View source for TRAUMA-TP OVERLOAD OR MEDIAL TIBIAL STRESS SYNDROME

===== [[Summary Article|'''SUMMARY''']] =====
1. Specturm of disease: pain along TP origin, pain along medial gastroc-soleus origin, progression to involve tibial periosteum (periostitis), tibial stress fracture.
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<br/>2. TP can be put at mechnical disadvantage by pes planus or calcaneal eversion. RA can cause rupture of the TP tendon. 
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<br/>3. Risk factors: pes planus, calcaneal eversion, toe-walking/running, rapid increase in exercise.
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<br/>4. A dysfunctional TP allows the calcaneus to rise in valgus during plantar-flexion (when viewed from behind during heel-raise).
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<br/>5. Analgesia, ice, activity modification, foot orthoses. If patient does not improve, image to rule out periostitis or stress fractures.


==Reference(s)==
Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. [https://amzn.to/3YHrI6K Get it on Amazon.]
<br/>Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. [https://amzn.to/3k7WSW0 Get it on Amazon.]
<br/>Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
<br/>Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].

[[Category:Trauma]]
[[Category:Rheumatology]]
[[Category:Medicine]]