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Foot and ankle pain in a young female athlete.

Summary of "Foot and ankle pain in a young female athlete."

The patient was a 14-year-old female with a 4-year history of left anterolateral foot and ankle pain of insidious onset that was first noticed while playing soccer. After a lack of progress with conservative measures for her left foot and ankle pain, the patient was evaluated by an orthopaedic surgeon. While conventional radiographs of the foot and ankle were normal, magnetic resonance imaging revealed generalized bone marrow edema in the navicular bone with irregularity along the lateral margin of the navicular bone and adjacent anterior margin of the anterior process of the calcaneus. These findings suggested possible sequelae of osteonecrosis or a partial coalition between the lateral margin of the navicular bone and anterior process of the calcaneus. Computed tomography scanning revealed focal osteochondral bone changes along the lateral margin of the navicular bone and anterior process of the calcaneus. Surgery was performed 3 months later, which involved excision of a fibrous calcaneonavicular tarsal coalition.J Orthop Sports Phys Ther 2010;40(9):595. doi:10.2519/jospt.2010.0415.

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Journal Details

This article was published in the following journal.

Name: The Journal of orthopaedic and sports physical therapy
ISSN: 0190-6011
Pages: 595

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Entrapment of the distal branches of the posterior TIBIAL NERVE (which divides into the medial plantar, lateral plantar, and calcanial nerves) in the tarsal tunnel, which lies posterior to the internal malleolus and beneath the retinaculum of the flexor muscles of the foot. Symptoms include ankle pain radiating into the foot which tends to be aggravated by walking. Examination may reveal Tinel's sign (radiating pain following nerve percussion) over the tibial nerve at the ankle, weakness and atrophy of the small foot muscles, or loss of sensation in the foot. (From Foot Ankle 1990;11(1):47-52)

A condition of competitive female athletes in which there are interrelated problems of EATING DISORDERS; AMENORRHEA; and OSTEOPOROSIS.

The articulations extending from the ANKLE distally to the TOES. These include the ANKLE JOINT; TARSAL JOINTS; METATARSOPHALANGEAL JOINT; and TOE JOINT.

The region of the lower limb between the FOOT and the LEG.

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