Clinical Findings

Classic symptoms are local tenderness to palpation with swelling along the insertional or retromalleolar locations. Pain with resisted hindfoot inversion is typical. To isolate posterior tibial tendon function, the hindfoot is tested in dorsiflexion to neutralize the other invertor, the anterior tibial tendon.

As paratendonopathy advances to pantendonopathy, foot deformity occurs. The forefoot becomes abducted; the "too

Table 70

2 Classification of Tendon Pathology

Paratendonopathy

Inflammation

of the paratenon

Tendonopathy

Inflammation

involving the tendon

Pantendonopathy

Inflammation

involving the tendon and its sheath

From Maffulli N, Khan KM, Puddu G: Overuse tendon conditions: Time to change a confusing terminology. Arthroscopy 1998;14:840-843.

From Maffulli N, Khan KM, Puddu G: Overuse tendon conditions: Time to change a confusing terminology. Arthroscopy 1998;14:840-843.

many toes" sign is present. In addition, when performing a single-limb toe raise, hindfoot inversion is not possible due to the dysfunction of the posterior tibial tendon.

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Cure Tennis Elbow Without Surgery

Cure Tennis Elbow Without Surgery

Everything you wanted to know about. How To Cure Tennis Elbow. Are you an athlete who suffers from tennis elbow? Contrary to popular opinion, most people who suffer from tennis elbow do not even play tennis. They get this condition, which is a torn tendon in the elbow, from the strain of using the same motions with the arm, repeatedly. If you have tennis elbow, you understand how the pain can disrupt your day.

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