Stage I patients that do not respond to rest and support, require surgical correction to stabilize the subtalar joint prior to further damage to the posterior tibial tendon. With damage to the posterior tibial tendon, the forefoot will abduct or move out in relationship to the rest of the foot. The sinus tarsi refers to a small tunnel or divot on the outside of the ankle that can actually be felt. X-ray/MRI notes tear in tendon.
Tendon derives most of its' nutritional support from polo ralph lauren factory store coupons printable synovial fluid produced by the outer lining of the tendon. Posterior Tibial Tendon Dysfunction - pttd. As a result, there is increased pressure applied to the joint surfaces of the lateral aspect of the subtalar joint, resulting in pain. An abrupt onset is typically linked to some form of trauma, whether it be simple (stepping down off a curb or ladder) or severe (falling from a height or automobile accident). The presence of equinus forces the posterior tibial tendon to accept additional load during gait. The os tibiale externum also can fracture. Stage III, tendon status Severe degeneration with likely rupture. Inability to raise up on the toes without pain. X-ray noting abduction of forefoot, collapse of talo-navicular joint.
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