BACKGROUND: Disorders of the tibialis anterior (TA) tendon have infrequently been reported but spontaneous @entity397 of this tendon is well recognized. The clinical presentation of @entity924 without @entity397 of the distal TA has not previously been reported and is the basis of this paper. MATERIALS AND METHODS: A study of 29 @entity1 diagnosed with distal TA @entity924 was undertaken. Data collected included, @entity1 demographics, weight, height, @entity158 profile and examination findings. All @entity1 underwent MRI of the symptomatic foot. Operative findings of those @entity1 undergoing surgery for this condition were collected. RESULTS: Twenty-nine @entity1 (32 feet) were included in the study group. Their mean age was 62 years and 27 @entity1 were female. Twenty-one @entity1 were overweight. The usual presenting symptom was burning medial midfoot @entity158 that was often reported to be worst at night. Swelling over the TA tendon was frequently observed. On MRI the TA was thickened in all @entity1 . Longitudinal split tears were observed in 19 feet. @entity5040 formation at the first tarsometatarsal or medial naviculocuneiform joints was observed in 11 feet. Eleven feet underwent surgery. Universally the TA tendon was macroscopically thickened and had lost its normal fibrillary appearance. Longitudinal split tears were observed in eight tendons. Pathology was typical of a degenerative @entity924 . CONCLUSION: Distal TA @entity924 is a condition that seems to predominantly affect overweight elderly @entity1 . It often presents with nocturnal burning medial midfoot @entity158 .

Distal XXXX of the tibialis anterior tendon.

@entity1 :: ('9606', 'Species') :: ['women', 'patients', 'patient'] @entity5040 :: ('MESH:D054850', 'Disease') :: ['Chondral thinning and/or osteophyte'] @entity924 :: ('MESH:D052256', 'Disease') :: ['tendinosis'] @entity397 :: ('MESH:D012421', 'Disease') :: ['rupture'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain']
@entity924 :: (MESH:D052256,Disease) :: ['tendinosis']
