{"id":232,"date":"2018-07-01t11:43:42","date_gmt":"2018-07-01t01:43:42","guid":{"rendered":"\/\/www.iolishoes.com\/?page_id=232"},"modified":"2023-12-07t22:05:02","modified_gmt":"2023-12-07t11:05:02","slug":"ankle-normal","status":"publish","type":"page","link":"\/\/www.iolishoes.com\/ankle-normal\/","title":{"rendered":"ankle normal"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"232\" class=\"elementor elementor-232\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-50cc187 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"50cc187\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b7b9c42\" data-id=\"b7b9c42\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3ae76d6e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3ae76d6e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6083a482\" data-id=\"6083a482\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-338da0c5 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"338da0c5\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4fa1981 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4fa1981\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b001293\" data-id=\"b001293\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3c16a18 elementor-widget elementor-widget-heading\" data-id=\"3c16a18\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\"><span class=\"ez-toc-section\" id=\"lateral_ankle\"><\/span>lateral ankle<span class=\"ez-toc-section-end\"><\/span><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-93d41f4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"93d41f4\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-a309d3c\" data-id=\"a309d3c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-657390a elementor-widget elementor-widget-text-editor\" data-id=\"657390a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>peroneus longus and brevis tendons<\/li><li>calcaneo-fibula ligament<\/li><li>anterior talofibula ligament<\/li><li>tibio-fibula ligament<\/li><li>subtalar joint<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3c860cd\" data-id=\"3c860cd\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9d291ba elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"9d291ba\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-405487cb elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"405487cb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4f57fecd\" data-id=\"4f57fecd\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4dc3365f elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"4dc3365f\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b1fe093 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b1fe093\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-63573b5\" data-id=\"63573b5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c531d38 elementor-widget elementor-widget-heading\" data-id=\"c531d38\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\"><span class=\"ez-toc-section\" id=\"peroneus_longus_brevis_tendons\"><\/span>peroneus longus &amp; brevis tendons<span class=\"ez-toc-section-end\"><\/span><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3b22e199 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3b22e199\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-2d23d167\" data-id=\"2d23d167\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2f453956 elementor-widget elementor-widget-pp-advanced-accordion\" data-id=\"2f453956\" data-element_type=\"widget\" data-settings=\"{&quot;accordion_type&quot;:&quot;toggle&quot;,&quot;toggle_speed&quot;:300}\" data-widget_type=\"pp-advanced-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"pp-advanced-accordion pp-toggle-icon-align-right\" id=\"pp-advanced-accordion-2f453956\" data-accordion-id=\"2f453956\" role=\"tablist\">\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-7931\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"1\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-7931\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tanatomy\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-7931\" class=\"pp-accordion-tab-content\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-7931\">\n\t\t\t\t\t\t<p><strong>peroneus longus<\/strong> wraps under the lateral foot to insert medially onto the 1st cuniform and proximal end of 1st metatarsal. approximately 20% of patients have an os peroneum (accessory ossicle) at the insertion<\/p><p><strong>peroneus brevis<\/strong> inserts to the base of the 5th metatarsal.<\/p><figure id=\"attachment_12089\" aria-describedby=\"caption-attachment-12089\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img fetchpriority=\"high\" decoding=\"async\" class=\"size-medium wp-image-12089\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2020\/11\/peroneus-tendons-anatomylearning-300x184.jpg\" alt=\"anatomy of the peroneal tendons\" width=\"300\" height=\"184\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2020\/11\/peroneus-tendons-anatomylearning-300x184.jpg 300w, \/\/www.iolishoes.com\/wp-content\/uploads\/2020\/11\/peroneus-tendons-anatomylearning-1024x628.jpg 1024w, \/\/www.iolishoes.com\/wp-content\/uploads\/2020\/11\/peroneus-tendons-anatomylearning-768x471.jpg 768w, \/\/www.iolishoes.com\/wp-content\/uploads\/2020\/11\/peroneus-tendons-anatomylearning.jpg 1036w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-12089\" class=\"wp-caption-text\">anatomy of the peroneal tendons. ref: anatomylearning.com<\/figcaption><\/figure>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-7932\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"2\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-7932\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tpatient position\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-7932\" class=\"pp-accordion-tab-content\" data-tab=\"2\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-7932\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">to scan the peroneus tendons:<\/span><\/p><ul><li><span style=\"font-size: 12pt;\">you need access to the lateral ankle and foot in a position to invert\/evert the foot.<\/span><\/li><li><span style=\"font-size: 12pt;\">patient supine or with their foot off the side of the bed is best.<\/span><\/li><\/ul>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-7933\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"3\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-7933\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\ttechnique\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-7933\" class=\"pp-accordion-tab-content\" data-tab=\"3\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-7933\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">to identify the peroneus tendons:<\/span><\/p><ol><li><span style=\"font-size: 12pt;\">place the probe transversely, posterior to the lateral malleolus (proximal to the malleolar tip)<\/span><\/li><li><span style=\"font-size: 12pt;\">ensure the fibula is visible on the image.<\/span><\/li><li><span style=\"font-size: 12pt;\">the pb and pl will be in the centre of your image. pb will be deepest and against the bone with pl ontop of it.<\/span><\/li><li><span style=\"font-size: 12pt;\">slide proximally to the musculo-tendinous junction.<\/span><\/li><li><span style=\"font-size: 12pt;\">now slide distally following the tendons until they separate.