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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 ]
Pain radiating up into the leg, [1] behind the shin, and down into the arch, heel, and toes; Hot and cold sensations in the feet; A feeling as though the feet do not have enough padding; Pain while operating automobiles; Pain along the posterior tibial nerve path; Burning sensation on the bottom of foot that radiates upward reaching the knee
The PCL is located within the knee joint where it stabilizes the articulating bones, particularly the femur and the tibia, during movement.It originates from the lateral edge of the medial femoral condyle and the roof of the intercondyle notch [5] then stretches, at a posterior and lateral angle, toward the posterior of the tibia just below its articular surface.
Treatment Physical therapy, orthotics, anti-inflammatories, steroids 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.
The tibialis posterior muscle originates on the inner posterior border of the fibula laterally. [2] It is also attached to the interosseous membrane medially, which attaches to the tibia and fibula. [2] The tendon of the tibialis posterior muscle (sometimes called the posterior tibial tendon) descends posterior to the medial malleolus. [2]
As the injury may have self-reduced before arrival at hospital, the diagnosis may not be readily apparent. [2] Diagnosis may be suspected based on the history of the injury and physical examination [ 5 ] which may include anterior drawer test , valgus stress test , varus stress test , and posterior sag test . [ 5 ]
Injuries to the posterolateral corner can be debilitating to the person and require recognition and treatment to avoid long term consequences. [1] Injuries to the PLC often occur in combination with other ligamentous injuries to the knee; most commonly the anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL). [ 2 ]
Shin splint pain is described as a recurring dull ache, sometimes becoming an intense pain, along the inner part of the lower two-thirds of the tibia. [4] The pain increases during exercise, and some individuals experience swelling in the pain area. [5] In contrast, stress fracture pain is localized to the fracture site. [6]
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