Welcome to the Podiatry Arena forums, for communication between foot health professionals about podiatry and related topics.
You are currently viewing our podiatry forum as a guest which gives you limited access to view all podiatry discussions and access our other features. By joining our free global community of Podiatrists and other interested foot health care professionals you will have access to post podiatry topics (answer and ask questions), communicate privately with other members (PM), upload content, view attachments, receive a weekly email update of new discussions, earn CPD points and access many other special features. Registered users do not get displayed the advertisments in posted messages. Registration is fast, simple and absolutely free so please, join our global Podiatry community today!
If you have any problems with the registration process or your account login, please contact contact us.
About a year ago I consulted a 14 year old female, very active in sports especially running. She presented with an avulsion # of the Navicular. An MRI showed Post Tibialis tendon insertion involvement.
Once the orthopaedic surgeon removed the cast, she underwent an extensive biomechanical examination with the following signifcant findings:
1. Forefoot varus with compensatory hyperpronation
2. Abduction with tibial torsion of 7degrees
3. No LLD or pelvis abnormality
4. Stable ankle especially medial deltoids
5. Disparity in strength between antagonists and protagonists of lower limb - ant tib weaker than post tib.
She was treated in a team including physio, biokineticist, podiatrist - rigid 3mm polyprop. - orthotic that held the foot in neutral.
She repsonded extremely well.
Now, a year later her injury has recurred. I am yet to see her, but expect to find compliance in orthotic wear and/ or wearing down of the orthotics postings plus innappropriate shoes as possible reasons for recurrence.
Yes, she is active in sports especially in running.
I will certainly monitor her progress. If recurrence is on the cards due to failure of orthotics to continualy relieve her symptoms, I will consider ressection.