<\/span><\/li><\/ol>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-7934\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"4\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-7934\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tnormal appearances\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-7934\" class=\"pp-accordion-tab-content\" data-tab=\"4\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-7934\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">normal appearance:<\/span><\/p><ul><li><span style=\"text-decoration: underline; font-size: 12pt;\">proximal to the malleolus:<\/span><\/li><\/ul><p><span style=\"font-size: 12pt;\">transverse: peroneus longus tendon is formed. peroneus brevis musculo-tendinous junction is still visible\u00a0<\/span><\/p><ul><li><span style=\"text-decoration: underline; font-size: 12pt;\">at the level of the malleolus:<\/span><\/li><\/ul><p><span style=\"font-size: 12pt;\">transverse: both tendons echogenic and homogeneous. peroneus brevis against the fibula. peroneus longus on top.<\/span><\/p><p><span style=\"font-size: 12pt;\">longitudinal: echogenic and fibrillar tendons.<\/span><\/p><ul><li><span style=\"text-decoration: underline; font-size: 12pt;\">distal to the malleouls:<\/span><\/li><\/ul><p><span style=\"font-size: 12pt;\">the tendons move apart. the tendon sheaths terminate approximately 3cm from the malleolus.<\/span><\/p><p><span style=\"text-decoration: underline; font-size: 12pt;\">tips:<\/span><\/p><p><span style=\"font-size: 12pt;\"><em>brevis-bone-base.<\/em> peroneus <strong>b<\/strong>revis is closer to the <strong>b<\/strong>one and then inserts onto the <strong>b<\/strong>ase of the 5th metatarsal.<\/span><\/p>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-7935\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"5\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-7935\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\twhat to look for?\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-7935\" class=\"pp-accordion-tab-content\" data-tab=\"5\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-7935\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">once you identify the 2 tendons:<\/span><\/p><ol><li><span style=\"font-size: 12pt;\">are they fibrillar and homogeneous<\/span><\/li><li><span style=\"font-size: 12pt;\">is there any fluid in the sheath (there should not be any visible fluid)<\/span><\/li><li><span style=\"font-size: 12pt;\">do the tendons glide freely when mobilized (invert\/evert the forefoot)<\/span><\/li><li><span style=\"font-size: 12pt;\">does the brevis underlie longus at the malleolus<\/span><\/li><li><span style=\"font-size: 12pt;\">are they both intact at their insertions<\/span><\/li><\/ol><p><span style=\"font-size: 12pt;\">tip: peroneus brevis may split at the malleolus with peroneus longus laying partially or entirely within the division.<\/span><\/p>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1fba8a03 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1fba8a03\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-24c50dd0\" data-id=\"24c50dd0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-312aedb4 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"312aedb4\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4b74eaa1 elementor-widget elementor-widget-text-editor\" data-id=\"4b74eaa1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>peroneus longus and brevis tendon scan plane (transverse).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-198c6800\" data-id=\"198c6800\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-232cb896 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"232cb896\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-49274c18 elementor-widget elementor-widget-text-editor\" data-id=\"49274c18\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>peroneus longus and brevis tendons.<\/p><p>transverse plane at the lateral malleolus.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6f57893d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6f57893d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-14567004\" data-id=\"14567004\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-35a280d5 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"35a280d5\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-afbcb68 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"afbcb68\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-576888c9\" data-id=\"576888c9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3e2d2535 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"3e2d2535\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-579c1561 elementor-widget elementor-widget-text-editor\" data-id=\"579c1561\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>scan plane for ultrasound of the peroneus brevis tendon insertion to the base of the 5th metatarsal.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-638ca9e3\" data-id=\"638ca9e3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-22a882bb elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"22a882bb\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6192a5f1 elementor-widget elementor-widget-text-editor\" data-id=\"6192a5f1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>ultrasound of the peroneus brevis tendon insertion to the base of the 5th metatarsal.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ed5db24 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ed5db24\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-64ebbe88\" data-id=\"64ebbe88\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-35d0bc28 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"35d0bc28\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-074a979 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"074a979\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-432af80\" data-id=\"432af80\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1271e2a elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"1271e2a\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-892b8bb elementor-widget elementor-widget-text-editor\" data-id=\"892b8bb\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>scan plane for ultrasound assessment of the peroneus longus tendon insertion.<\/p><p>to the base of the 1st metatarsal and the medial cuneiform.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4f4aa7a\" data-id=\"4f4aa7a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1003efa elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"1003efa\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2b2690e elementor-widget elementor-widget-text-editor\" data-id=\"2b2690e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>ultrasound of the peroneus longus tendon insertion.