Tibialis anterior bursitis

Case
A 15-year-old football player presented with a 3-day history of pain over the mid-tarsal region of the foot, without history of an acute trauma. The pain was not related to walking or running and was only present when kicking the ball.

The most significant examination finding was of tenderness to palpation over the tibialis anterior tendon and the distal portion of the tibialis posterior tendon. Resisted contraction tests of these tendons was also painful.

Findings
An x-ray series of the foot and ankle was normal. MRI showed soft tissue oedema between the distal anterior tibialis tendon and the medial cuneiform and navicular bones consistent with bursitis. There was no other significant structural pathology.

Discussion
The patient was treated with a short period of rest combined with regular icing, regular NSAID and progressive rehabilitation.

The tibialis anterior tendon bursa is located between the tibialis anterior tendon and the medial cuneiform bone, close to the tendon insertion. Bursitis can occur as a result of excessice local friction, infection, arthritis, or direct trauma. This condition can be difficult to diagnose as it mimics several periarticular and muscle lesions. However, imaging findings of bursal fluid distension should make for a clear diagnosis. Note that the sub-tendinous location of the bursa and a partial inferior fluid involvement of the tendon are key for differentiating from tenosynovitis. In the vast majrity of cases this condition settles spontaneously. In rare cases, endoscopic resection of the bursa can be performed. This would only be indicated when there is a symptomatic bursitis that does not respond to conservative treatment or when infection is suspected.

Important notice
FIFA does not bear any responsibility for the accuracy and completeness of any information provided in the “Radiology Review” features and cannot be held liable with regard to the information provided or any acts or omissions occurring on the basis of this information.

1
Comment

avatar
1 Comment threads
0 Thread replies
0 Followers
 
Most reacted comment
Hottest comment thread
1 Comment authors
Bangoura Recent comment authors
  Subscribe  
newest oldest most voted
Notify of
Bangoura
Guest
Bangoura

LA BURSITE OU HYGROMA SE CARACTRSISE PAR UNE INFLAMMATION DE LA BOURSE. CETTE BOURSE SE REMPLIT GENERALEMENT DE LIQUIDE(HYDRARTHROSE.HEMARTHROSE. SERO HEMATIQUE) LE DEVELOPPEMENT D UNE BURSITE EST LA CONSEQUENCE D UNE INFLAMMATION GENERALEMENT CAUSEE PAR DES MICRO TRAUMATISMES ET DES TRAUMATISMES SPORTIFS IMPORTANTS LES INFECTIONS PEUVENT ETRE AUSSI LA CAUSE. DANS LE DIAGNOSTIC LA DOULEURS ET LE GONFLEMENT OCCUPENT UNE PLACE DE CHOIX. FAIRE UNE PONCTION EXPLORATRICE ET PROCEDER A UN ECB DU LIQUIDE POUR APPUYER LE DIAGNOSTIC LA GUERISON EST POSSIBLE AVEC LA GLACE POUR ATTENUER LA DOULEUR ET L INFLAMMATION LES ANTALGIQUES LES ANTI INFLAMMATOIRES ET LES ANTIBIOTIQUES