Specialists

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Rupture of the Rectus Femoris Muscle

SYMPTOMS

There is an acute onset of sharp tearing pain in the proximal anterior thigh or towards the anterior iliac crest during activity. This injury often occurs during intense activity in sports like tennis, squash or other sprinting and jumping sports.

AETIOLOGY

This is usually a partial rupture of the insertion or proximal […]

Adductor Tendonitis / Tendinosis

SYMPTOMS

Gradual onset of diffuse or localised exercise-induced pain at the insertion of the adductor longus around the symphysis. It can be associated with a slip, strain or split on a slippery football pitch. It is common in footballers, who usually complain of an inability to strike the ball with full power.

AETIOLOGY

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Osgood-Schlatter’s Disease

SYMPTOMS

There is gradual onset of localised exercise-induced pain and soreness at rest around the tuberositas tibia of the knee in a young growing athlete, usually 12 to 16 years old, without preceding trauma. It may be bilateral or affect the knees separately, depending on the growth of each leg.

AETIOLOGY

The condition […]

Medial Tibia Stress Syndrome

SYMPTOMS

There is gradual onset of diffuse or localised exercise-induced pain at the posterior medial aspect of the mid and distal tibia. This condition is common during pre-season training. It typically occurs as a result of sudden changes in training habits, such as increase in intensity or amount of impact.

AETIOLOGY

This is a […]

Anterior Tibia Stress Fracture

SYMPTOMS

There is a gradual onset of localised exercise-induced pain at the anterior edge of the tibia, often affecting ballet dancers and athletes in jumping or running sports with high-impact forces or when plyometric training is involved (e.g. basketball, high jump or long jump). Initially, the symptoms may be vague but gradually they become so […]

Tibialis Posterior Syndrome

SYMPTOMS

Gradually increasing exercise-induced pain around the posterior medial part of the ankle joint, often after previous sprain. It is common in middle-aged or elderly athletes.

AETIOLOGY

This is a tenosynovitis and or partial rupture of the posterior tibial tendon. If the tendon ruptures completely, a fairly discrete acquired flat foot can result after a […]

Posterior Inpingement of the Ankle

SYMPTOMS

There is a gradually increasing stiffness of the ankle and exercise-induced pain around the posterior part of the ankle joint, sometimes after previous sprain. This injury often affects footballers and ballet dancers.

AETIOLOGY

Impingement syndrome is not a diagnosis but a symptom and may be caused by repetitive injury to the posterior ankle […]

Anterior Impingement Syndrome

SYMPTOMS

There is a gradually increasing stiffness of the ankle and exercise-induced pain around the anterior part of the ankle joint, often after previous sprain.

AETIOLOGY

Impingement syndrome is not a diagnosis but a symptom and may be caused by repetitive trauma to the anterior ankle joint, for example from striking footballs, recurrent sprains causing […]

Turf Toe

SYMPTOMS

There is a gradually increasing stiffness and diffuse aching pain around MTP I. Commonly affects team sports players who wear studded shoes.

AETIOLOGY

Common theories include repetitive minor trauma to the capsule and cartilage of MTP I from ill-fitting shoes, direct impact and playing on hard turf with shoes that get stuck. […]

Tarsal Coalition

SYMPTOMS

There is diffuse exercise-induced aching pain around the sub-talar joint, sometimes after previous sprain.

AETIOLOGY

The aetiology is unclear. Sub-talar structures fuse over time by fibrosis or callus formation.

CLINICAL FINDINGS

There is tenderness on palpation over the sub-talar joint (sinus tarsi), decreased mobility and swelling.

INVESTIGATIONS

X-ray may show talo-navicular coalition; talo-calcaneal coalition […]