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f7089ca elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f7089ca\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ea3120e\" data-id=\"ea3120e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5d1f6be8 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"5d1f6be8\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-88310cf elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"88310cf\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-94240ef\" data-id=\"94240ef\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ac9cf96 elementor-widget elementor-widget-heading\" data-id=\"ac9cf96\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\"><span class=\"ez-toc-section\" id=\"calcaneo-fibula_ligament_cfl\"><\/span>calcaneo-fibula ligament (cfl)<span class=\"ez-toc-section-end\"><\/span><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b9ebeaa elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b9ebeaa\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f77d057\" data-id=\"f77d057\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7803c26 elementor-widget elementor-widget-pp-advanced-accordion\" data-id=\"7803c26\" data-element_type=\"widget\" data-settings=\"{&quot;accordion_type&quot;:&quot;toggle&quot;,&quot;toggle_speed&quot;:300}\" data-widget_type=\"pp-advanced-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"pp-advanced-accordion pp-toggle-icon-align-right\" id=\"pp-advanced-accordion-7803c26\" data-accordion-id=\"7803c26\" role=\"tablist\">\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-1251\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"1\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-1251\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tanatomy\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-1251\" class=\"pp-accordion-tab-content\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-1251\">\n\t\t\t\t\t\t<ul><li><span style=\"font-size: 12pt;\">the cfl runs from the distal fibula to a tubercle on the calcaneum.<\/span><\/li><li><span style=\"font-size: 12pt;\">it stabilises the subtalar joint and limits inversion.<\/span><\/li><li><span style=\"font-size: 12pt;\">the fibula origin is difficult to assess with ultrasound.<\/span><\/li><\/ul><figure id=\"attachment_6503\" aria-describedby=\"caption-attachment-6503\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-medium wp-image-6503\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2019\/07\/calcaneo-fibula-ligament-anatomy-300x238.jpg\" alt=\"anatomy of the calcaneofibula ligament\" width=\"300\" height=\"238\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2019\/07\/calcaneo-fibula-ligament-anatomy-300x238.jpg 300w, \/\/www.iolishoes.com\/wp-content\/uploads\/2019\/07\/calcaneo-fibula-ligament-anatomy-768x608.jpg 768w, \/\/www.iolishoes.com\/wp-content\/uploads\/2019\/07\/calcaneo-fibula-ligament-anatomy.jpg 799w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-6503\" class=\"wp-caption-text\">anatomy of the calcaneo-fibula ligament.<\/figcaption><\/figure>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-1252\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"2\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-1252\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tpatient position\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-1252\" class=\"pp-accordion-tab-content\" data-tab=\"2\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-1252\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">to scan the calcaneo-fibular ligament:<\/span><\/p><ul><li><span style=\"font-size: 12pt;\">you need access to the lateral ankle and foot in a position to dorsiflex the foot.<\/span><\/li><li><span style=\"font-size: 12pt;\">patient supine or with their foot off the side of the bed is best.<\/span><\/li><\/ul><figure id=\"attachment_1329\" aria-describedby=\"caption-attachment-1329\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-medium wp-image-1329\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/scan-plane-calc-fib-lig-1-300x225.jpg\" alt=\"ultrasound scan plane for the calcaneo-fibula ligament.\" width=\"300\" height=\"225\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/scan-plane-calc-fib-lig-1-300x225.jpg 300w, \/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/scan-plane-calc-fib-lig-1-768x576.jpg 768w, \/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/scan-plane-calc-fib-lig-1-600x450.jpg 600w, \/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/scan-plane-calc-fib-lig-1.jpg 800w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1329\" class=\"wp-caption-text\">ultrasound scan plane for the calcaneo-fibula ligament.<\/figcaption><\/figure>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-1253\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"3\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-1253\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\ttechnique\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-1253\" class=\"pp-accordion-tab-content\" data-tab=\"3\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-1253\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">to identify the cfl:<\/span><\/p><ol><li><p><span style=\"font-size: 12pt;\">.place the tip of the probe against the underside of the fibula anteriorly.<\/span><\/p><\/li><li><p><span style=\"font-size: 12pt;\">the heel of the probe directed towards the apex of the heel curve.<\/span><\/p><\/li><\/ol><p><span style=\"font-size: 12pt;\"><span style=\"text-decoration: underline;\"><strong>tip:<\/strong><\/span> dorsiflex the ankle<\/span><\/p>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-1254\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"4\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-1254\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tnormal appearances\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-1254\" class=\"pp-accordion-tab-content\" data-tab=\"4\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-1254\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">normal appearance:<\/span><\/p><p><span style=\"font-size: 12pt;\">the cfl has:<\/span><\/p><ul><li><span style=\"font-size: 12pt;\">an echogenic, fibrillar echotexture.<\/span><\/li><li><span style=\"font-size: 12pt;\">a thin tapering calcaneal insertion<\/span><\/li><li><span style=\"font-size: 12pt;\">a broader curved, fibula insertion.<\/span><\/li><li><span style=\"font-size: 12pt;\">the peroneus tendons should lie immediatly on top of the cfl.<\/span><\/li><\/ul><p><span style=\"font-size: 12pt;\">tip: the fibres at the fibular origin overlie the distal component of the anterior talo fibula ligament (atfl).<\/span><\/p>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-1255\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"5\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-1255\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\twhat to look for?\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-1255\" class=\"pp-accordion-tab-content\" data-tab=\"5\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-1255\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">once you identify the cfl:<\/span><\/p><ol><li><span style=\"font-size: 12pt;\">is it fibrillar, echogenic and homogeneous<\/span><\/li><li><span style=\"font-size: 12pt;\">is there any fluid deep to the ligament in the subtalar joint (there should not be any visible fluid)<\/span><\/li><li><span style=\"font-size: 12pt;\">is the ligament intact.<\/span><\/li><\/ol>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e363013 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e363013\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4d19956\" data-id=\"4d19956\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1117e77 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"1117e77\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eb511d6 elementor-widget elementor-widget-text-editor\" data-id=\"eb511d6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>ultrasound scan plane for the calcaneo-fubula ligament.<\/p><p>dorsiflex the foot.<\/p><p>probe position from the anterior lateral malleolus towards the tip of the heel.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2c2e43a\" data-id=\"2c2e43a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-760b2d6 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"760b2d6\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-174e829 elementor-widget elementor-widget-text-editor\" data-id=\"174e829\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>ultrasound of the calcaneo fibula ligament.