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CASE REPORT
Compensating for loss: running on one tibialis anterior
  1. Richard A C Dimock1,
  2. Edward John Christopher Dawe2,3,
  3. Olusegun Aiyenuro1
  1. 1 Department of Trauma and Orthopaedics, Royal Surrey County Hospital NHS Foundation Trust, Guildford, UK
  2. 2 Brighton and Sussex Medical School, Brighton, UK
  3. 3 Department of Trauma and Orthopaedics, Brighton and Sussex University Hospitals NHS Trust, Brighton, UK
  1. Correspondence to Richard AC Dimock, richard.dimock{at}nhs.net

Summary

Rupture of the tibialis anterior (TA) tendon is rare and may be either traumatic or spontaneous. TA is the main ankle dorsiflexor, providing 80% of the power, as well as contributing to inversion of the foot. We describe a case of an 84-year-old male who was incidentally diagnosed with absence of his left TA at age 46 while preparing for his first-ever marathon. There was no history of specific injury to this tendon. He subsequently went on to lead an active sporting life, completing over 20 marathons with a best time of 3 hours 12 min.

  • Orthopaedics
  • Orthopaedic and trauma surgery
  • Tendon rupture

https://doi.org/10.1136/bcr-2017-219834

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    Footnotes

    • Contributors RACD: main author. EJCD: c

      oauthor and acquisition of data. OA: s

      enior author and reviewer.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.