Ärzte im OP 1. Risk kinds of sport:
Usually with sportsmen, who must accomplish sprints and jumps (track and field athletics). Particularly released by wearing spike shoes.2. Anatomy:
The Musculus tibialis posterior rises from the back of seeming and fibula. Its tendon pulls behind the inside ankle to the sole and is there fastened to the punt leg. It supports actively putting the foot longitudinal curvature up.3. Function:
While standing the muscle tibialis posterior aproximates the lower leg to the heel, in motion the muscle serves the diffraction in the jump joint (pointed foot).4. Injury mechanism:
The tendon sheath and the muscle origin in the lower third of the medial seeming leg edge and the inside ankle are exposed to increased mechanical stress - this can lead to inflammations of the tendon sheath and to degeneration/wear of the tendon.5. Symptoms:
- Pain within the range behind and above the inside ankle during jumping and running, pressure pain- possibly local swelling visibly
6. First measures:
- Stress break- Cooling within the range concerned
- Changes of the training underground (lawn) and the shoes (Jogging shoes)
7. Diagnostics:
- orthopedic investigation- Ultrasonic
- if necessary nuclear spin tomography
8. Therapy:
a) Conservative therapy-anti-inflammatory medicines, ointments
- Inserts
- Injections
b) Operational therapy
- with chronic complaints by revision of the scar tissue, splitting the tendon sheath
9. Physiotherapy:
- Electrical therapy- Massage of the musculature concerned
- Stretch of the musculature concerned
- Stabilisation exercises for the foot and the leg
- Cold weather and late thermal treatment
10. Prevention:
- Stretch of the musculature concerned- Insert supply during bad position of the foot
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