<\/p><p>the peroneus tendons are seen in short axis overlying the ligament.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7e5015d3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7e5015d3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-24fd5c2\" data-id=\"24fd5c2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b82b8ad elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"b82b8ad\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-155a200 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"155a200\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6186d56\" data-id=\"6186d56\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3eac69c elementor-widget elementor-widget-heading\" data-id=\"3eac69c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\"><span class=\"ez-toc-section\" id=\"anterior_talo-fibula_ligament_atfl\"><\/span>anterior talo-fibula ligament (atfl)<span class=\"ez-toc-section-end\"><\/span><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-341b3d9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"341b3d9\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1a14810\" data-id=\"1a14810\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a1e54d1 elementor-widget elementor-widget-pp-advanced-accordion\" data-id=\"a1e54d1\" data-element_type=\"widget\" data-settings=\"{&quot;accordion_type&quot;:&quot;toggle&quot;,&quot;toggle_speed&quot;:300}\" data-widget_type=\"pp-advanced-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"pp-advanced-accordion pp-toggle-icon-align-right\" id=\"pp-advanced-accordion-a1e54d1\" data-accordion-id=\"a1e54d1\" role=\"tablist\">\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-1691\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"1\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-1691\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tanatomy\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-1691\" class=\"pp-accordion-tab-content\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-1691\">\n\t\t\t\t\t\t<ul><li><span style=\"font-size: 12pt;\">the atfl runs from the distal fibula to the neck of the talus.<\/span><\/li><li><span style=\"font-size: 12pt;\">it is continuous with the joint capsule.<\/span><\/li><li><span style=\"font-size: 12pt;\">the atfl helps stabilise the talus and limits inversion.<\/span><\/li><li><span style=\"font-size: 12pt;\">it is the weakest of the lateral ankle ligament complex.<\/span><\/li><li><span style=\"font-size: 12pt;\">there are 2 bands of the atfl.<\/span><\/li><\/ul><figure id=\"attachment_6506\" aria-describedby=\"caption-attachment-6506\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-6506\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2019\/07\/atfl-anatomy-300x238.jpg\" alt=\"anatomy of the anterior talo-fibula ligament.\" width=\"300\" height=\"238\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2019\/07\/atfl-anatomy-300x238.jpg 300w, \/\/www.iolishoes.com\/wp-content\/uploads\/2019\/07\/atfl-anatomy-768x608.jpg 768w, \/\/www.iolishoes.com\/wp-content\/uploads\/2019\/07\/atfl-anatomy.jpg 799w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-6506\" class=\"wp-caption-text\">anatomy of the anterior talo-fibula ligament (atfl).<\/figcaption><\/figure>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-1692\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"2\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-1692\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tpatient position\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-1692\" class=\"pp-accordion-tab-content\" data-tab=\"2\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-1692\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">to scan the anterior talo fibula ligament:<\/span><\/p><ul><li><span style=\"font-size: 12pt;\">you need access to the lateral ankle and foot in a position to plantar flex and evert the foot.<\/span><\/li><li><span style=\"font-size: 12pt;\">patient supine or with their foot off the side of the bed is best.<\/span><\/li><\/ul><p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-1340\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/ankle-scan-planes-ataf-1-300x225.jpg\" alt=\"\" width=\"300\" height=\"225\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/ankle-scan-planes-ataf-1-300x225.jpg 300w, \/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/ankle-scan-planes-ataf-1-768x576.jpg 768w, \/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/ankle-scan-planes-ataf-1-600x450.jpg 600w, \/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/ankle-scan-planes-ataf-1.jpg 800w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-1693\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"3\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-1693\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\ttechnique\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-1693\" class=\"pp-accordion-tab-content\" data-tab=\"3\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-1693\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">to identify the atfl:<\/span><\/p><ol><li><p><span style=\"font-size: 12pt;\">.place the heel of the probe against the underside of the fibula anteriorly.<\/span><\/p><\/li><li><p><span style=\"font-size: 12pt;\">the probe in a transverse plane, tip anteriorly.<\/span><\/p><\/li><li><p><span style=\"font-size: 12pt;\">rotate the tip of the probe distally until you visualise the ligament.\u00a0<\/span><\/p><\/li><\/ol><p><span style=\"font-size: 12pt;\"><span style=\"text-decoration: underline;\"><strong>tip:<\/strong><\/span> plantar-flex\u00a0 and invert the ankle.<\/span><\/p>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-1694\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"4\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-1694\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tnormal appearances\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-1694\" class=\"pp-accordion-tab-content\" data-tab=\"4\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-1694\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">normal appearance:<\/span><\/p><p><span style=\"font-size: 12pt;\">the atfl has:<\/span><\/p><ul><li><span style=\"font-size: 12pt;\">an echogenic, fibrillar echotexture.<\/span><\/li><li><span style=\"font-size: 12pt;\">parallel flat deep and superficial contours<\/span><\/li><\/ul><p><span style=\"font-size: 12pt;\">tip: it is common to see a small amount of joint fluid deep to the ligament.<\/span><\/p>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-1695\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"5\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-1695\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\twhat to look for?\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-1695\" class=\"pp-accordion-tab-content\" data-tab=\"5\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-1695\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">once you identify the atfl:<\/span><\/p><ol><li><span style=\"font-size: 12pt;\">is it fibrillar, echogenic and homogeneous?<\/span><\/li><li><span style=\"font-size: 12pt;\">it may be slightly hypoechoic due to it's oblique angle to the probe (anisotrophy)<\/span><\/li><li><span style=\"font-size: 12pt;\">is the ligament intact.<\/span><\/li><li><span style=\"font-size: 12pt;\">any bony irregularity? particularly at the fibular end.