More injuries are surfacing as predicted to the foot and ankle, reminding us that screening is more complicated than a few hand tests or table exams. Achilles rupture here, and fifth metatarsal fracture there. Will the injuries rise before we even hit New Years? The foot and ankle is a complicated joint system and a lot can go wrong. The future will be in gait analysis and interventions that increase the buffer zone with injuries. Statistically Toronto and Portland are rumored to be in trouble, likely to be a combination of trends in the past and some outlier activity.