Dr. Stewart reviews the single limb heel rise in a patient with posterior tibial tendon dysfunction. The posterior tibial tendon originates as a muscle in the deep compartment of the leg and courses around the ankle and inserts in the foot. The tendon is the main inverter of the foot and helps to support the arch of the foot. When the tendon is not functioning properly, patients experience pain along the inside of the foot and ankle with swelling and difficulty walking. Pain is also commonly felt on the top and outside of the foot as the subtalar and ankle joints become inflamed from excessive flattening of the foot.
The single limb heel rise test is used to assess the strength and ability of the posterior tibial tendon to invert the heel. When there is dysfunction of the tendon, patients either cannot invert the heel or have difficulty inverting the heel. The calcaneus assumes a valgus position, the talus is prominent medially, and a too many toes sign is noted.
Conservative treatment includes rest, ice, immobilization, physical therapy, orthotics, ankle bracing, medications, and steroid injections. If conservative care fails then surgery maybe required.
Негізгі бет Ғылым және технология Single Limb Heel Rise, Timonium Foot and Ankle Center, Posterior Tibial Tendon Dysfunction
Пікірлер: 2