<\/span><\/li><\/ol>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-53ff666 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"53ff666\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3e93c0e\" data-id=\"3e93c0e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9b87a1e elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"9b87a1e\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2070e10 elementor-widget elementor-widget-text-editor\" data-id=\"2070e10\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>anatomy of the anterior talofibular ligament.<\/p><p>note that there is a lesser, secondary band inferior to the primary band of the ligament. this has a common origin with the calcaneofibular ligament.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-0c7e676\" data-id=\"0c7e676\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3049ec3 elementor-widget elementor-widget-text-editor\" data-id=\"3049ec3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>the atfl runs from the anterior distal fibula to the talus.<\/li><li>it is the weakest of the lateral ankle ligament complex<\/li><\/ul><p><span style=\"text-decoration: underline;\"><strong>tip:<\/strong><\/span> plantar-flex\u00a0 and invert the ankle.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-273cd447 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"273cd447\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-41acfbdf\" data-id=\"41acfbdf\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-53420dd1 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"53420dd1\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0ad813f elementor-widget elementor-widget-text-editor\" data-id=\"0ad813f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>ultrasound scan plane for the anterior talofibular ligament (atfl)<\/p><p>important to note there are 2 parallel bands to assess.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-787d1928\" data-id=\"787d1928\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c2b1a87 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"c2b1a87\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ae124f9 elementor-widget elementor-widget-text-editor\" data-id=\"ae124f9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>ultrasound of the anterior talofibular ligament (atfl)<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-44c93313 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"44c93313\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7ad9696a\" data-id=\"7ad9696a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b1f312f elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"b1f312f\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7f597d0 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7f597d0\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a5c75bc\" data-id=\"a5c75bc\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f6bce2c elementor-widget elementor-widget-heading\" data-id=\"f6bce2c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\"><span class=\"ez-toc-section\" id=\"anterior_tibiofibular_ligament_tfl\"><\/span>anterior tibiofibular ligament (tfl)<span class=\"ez-toc-section-end\"><\/span><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e3e2c01 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e3e2c01\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c256df9\" data-id=\"c256df9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d47cb5e elementor-widget elementor-widget-pp-advanced-accordion\" data-id=\"d47cb5e\" data-element_type=\"widget\" data-settings=\"{&quot;accordion_type&quot;:&quot;toggle&quot;,&quot;toggle_speed&quot;:300}\" data-widget_type=\"pp-advanced-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"pp-advanced-accordion pp-toggle-icon-align-right\" id=\"pp-advanced-accordion-d47cb5e\" data-accordion-id=\"d47cb5e\" role=\"tablist\">\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-2221\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"1\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-2221\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tanatomy\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-2221\" class=\"pp-accordion-tab-content\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-2221\">\n\t\t\t\t\t\t<ul><li><span style=\"font-size: 12pt;\">the anterior tfl runs from the distal fibula to the distal tibia.<\/span><\/li><li><span style=\"font-size: 12pt;\">it is continuous with the syndesmosis (inter-osseous border) between the tibia and fibula.<\/span><\/li><\/ul><figure id=\"attachment_17930\" aria-describedby=\"caption-attachment-17930\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-17930\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/talo-fibular-ligament-tfl-300x214.jpg\" alt=\"tarsal ligaments anatomy showing the talo-fibular ligament\" width=\"300\" height=\"214\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/talo-fibular-ligament-tfl-300x214.jpg 300w, \/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/talo-fibular-ligament-tfl-768x548.jpg 768w, \/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/talo-fibular-ligament-tfl.jpg 843w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-17930\" class=\"wp-caption-text\">tarsal ligaments anatomy showing the talo-fibular ligament<\/figcaption><\/figure>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-2222\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"2\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-2222\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tpatient position\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-2222\" class=\"pp-accordion-tab-content\" data-tab=\"2\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-2222\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">to scan the tfl (tibio fibula ligament):<\/span><\/p><ul><li><span style=\"font-size: 12pt;\">you need access to the lateral ankle and foot in a position to plantar flex and evert the foot.<\/span><\/li><li><span style=\"font-size: 12pt;\">patient supine or with their foot off the side of the bed is best.<\/span><\/li><\/ul><figure id=\"attachment_17934\" aria-describedby=\"caption-attachment-17934\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-17934\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/ankle-scan-planestib-fib-lig-300x225.jpg\" alt=\"ultrasound scan plane tibio fibular ligament tfl\" width=\"300\" height=\"225\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/ankle-scan-planestib-fib-lig-300x225.jpg 300w, \/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/ankle-scan-planestib-fib-lig-768x576.jpg 768w, \/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/ankle-scan-planestib-fib-lig.jpg 800w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-17934\" class=\"wp-caption-text\">ultrasound scan plane tibio fibular ligament tfl<\/figcaption><\/figure>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-2223\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"3\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-2223\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\ttechnique\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-2223\" class=\"pp-accordion-tab-content\" data-tab=\"3\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-2223\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">to identify the tfl:<\/span><\/p><ol><li><p><span style=\"font-size: 12pt;\">from the atfl, fix the probe on the fibula and rotate the other end of the probe towards the horizontal.