Index to Chiropractic Literature
Index to Chiropractic Literature
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ID 21497
  Title Posterior tibialis tendonopathy in an adolescent soccer player: A case report
Journal J Can Chiropr Assoc. 2010 Dec;54(4):293-300
Peer Review Yes
Publication Type Case Report
Abstract/Notes Objective: Detail the progress of an adolescent soccer player with right-sided chronic medial foot pain due to striking an opponent’s leg while kicking the ball. The patient underwent diagnostic ultrasound and a conservative treatment plan.

Clinical Features: The most important features were hindfoot varus, forefoot abduction, flatfoot deformity, and inability to single leg heel raise due to pain. Conventional treatment was aimed at decreasing hypertonicity and improving function of the posterior tibialis muscle and tendon.

Intervention and Outcome: Conservative treatment approach utilized soft tissue therapy in the form of Active Release Technique®, and eccentric exercises designed to focus on the posterior tibial muscle and lower limb stability. Outcome measures included subjective pain ratings, and resisted muscle testing.

Conclusion: A patient with posterior tibialis tendonopathy due to injury while playing soccer was relieved of his pain after 4 treatments over 4 weeks of soft tissue therapy and rehabilitative exercises focusing on the lower limb, specifi cally the posterior tibialis muscle.

Objectif: Détailler la progression d’un joueur de soccer adolescent souffrant d’une douleur chronique interne au pied après avoir frappé un adversaire en donnant un coup de pied sur le ballon. Le patient a subi une ultrasonoscopie et un traitement conservateur.

Particularités cliniques: Les plus importantes particularités étaient le varus de l’arrière-pied, l’adduction de l’avant-pied, la difformité du pied plat, et l’incapacité de soulever le talon en raison de la douleur. Le traitement conventionnel avait pour but de diminuer l’hypertonicité et d’améliorer la fonction du tendon du muscle tibial postérieur.

Intervention et résultat: Le traitement conservateur comprenait la thérapie des tissus mous sous la forme d’Active Release Technique®, et des exercices excentriques axés sur le muscle tibial postérieur et la stabilité du membre inférieur. La liste des indicateurs de résultats comprenait l’évaluation subjective de la douleur et le test du muscle contrarié.

Conclusion: Un patient souffrant de tendonopathie tibiale postérieure suite à une blessure subie en jouant au soccer fut soulagé de sa douleur après 4 traitements durant 4 semaines de thérapie des tissus mous et d’exercices de réhabilitation axés sur le membre inférieur, particulièrement le muscle tibial postérieur.

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text.

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