Presentation
Complaining of medial ankle pain and swelling after walking.
Patient Data
Age: 55 years
Gender: Male
Lateral

Plantar facing talus.
Reduced calcaneal inclination angle.
From the case:
Tibialis posterior tendon dysfunction
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Few hypoechoic areas in the tendon show vascularity - tendinosis.
Peritendon fluid with hypervascularity - tenosynovitis.
No split / complete tear.