<\/span><\/p><\/li><li><p><span style=\"font-size: 12pt;\">talus will leave the image and tibia will appear. this is when you will visualise the tibio-fibula ligament.<\/span><\/p><\/li><\/ol>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-2224\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"4\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-2224\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tnormal appearances\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-2224\" class=\"pp-accordion-tab-content\" data-tab=\"4\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-2224\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">normal appearance:<\/span><\/p><p><span style=\"font-size: 12pt;\">the tfl has:<\/span><\/p><ul><li><span style=\"font-size: 12pt;\">an echogenic, fibrillar echotexture.<\/span><\/li><li><span style=\"font-size: 12pt;\">parallel flat deep and superficial contours<\/span><\/li><li><span style=\"font-size: 12pt;\">approximately 1.5mm thick<\/span><\/li><\/ul>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-2225\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"5\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-2225\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\twhat to look for?\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-2225\" class=\"pp-accordion-tab-content\" data-tab=\"5\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-2225\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">once you identify the atfl:<\/span><\/p><ol><li><span style=\"font-size: 12pt;\">is it fibrillar, echogenic and homogeneous?<\/span><\/li><li><span style=\"font-size: 12pt;\">is the ligament intact.<\/span><\/li><li><span style=\"font-size: 12pt;\">any bony irregularity?\u00a0<\/span><\/li><\/ol><p><span style=\"font-size: 12pt;\">tip: assess dynamically by squeezing the proximal tibia and fibula head together. there should be minimal movement at the tfl site. if the tibia and fibula move apart, suspect disruption of the ligament.<\/span><\/p>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-633256be elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"633256be\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-b2f7735\" data-id=\"b2f7735\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-129be35a elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"129be35a\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-739cfc00 elementor-widget elementor-widget-text-editor\" data-id=\"739cfc00\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>scan plane for ultrasound of the tibiofibular ligament.<\/p><p>from the atfl, fix the probe on the fibula and rotate the other end of the probe towards the horizontal.<\/p><p>talus will leave the image and tibia will appear. this is when you will visualise the tibiofibular ligament.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-371f6596\" data-id=\"371f6596\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7136ebd3 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"7136ebd3\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3fe37ad7 elementor-widget elementor-widget-text-editor\" data-id=\"3fe37ad7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>ultrasound of the tibiofibular ligament.<\/p><p>the tibia and fibula should be seen as 2 similar &#8216;hills&#8217;.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6cd57138 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6cd57138\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-36966cd6\" data-id=\"36966cd6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-76815133 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"76815133\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c7a1fb6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c7a1fb6\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f32adc7\" data-id=\"f32adc7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2e2a88d elementor-widget elementor-widget-heading\" data-id=\"2e2a88d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\"><span class=\"ez-toc-section\" id=\"superficial_peroneal_nerve\"><\/span>superficial peroneal nerve<span class=\"ez-toc-section-end\"><\/span><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2afca33 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2afca33\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4899722\" data-id=\"4899722\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ab4a7f9 elementor-widget elementor-widget-pp-advanced-accordion\" data-id=\"ab4a7f9\" data-element_type=\"widget\" data-settings=\"{&quot;accordion_type&quot;:&quot;toggle&quot;,&quot;toggle_speed&quot;:300}\" data-widget_type=\"pp-advanced-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"pp-advanced-accordion pp-toggle-icon-align-right\" id=\"pp-advanced-accordion-ab4a7f9\" data-accordion-id=\"ab4a7f9\" role=\"tablist\">\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-1791\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"1\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-1791\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tanatomy\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-1791\" class=\"pp-accordion-tab-content\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-1791\">\n\t\t\t\t\t\t<ul><li><span style=\"font-size: 12pt;\">the superficial peroneal nerve exits the muscle fascia on the lateral lower leg, approximately 10cm proximal to the lateral malleolus. this is a potential area for entrapment.<\/span><\/li><li><span style=\"font-size: 12pt;\">it then descends superficially along the fascia to provide branches to the anter-lateral foot and ankle.<\/span><\/li><\/ul><figure id=\"attachment_17955\" aria-describedby=\"caption-attachment-17955\" style=\"width: 247px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-17955\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/superficial-peroneal-nerve-anatomy-247x300.jpg\" alt=\"superficial peroneal nerve anatomy\" width=\"247\" height=\"300\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/superficial-peroneal-nerve-anatomy-247x300.jpg 247w, \/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/superficial-peroneal-nerve-anatomy.jpg 551w\" sizes=\"(max-width: 247px) 100vw, 247px\" \/><figcaption id=\"caption-attachment-17955\" class=\"wp-caption-text\">superficial peroneal nerve anatomy<\/figcaption><\/figure>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-1792\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"2\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-1792\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tpatient position\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-1792\" class=\"pp-accordion-tab-content\" data-tab=\"2\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-1792\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">to scan the tfl (tibio fibula ligament):<\/span><\/p><ul><li><span style=\"font-size: 12pt;\">you need access to the lateral ankle and foot in a position to plantar flex and evert the foot.<\/span><\/li><li><span style=\"font-size: 12pt;\">patient supine or with their foot off the side of the bed is best.