• Ramakko B

• Adult
• Ankle Injuries / diagnostic imaging
• Male
• Open Access Document
• Posterior Tibial Tendon Dysfunction / diagnostic imaging
• Tendinopathy / diagnostic imaging
• Ultrasonography

Introduction: This report aims to illustrate the use of point-of-care ultrasound in aiding the diagnosis of a partial tibialis posterior tendon tear, a sometimes elusive diagnosis.

Case Presentation: A 31 year old male presented days after the acute onset of intense pain and edema of the medial ankle initiated by a “short jog across the street”. Patient had a history of posterior and medial ankle pain following increased activity starting approximately 2 months prior.

Diagnosis: Point-of-care ultrasound showed edema surrounding the tibialis posterior tendon at the site of maximal tenderness located inferior to the medial malleolus and partial fiber disruption of the tendon was found more proximally, posterior to the medial malleolus,
indicating a partial tendon tear.

Conclusion: Point-of-care ultrasound can identify a partial tendon tear of tibialis posterior and can be used for reassessment, as needed, throughout the recovery process.

Author keywords: Tendinopathy, Tibialis Posterior, Point-of-care ultrasound, POCUS.

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