Specialists

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Symphysitis

SYMPTOMS

There is gradual onset of diffuse or localised exercise-induced pain in both the groin and around the symphysis. The symptoms are often vague and secondary muscular symptoms are very common, misleading the examiner.

AETIOLOGY

This condition is thought to be a stress reaction from excessive jumping or running exercises but the exact […]

Osteochondritis Dissecans (OCD)

SYMPTOMS

There is gradual onset of diffuse or localised exercise-induced pain and soreness, often also at rest, usually in a young athlete without preceding trauma.

AETIOLOGY

The aetiology is unknown but is often thought to be due to repetitive minor trauma. The sub-chondral bone goes into avascular necrosis and the overlying cartilage cracks. […]

Stress Fracture of Posterior Tibia

SYMPTOMS

Gradual onset of localised exercise induced pain at the posterior medial aspect of the tibia. This injury is common in young or adolescent athletes. 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 non-tension-side stress fracture, caused […]

Stress Fracture of Fibula

SYMPTOMS

Gradual onset of localised exercise induced pain on fibula. This injury is common in young athletes but less common than tibia stress fractures. It typically occurs as a result of sudden changes in training habits, such as increase in intensity or amount of impact.

AETIOLOGY

This stress fracture is caused by excessive jumping or […]

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 […]

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 […]

Tarsal Tunnel Syndrome

SYMPTOMS

There is aching or sharp pain around the medial part of the foot and ankle joint, often radiating along the medial or the lateral part of the foot, or towards the plantar fascia insertion.

AETIOLOGY

This syndrome is caused by trapping of the posterior tibia nerve or any of its branches in the tarsal […]

Syndesmosis Ligament Rupture

SYMPTOMS

There is a severe sharp pain around the anterior tibio fibula junction, haemarthrosis and sense of ankle instability after a severe hyperflexion – inversion or eversion ankle sprain. A player cannot continue and will limp off the pitch. This injury is well-known in association with a fracture but occurs frequently in isolation in […]

Peroneus Tendon Dislocation

SYMPTOMS

In the acute phase, there is sharp pain and swelling/bruising over the lateral, posterior part of the ankle and distal fibula, after previous sprain. The patient will have a sense of weakness and instability of the ankle and may recall one or two snapping sounds from the time of the injury. If there was […]

Lateral Ankle Ligament Ruptures

SYMPTOMS

The patient refers to a sudden sharp tearing pain around the lateral aspect of the ankle joint after an acute inversion sprain or, on occasions, of recurrent instability after previous sprains.

AETIOLOGY

The anterior talo-fibular (ATF) and fibulo-calcanear (FC) ligaments are the most commonly damaged structures in uncomplicated inversion-plantar flexion ankle sprain. Most […]