What a cross country training regimen can tell you about peroneal tendinitis, peroneal tendon tears and peroneal tendon subluxation

When you meet with your doctor, there’s an unwritten script that your doc is using to guide his/her decision making.  Past medical history, social history, family hist...

Why are talar neck fractures so prone to avascular necrosis?

Sometimes a simple x-ray can say it all.  With all of the advanced testing that we have today, a simple x-ray can speak volumes.  You aren’t always able to capture the subtleties of bones and joints with each and every x-ray.  But every s...

Gout as a differential diagnosis for os trigonum syndrome in adolescent patients

Posterior ankle pain in the adolescent patient population is a relatively uncommon complaint.  What is the differential diagnosis for posterior ankle pain in the adolescent population?  Most clinicians would not consid...

What are the causes of posterior ankle pain?

One of my peers came to me the other day at the hospital and asked me about a pain she was having in the back of the ankle.  She stated that she had had plain films taken that were unremarkable.  She also had an MRI that failed to show any bone edema, ar...

Is the Tinel’s sign a reliable diagnostic test?

Tarsal tunnel syndrome describes an entrapment of the posterior tibial nerve at the medial aspect of the ankle.  The posterior tibial nerve descends the leg and splits into three branches.

• First branch – supplies sensation to the plantar heel.  Als...