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Tibialis posterior muscle. The mucous sheaths of the tendons around the ankle. Medial aspect. (Tibialis posterior labeled at top center.) The tibialis posterior muscle is the most central of all the leg muscles, and is located in the deep posterior compartment of the leg. It is the key stabilizing muscle of the lower leg.
Treatment. Immobilization via boot and physical therapy, custom orthotics. Prognosis. Relatively good. Frequency. 3.3 to 10%. Posterior tibial tendon dysfunction is the dysfunction of the posterior tibial tendon. It is a progressive disease that has four stages [1] and is the most common cause of adult flatfoot. [2]
Medial aspect. Tarsal tunnel syndrome (TTS) is a nerve compression syndrome or nerve entrapment syndrome causing a painful foot condition in which the tibial nerve is entrapped as it travels through the tarsal tunnel. [1][2] The tarsal tunnel is found along the inner leg behind the medial malleolus (bump on the inside of the ankle).
Popliteal fossa. The tibial nerve is the larger terminal branch of the sciatic nerve with root values of L4, L5, S1, S2, and S3. It lies superficial (or posterior) to the popliteal vessels, extending from the superior angle to the inferior angle of the popliteal fossa, crossing the popliteal vessels from lateral to medial side.
Posterior tibial artery. Back of left lower extremity, showing surface markings for bones, vessels, and nerves (posterior tibial artery labeled at bottom right). The posterior tibial artery of the lower limb is an artery that carries blood to the posterior compartment of the leg and plantar surface of the foot.
Soleus. Posterior aspect of head and superior quarter of posterior surface of fibula; soleal line and middle third of medial border of tibia; and tendinous arch extending between the bony attachments. Plantarflexes ankle independent of position of knee; steadies leg on foot. [ 1 ]
Sinus tarsi syndrome is the clinical disorder of pain and tenderness in the sinus tarsi, which is a lateral tunnel in the foot at the junction of the hindfoot and the midfoot, between the ankle and the heel. [1][2] Most of the time, sinus tarsi syndrome onsets after ankle sprains, however there can be other causes. [3]
Tendinopathy is a type of tendon disorder that results in pain, swelling, and impaired function. [2] The pain is typically worse with movement. [2] It most commonly occurs around the shoulder (rotator cuff tendinitis, biceps tendinitis), elbow (tennis elbow, golfer's elbow), wrist, hip, knee (jumper's knee, popliteus tendinopathy), or ankle (Achilles tendinitis).
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