Academy of Orthopaedic Physical Therapy

American Physical Therapy Association (APTA)

Foundation for Physical Therapy Find a Physical Therapist OrthoPT on Facebook OrthoPT on Twitter OrthoPT on Instagram

27.13, Ankle and Foot


The monograph describes treatments, precautions, and outcomes for patients sustaining fractures to the calcaneus, Lisfranc fracture/dislocations, and Achilles tendon ruptures. The authors first review the basic anatomy and biomechanics of the foot and ankle joints. Then the writers progress the reader to physical therapy management of a calcaneal fracture. Advantages and disadvantages of surgical fixation compared with closed treatment for calcaneal fractures are discussed. The authors then address managing patients who have sustained a Lisfranc fracture/dislocation. Specific classifications and their influence on management are elucidated. This topic is followed by treatment and outcomes for managing an Achilles tendon rupture. Surgical and nonsurgical management are contrasted. 

Two cases accompany the monograph. Each case includes examination details, intervention strategies, and outcomes. The first case is a 29-year-old active male who had a surgical repair of a ruptured Achilles tendon that he injured while playing soccer. The second case involves an active 29-year-old active male who suffered a calcaneal fracture while jumping off a rock and landing in 15 feet of water. He underwent a calcaneal open reduction internal fixation. 

Patients sustaining injuries to the foot and ankle frequently have long-term complications such as posttraumatic arthritis, decreased range of motion, and limitations with activities of daily living. These patients can be challenging to manage. The quality of physical therapy can significantly affect a patient’s outcome and optimize return to function. The authors have presented an excellent resource for managing these types of patients and making sure the reader is up-to-date on this important topic.


Stephanie Albin, DPT, OCS, FAAOMPT
Mark Cornwall, PT, PhD, FAPTA
Drew H. Van Boerum, MD

Learning Objectives:

Upon completion of this monograph, the course participant will be able to:

  1. Describe the basic anatomy and biomechanics of the foot and ankle joints.
  2. Describe the typical outcomes for patients who have sustained a calcaneal fracture.
  3. Identify the advantages and disadvantages of surgical fixation versus closed treatment for calcaneal fractures.
  4. Develop an appropriate treatment plan for patients who have sustained a calcaneal fracture.
  5. Explain the typical outcomes for patients who have sustained a Lisfranc fracture/dislocation.
  6. Develop an appropriate treatment plan for patients who have sustained a Lisfranc fracture/dislocation.
  7. Describe the typical outcomes for patients who have sustained an Achilles tendon rupture.
Copyright Statement:

Materials in this course—unless otherwise indicated—are protected by the United States Copyright Law [Title 17, U.S. Code]. Materials are presented in educational context for personal use and study and should not be shared, distributed, or sold in print—or digitally—outside the scope of this course without AOPT permission. Copyright 2019, Academy of Orthopaedic Physical Therapy, APTA, Inc. All rights reserved.

Registrant Price (USD):
Online Only
Academy of Orthopaedic Physical Therapy Member $35
Non-Academy Member $50


Buy This Course

You need to login to purchase this course. If you do not have an account, click on the box below and follow the instructions for creating an account.

Login or Create Account

Academy of Orthopaedic Physical Therapy
2920 East Ave. South Suite 200, La Crosse, WI 54601 | 1-800-444-3982 | FAX 608-788-3965 | Member Login | Officer Login
Website Development by Webteam, Inc.