PT - JOURNAL ARTICLE AU - Richard A C Dimock AU - Edward John Christopher Dawe AU - Olusegun Aiyenuro TI - Compensating for loss: running on one tibialis anterior AID - 10.1136/bcr-2017-219834 DP - 2017 May 03 TA - BMJ Case Reports PG - bcr-2017-219834 VI - 2017 4099 - http://casereports.bmj.com/content/2017/bcr-2017-219834.short 4100 - http://casereports.bmj.com/content/2017/bcr-2017-219834.full AB - 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.