Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: General Orthopaedics
Abstract number: 26549
DISTAL TIBIAL ANTERIOR TENDINOSIS
Hans CRONE
Läkarhuset Odenplan, Stockholm (SWEDEN)
Since 1990 I have regularly seen patients with insertalgia of the tibialis anterior
tendon at my office for foot surgery. This study describes the clinical feature of this
entity, which has only been done once before (A. Beischer et al in Foot & Ankle Int.
2009, 1053-1059).These patients have pain at the medial part of the midfoot when
walking and usually aching at rest, sometimes twinges. At examination they have
medial footpain when walking on heels. There is a swelling and tenderness over the
distal 3-5 cm of the tendon. Pronation when standing was not a frequent finding.
During five years (2003-2007) 113 patients with distal tibialis anterior tendinosis
attended my clinic, (compared to 70 patients with tibialis posteriortendinos at the
same time). Ten had bilateral complaints. 101 patients were female (90%). Quite half
of the patients had other problems or diagnosis concerning the affected foot. Mean
age was 62 years (range 26-83). Mean duration of symptoms prior to consultation
was 8 months (range 1-48). A questionnaire was sent to all patients. Fourteen did not
reply and another five could not be assessed. Of the remaining 94 patients 74 (79%)
had no or only mild symptoms. For those the average time from start to relief of
complaints was 18 months (range 6-48).Eight patients were not improved and seven
of these had arthrosis in the foot as well. No ruptures were registered.
286