<\/span><\/li><\/ul><figure id=\"attachment_17934\" aria-describedby=\"caption-attachment-17934\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-17934\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/ankle-scan-planestib-fib-lig-300x225.jpg\" alt=\"ultrasound scan plane tibio fibular ligament tfl\" width=\"300\" height=\"225\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/ankle-scan-planestib-fib-lig-300x225.jpg 300w, \/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/ankle-scan-planestib-fib-lig-768x576.jpg 768w, \/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/ankle-scan-planestib-fib-lig.jpg 800w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-17934\" class=\"wp-caption-text\">ultrasound scan plane tibio fibular ligament tfl<\/figcaption><\/figure>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-1793\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"3\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-1793\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\ttechnique\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-1793\" class=\"pp-accordion-tab-content\" data-tab=\"3\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-1793\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">to identify the superficial peroneal nerve:<\/span><\/p><ol><li><p><span style=\"font-size: 12pt;\">place the probe in a transverse plane on the mid lateral lower leg.<\/span><\/p><\/li><li><p><span style=\"font-size: 12pt;\">slowly slide distally towards the malleolus.<\/span><\/p><\/li><li><span style=\"font-size: 12pt;\">you will see the neurovascular bundle exit the fascia in a transverse slice.<\/span><\/li><li><span style=\"font-size: 12pt;\">follow the nerve distally in transverse.<\/span><\/li><li><span style=\"font-size: 12pt;\">rotate into longitudinal at the point it exited the fascia.<\/span><\/li><\/ol>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-1794\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"4\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-1794\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tnormal appearances\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-1794\" class=\"pp-accordion-tab-content\" data-tab=\"4\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-1794\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">normal appearance:<\/span><\/p><p><span style=\"font-size: 12pt;\">the superficial peroneal nerve:<\/span><\/p><p><span style=\"font-size: 12pt;\">transverse:<\/span><\/p><ul><li><span style=\"font-size: 12pt;\">ovoid hypoechoic.<\/span><\/li><\/ul><p><span style=\"font-size: 12pt;\">longitudinal<\/span><\/p><ul><li><span style=\"font-size: 12pt;\">parallel, slightly fibrillar (stripey) appearance<\/span><\/li><li><span style=\"font-size: 12pt;\">approximately 1.5mm thick<\/span><\/li><\/ul>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-1795\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"5\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-1795\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\twhat to look for?\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-1795\" class=\"pp-accordion-tab-content\" data-tab=\"5\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-1795\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">once you identify the superficial peroneal nerve:<\/span><\/p><ol><li><span style=\"font-size: 12pt;\">is it uniform in size?<\/span><\/li><li><span style=\"font-size: 12pt;\">are there any masses, collections, varices or scars that may cause entrapment.<\/span><\/li><\/ol>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1ce35559 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1ce35559\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-770a0b50\" data-id=\"770a0b50\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1f0b7048 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"1f0b7048\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6eeae13 elementor-widget elementor-widget-text-editor\" data-id=\"6eeae13\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>the superficial peroneal nerve (spn) exits the fascia leading to the median and intermediate dorsal cutaneous nerves.<\/p><p>ref:\u00a0<span style=\"font-size: 8pt;\">k paraskevas, george &amp; natsis, konstantinos &amp; tzika, maria &amp; ioannidis, orestis. (2013). potential entrapment of an accessory superficial peroneal sensory nerve at the lateral malleolar area: a cadaveric case report and review of the literature.. the journal of foot and ankle surgery : official publication of the american college of foot and ankle surgeons. 53. 10.1053\/j.jfas.2013.06.012.<\/span>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-43e48a4e\" data-id=\"43e48a4e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a0998ad elementor-widget elementor-widget-text-editor\" data-id=\"a0998ad\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>the superficial peroneal nerve exits the muscle fascia on the lateral lower leg, approximately 10cm proximal to the lateral malleolus. this is a potential area for entrapment.<\/li><li>it then descends superficially along the fascia to provide branches to the anter-lateral foot and ankle.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-635ca721 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"635ca721\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-a19a3e7\" data-id=\"a19a3e7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-508221ac elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"508221ac\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-26efb2a4 elementor-widget elementor-widget-text-editor\" data-id=\"26efb2a4\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>ultrasound of the superficial peroneal nerve in the transverse plane.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7fc4ebcf\" data-id=\"7fc4ebcf\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-51f6157c elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"51f6157c\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-32831cc0 elementor-widget elementor-widget-text-editor\" data-id=\"32831cc0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>highlighted ultrasound of the superficial peroneal nerve. a longitudinal plane as it exits the fascia.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-56f653cd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"56f653cd\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c774f72\" data-id=\"c774f72\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-373a74c3 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"373a74c3\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9d1be9a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9d1be9a\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1a3b6bf\" data-id=\"1a3b6bf\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a664262 elementor-widget elementor-widget-heading\" data-id=\"a664262\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\"><span class=\"ez-toc-section\" id=\"anterior_ankle\"><\/span>anterior ankle<span class=\"ez-toc-section-end\"><\/span><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c576609 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c576609\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6519780\" data-id=\"6519780\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-111ca97 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"111ca97\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-38998ed\" data-id=\"38998ed\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8d52645 elementor-widget elementor-widget-text-editor\" data-id=\"8d52645\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center;\"><span style=\"font-size: 14pt;\"><strong>the primary structures to assess anteriorly are:<\/strong><\/span><\/p><ul><li>tibialis anterior tendon<\/li><li>extensor digitorum longus\u00a0 tendon<\/li><li>extensor hallucis longus tendon<\/li><li>extensor retinaculum<\/li><li>ankle joint(s)<\/li><li>deep peroneal nerve<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-4c8aa68\" data-id=\"4c8aa68\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-12a16b0 elementor-widget elementor-widget-image\" data-id=\"12a16b0\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2020\/12\/anterior-ankle-tendon-anatomy-labelled.jpg\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"anatomy of the anterior ankle tendons labelled.