Tibialis posterior tendon dysfunction

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Complaining of medial ankle pain and swelling after walking.

Patient Data

Age: 55 years
Gender: Male

Weight-bearing

x-ray

Plantar facing talus.

Reduced calcaneal inclination angle.

ultrasound

Few hypoechoic areas in the tendon show vascularity - tendinosis.

Peritendon fluid with hypervascularity - tenosynovitis.

No split / complete tear.

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