Tendinopatia do compartimento anterior do tornozelo

Carvalho, Antônio Egydio de; Bittar, Cíntia Kelly; Salomão, Osny; Miranda, João Batista de; Ninomiya, André Felipe; Silva, Daniel Bento

doi:10.1590/s0102-36162010000200006

Cited by 3 publications

(7 citation statements)

References 11 publications

(25 reference statements)

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“…The diagnosis is clinical and is based primarily on a physical examination. The classic triad consists of (1) pseudotumor of the anterior ankle (which corresponds to the tendon extremity), (2) loss of normal tendon contour and (3) inadequate ankle dorsiflexion accompanied by hyperextension of the hallux and toes 1, 6…”

Section: Discussionmentioning

confidence: 99%

“…Anterior tibial syndrome and peroneal nerve palsy are differential diagnoses that should be excluded 6, 8…”

Section: Discussionmentioning

confidence: 99%

“…Nuclear magnetic resonance (NMR) is a fundamental test in chronic cases because it plays an important role in the detection and final characterization of the rupture as well as in the planning of surgery (access route and surgical technique) 6, 9…”

Section: Discussionmentioning

confidence: 99%

“…More recent studies have demonstrated the superiority of surgical treatment in terms of functional outcomes and lower complication rates in relation to conservative treatment regardless of factors such as age, comorbidities, functional status of patients prior to surgery and timeliness of the surgical procedure (immediate or delayed) 1, 6, 7…”

Section: Discussionmentioning

confidence: 99%

“…The diagnosis is clinical and is based on clinical history and a physical examination. Surgical treatment is mandatory in traumatic ruptures 1 because it is associated with better functional outcomes and lower complication rates compared with conservative treatment 6, 7…”

Section: Introductionmentioning

confidence: 99%

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Traumatic rupture of the tibialis anterior tendon: A case report

Rodrigues

Pereira

Alpoim

et al. 2013

Revista Brasileira de Ortopedia (English Edition)

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Objective: The autors report a case of a traumatic rupture of the tibialis anterior tendon (TTA) that was early diagnosed and treated in the emergency service. This is a rare clinical entity with few cases reported in the literature. Case report: A 66-year old female presented at the emergency service complaining about pain at the anterior aspect of her ankle and inability to walk normally, after a fall. Physical examination revealed clinical signs for TTA rupture, which was later confirmed by ultrasound. Surgical treatment was performed immediately – the tendon was anchored into the medial cuneiform with a soft tissue-to-bone anchor. The follow-up revealed good functional result. Conclusion: Physical examination and a high index of suspicion are important when facing a patient who had sustained an ankle trauma. The TTA rupture is a diagnosis to consider because unrecognized ruptures led to important functional deficits and poor functional results.

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Section: Discussionmentioning

confidence: 99%

“…Anterior tibial syndrome and peroneal nerve palsy are differential diagnoses that should be excluded 6, 8…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Traumatic rupture of the tibialis anterior tendon: A case report

Rodrigues

Pereira

Alpoim

et al. 2013

Revista Brasileira de Ortopedia (English Edition)

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Chronic Lower Leg Pain in Athletes: Overview of Presentation and Management

et al. 2019

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Background: Athletes with chronic lower leg pain present a diagnostic challenge for clinicians due to the differential diagnoses that must be considered. Purpose/ Questions: We aimed to review the literature for studies on the diagnosis and management of chronic lower leg pain in athletes. Methods: A literature review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA). The PubMed, Scopus, and Cochrane library databases were searched, and articles that examined chronic lower leg pain in athletes were considered for review. Two independent reviewers conducted the search utilizing pertinent Boolean operations.Results: Following two independent database searches, 275 articles were considered for initial review. After the inclusion and exclusion criteria were applied, 88 were included in the final review. These studies show that the most common causes of lower leg pain in athletes include medial tibial stress syndrome, chronic exertional compartment syndrome, tibial stress fractures, nerve entrapments, lower leg tendinopathies, and popliteal artery entrapment syndrome. Less frequently encountered causes include saphenous nerve entrapment and tendinopathy of the popliteus. Conservative management is the mainstay of care for the majority of cases of chronic lower leg pain; however, surgical intervention may be necessary. Conclusions: Multiple conditions may result in lower leg pain in athletes. A focused clinical history and physical examination supplemented with appropriate imaging studies can guide clinicians in diagnosis and management. We provide a table to aid in the differential diagnosis of chronic leg pain in the athlete.

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