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Anterior Tibial Tendon Injuries

Anterior Tibial Tendon Tenosyovitis

  • middle-aged with inflammatory arthritis=pain, swelling, tenderness in anterior ankle. RX=walking cast/removable boot/NSAIDS, cortisone inject may give dramatic relieve, but may contribute to rupture
Anterior Tibial Tendon Rupture
  • elderly, vague dorsal foot pain.
  • RX=molded AFO for 6 months and then for long periods of activity; repair extremely difficult in older pts with poor tissues
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