Findings favor tenosynovitis of tibialis anterior tendon.

There was no direct injury to anterior ankle. However, patient had developed achilles tendinosis of contralateral foot 1 mth back. He was asked by orthopedic surgey to wear sports shoe. He began wearing shoe for the first time at the age of thirty yrs. He drives a four wheeler all the day. Tight shoe lace is possibility the case of tenosynovitis of tibialis anterior tendon.