or lacerations can occur due to various causes, such as accidents, chemical exposure or contact with hot surfaces. These injuries can cause pain, swelling, bleeding and damage to the skin and underlying tissues.

When treating burns, Dr. Castelein employs advanced techniques to assess the extent and depth of injury. This may involve categorizing the burn into different degrees (superficial, partial-thickness, or full-thickness) and determining the appropriate treatment approach. For minor burns, the focus is on pain management, wound cleansing, and applying dressings to protect the affected area and promote healing. In cases of more severe burns, Dr. Castelein collaborates with other healthcare professionals to provide specialized care and perform in-clinic skin grafting procedures to aid in the healing process. Occasionally, surgical procedures may be needed to ensure the burn is completely prepared for the healing process. It is extremely important to make sure the burn remains free from infection during all aspects of the healing process.

Lacerations, or cuts on the feet and ankles also require careful evaluation and treatment. Dr. Castelein will assess the depth, size and location of the laceration to determine the best course of action. Monitoring for infection and tetanus status are key considerations as well. This may involve cleaning the wound, suturing the borders of the wound together, and applying appropriate dressings to facilitate healing and minimize the risk of infection. In some cases, surgical intervention may be required to clean and repair deeper tissue damage or address any associated injuries to tendons, ligaments, or bones. Other times advanced skin grafts may be used to best facilitate healing.

After the initial treatment, Dr. Castelein will provide thorough follow-up care to monitor the healing process, remove sutures, and ensure proper wound management. He also focuses on scar management techniques to minimize scarring and optimize cosmetic outcomes. Additionally, Dr. Castelein can offer guidance on pain management, infection prevention, and steps to promote a speedy recovery

If you find yourself with a burn or laceration, it is essential to seek immediate medical attention. Dr. Castelein is dedicated to providing expert care and treatment options to restore optimal foot and ankle function.

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What Our Clients Think

Client Testimonials

Julie
I'm so happy to have found Brighton Foot And Ankle in Brighton. The office staff and assistant are very pleasant. Dr. Bryant Castelein is a great knowledgeable Dr. Who has eased my worry over my medical condition. Plus he's handsome. I would highly recommend this practice for anyone needing podiatry help.
Amy
What great people to help you! From receptionist to doctor, they are top notch! You would not regret going here for any of your foot/ankle problems, they will fix you up with the utmost care and compassion.
Yo K
Dr. Castelein and staff were friendly, knowledgeable , efficient and took the time to get to know me and understand my medical needs. I would not hesitate to go to Brighton Foot & Ankle. They go out of their way to treat their patients like family.
Robert
Dr. Castelein is great; he is very nice, patient, and professional. His staff is also excellent and friendly. It's only been about three hours since having my big toenail removed and, with acetaminophen and ibuprofen, there is very little pain(sometimes I completely forget about it); he did an excellent job. Overall, I am very impressed with Dr. Casteleins Practice and I would highly recommend his office.
Joseph
Doctor & staff were so professional, friendly & efficient. I had a high risk condition that they expertly guided me through 5 months of healing. Thankfully a full recovery. I give them my best recommendation.
Lexi
Very friendly and accommodating front desk staff. Dr. Castelein and Jennifer always take their time and do an amazing job! Great variety of quick pick up over the counter products that are always affordable too. Best experience I have had at an office.
Christena
Dr. Castelein is very friendly and extremely knowledgeable in his field. During my visit he did a great job explaining my situation and was very encouraging of any questions. I never felt rushed and I believe to have received the best care possible. Highly recommend this doctor and this facility.
Nicole C
Excellent staff and exceptional doctor. I went in with Bunion issues. Dr. Castelein listened to my concerns and addressed my options. 4 days post-op bunion surgery I can say he did an amazing job. Best experience I have ever had. I would definitely recommend; I promise you won't look further.
Ashley
The staff and Dr. Castelein are all amazing. They are polite and very respectful. I came to see them in 2019 for bunion and hammer toe issues among some others. Dr. Castelein and his assistant listened to my concerns and gave me my options. He explained everything to me in detail and all my questions were answered.. I have seen other podiatrists and he is beyond the best. I would recommend him to anyone.
Alex
Friendly staff and intelligent doctor! I went in for some ankle X-rays and was given a great strategy on the different ways to heal my ankle, and how to progress forward if less invasive treatment doesn't help. I would highly recommend them to anyone with foot or ankle problems!