Citation

Benazzo F, Stennardo G, Pricca P. Eur. J. Sports Traumatol. Relat. Res. 2001; 23(1): 1-8.

Copyright

(Copyright © 2001, Kurtis)

DOI

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PMID

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Abstract

The clinical evaluation of hindfoot pathologies can be difficult but in recent years has been improved due to contribution of diagnostic work-ups such as ultrasonography, bone scan radionuclide imaging, CT, tendon sheath-CT, arthro-CT and MRI. In this paper, we evaluated the incidence of hindfoot pathologies in a population of 1310 athletes practicing track and field events. We found hindfoot involvement (excluding Achilles tendinopathy) in 23 athletes at national level. Pathologies found were: fractures of the posterior tubercle of the talus (6 cases), impingement of the os trigonum (4 cases), impingement of the posterior tubercle (4 cases), partial rupture of the posterior tibial tendon (3 cases), osteochondritis dissecans of the posterior articular surface of the tibia (1 case), tenosynovitis of the posterior tibialis tendon (1 case), partial rupture of plantar aponeurosis (1 case), plantar aponeurosis fascitis at the calcanear insertion (case), tarsal tunnel syndrome (1 case) and intratendinous splitting of the peroneous longus tendon (1 case). The incidence of this pathology could be considered low: 23 out of 1310 cases examined (1, 75%). In our series, these syndromes occurred, for the most part, after jumping events (high, long and triple jump), where technical errors and occasional traumas scored as main pathogenic factors. The use of selected diagnostic work-ups such as CT (and variants) ultrasonography and MRI allowed a precise diagnosis.

Language: en