Insertional tendinosis of anterior tibial tendon: case report and literature review

Abstract

The insertional tendinopathy of the tibialis anterior tendon is an uncommon injury in the literature being found predominantly in overweight women aged between 50 and 70 years. Initial treatment consists of the use of removable immobilizer, physiotherapy resources and anti-inflammatory non-steroidal prescription. If this approach fails, surgery may be considered. The aim of this study was to report the case of a male patient, 59 years, hiker who presented with pain in the dorsomedial region of the left foot for 6 months, worsening when wandered up hill and resistant to conservative treatment. Clinical suspicion was confirmed by magnetic resonance imaging. The definitive diagnosis was peritendinitis of the tibialis anterior tendon with signs of partial rupture at its insertion at the medial cuneiform. The patient was satisfied with the outcome of the surgical procedure, consistent with the literature.