As with all injuries, it is important to obtain an adequate history. Many injuries to the foot are associated with significant forces or falls from a height, and other injuries have to be sought. Generally, most foot injuries are caused by direct or twisting forces. Twisting forces are associated with avulsion-type injuries and are generally more minor than the injuries caused by direct trauma. Previous injuries, general medical condition, and repetitive mechanisms are all important to elicit from the patient. Increasing inability to ambulate after an injury and increasing pain may be suggestive of a minor sprain or of an impending vascular catastrophe. Special care should be paid to puncture wounds. Consider the type of shoes worn, the possibility of a foreign body, and the potential of tetanus.
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