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Pdf Summary

The document provides a detailed examination of potential diagnoses for a patient experiencing chronic plantar heel pain, focusing on tarsal tunnel syndrome and posterior tibialis tendon injury.

<strong>Study Question #1:</strong> It explores the characteristics of tarsal tunnel syndrome, an entrapment neuropathy affecting the posterior tibial nerve and its branches. The condition is described as causing pain in the medial ankle and heel that increases with activity and gradually remits with rest. It is clarified that "first-step" pain is typically associated with plantar fasciitis rather than tarsal tunnel syndrome, although both conditions can coexist. The correct answer highlights that pain associated with tarsal tunnel syndrome worsens with walking and subsides with rest.

<strong>Study Question #2:</strong> This question addresses the signs and symptoms indicative of a posterior tibialis tendon injury. The correct answer identifies that pain experienced with passive pronation and active supination suggests such an injury. Other options given include symptoms typical of different conditions: burning or tingling suggests tarsal tunnel syndrome, pain with toe-off suggests flexor hallucis longus tendinosis, and pain with resisted dorsiflexion suggests extensor digitorum tendon issues.

The document is sourced from clinical and scholarly references discussing entrapment neuropathies and tendon injuries, which provide a context for understanding the similarities and differences between these conditions.

In summary, the document aids in differentiating between tarsal tunnel syndrome and posterior tibialis tendon injury, emphasizing the importance of symptom details in making an accurate diagnosis.

Meta Tag

Edition 3rd Edition

Related Case 3rd Edition, CASE 05

Topic Ankle

Keywords

chronic plantar heel pain

tarsal tunnel syndrome

posterior tibialis tendon injury

entrapment neuropathy

posterior tibial nerve

plantar fasciitis

passive pronation

active supination

clinical references

tendon injuries

3rd Edition

3rd Edition, CASE 05

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