\nref :anatomylearning.com\" data-e-action-hash=\"#elementor-action%3aaction%3dlightbox%26settings%3deyjpzci6mtuyntksinvybci6imh0dhbzolwvxc91bhryyxnvdw5kcgflzglhlmnvbvwvd3aty29udgvudfwvdxbsb2fkc1wvmjaymfwvmtjcl2fudgvyaw9ylwfua2xllxrlbmrvbi1hbmf0b215lwxhymvsbgvklmpwzyj9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"434\" height=\"714\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2020\/12\/anterior-ankle-tendon-anatomy-labelled.jpg\" class=\"attachment-large size-large wp-image-15259\" alt=\"anterior ankle tendon anatomy labelled\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2020\/12\/anterior-ankle-tendon-anatomy-labelled.jpg 434w, \/\/www.iolishoes.com\/wp-content\/uploads\/2020\/12\/anterior-ankle-tendon-anatomy-labelled-182x300.jpg 182w\" sizes=\"(max-width: 434px) 100vw, 434px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">anatomy of the anterior ankle tendons labelled.\nref :anatomylearning.com<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-36cb0463 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"36cb0463\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-269dd371\" data-id=\"269dd371\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-16f57b5 elementor-widget elementor-widget-heading\" data-id=\"16f57b5\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\"><span class=\"ez-toc-section\" id=\"extensor_retinaculae\"><\/span>extensor retinaculae<span class=\"ez-toc-section-end\"><\/span><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-50e8393 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"50e8393\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bf4b82e\" data-id=\"bf4b82e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-897dd13 elementor-widget elementor-widget-text-editor\" data-id=\"897dd13\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><em>there are 2 extensor retinaculae of the anterior ankle\/foot<\/em><\/p><p>both overly the extensor tendons acting as pulleys\/fulcrum points.<\/p><ol><li><span style=\"text-decoration: underline;\">superior extensor retinaculum:<\/span> a single broad anchoring band at the level of the distal tibia.<\/li><li><span style=\"text-decoration: underline;\">inferior extensor retinaculum:<\/span> a slightly y-shaped band. single laterally, dividing into 2 bands laterally. the more proximal inserts onto the tibia, the more distal wraps around to insert onto the planta aponeurosis.<\/li><\/ol><p><em>ultrasound appearance:<\/em><\/p><ul><li>hypoechoic 1mm layer overlying the extensor tendons in a transverse plane.<\/li><li>easily identifiable as you slide down in transverse from the distal tibia.<\/li><li>the superior will appear, then fade, followed by the inferior retinaculum.<\/li><\/ul><p><em>what to look for:<\/em><\/p><ul><li>thickening with or without hyperaemia.<\/li><li>intact? (complete tears are uncommon)<\/li><\/ul><p><em>mechanism of injury:<\/em><\/p><ul><li>hyperextension\/plantar flexion injuries<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-77f33936 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"77f33936\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-1ff9944d\" data-id=\"1ff9944d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-561c3375 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"561c3375\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e8096e7 elementor-widget elementor-widget-text-editor\" data-id=\"e8096e7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>ultrasound scan plane to assess the ankle extensor retinaculum and tendons.\u00a0<\/p><p>there is a thicker superior retinaculum at the level of the distal tibia and an inferior retinaculum below the ankle crease.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-51fc37de\" data-id=\"51fc37de\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-369f0028 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"369f0028\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dc38d20 elementor-widget elementor-widget-text-editor\" data-id=\"dc38d20\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>ultrasound of the extensor digitorum tendon and the retinaculum reflecting around it.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d915915 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d915915\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-76a103c\" data-id=\"76a103c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d27ab9f elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"d27ab9f\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-01f5a77 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"01f5a77\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e210f64\" data-id=\"e210f64\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d060964 elementor-widget elementor-widget-heading\" data-id=\"d060964\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\"><span class=\"ez-toc-section\" id=\"tibialis_anterior_tendon\"><\/span>tibialis anterior tendon<span class=\"ez-toc-section-end\"><\/span><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8f7e26a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8f7e26a\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d914982\" data-id=\"d914982\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d0de470 elementor-widget elementor-widget-pp-advanced-accordion\" data-id=\"d0de470\" data-element_type=\"widget\" data-settings=\"{&quot;accordion_type&quot;:&quot;toggle&quot;,&quot;toggle_speed&quot;:300}\" data-widget_type=\"pp-advanced-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"pp-advanced-accordion pp-toggle-icon-align-right\" id=\"pp-advanced-accordion-d0de470\" data-accordion-id=\"d0de470\" role=\"tablist\">\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-2191\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"1\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-2191\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tanatomy\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-2191\" class=\"pp-accordion-tab-content\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-2191\">\n\t\t\t\t\t\t<ul><li><span style=\"font-size: 12pt;\">the tibialis anterior tendon inserts onto the plantar surface on base of first metatarsal and medial plantar surface of 1st cuneiform.<\/span><\/li><li><span style=\"font-size: 12pt;\">the tendon sheath runs from the musculotendinous junction to the medial arch.\u00a0<\/span><\/li><li><span style=\"font-size: 12pt;\">dorsiflexes and inverts foot at the ankle.<\/span><\/li><\/ul><figure id=\"attachment_17987\" aria-describedby=\"caption-attachment-17987\" style=\"width: 214px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-17987\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/tibialis-anterior-anatomy-214x300.jpg\" alt=\"tibialis anterior tendon anatomy\" width=\"214\" height=\"300\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/tibialis-anterior-anatomy-214x300.jpg 214w, \/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/tibialis-anterior-anatomy.jpg 457w\" sizes=\"(max-width: 214px) 100vw, 214px\" \/><figcaption id=\"caption-attachment-17987\" class=\"wp-caption-text\">tibialis anterior tendon anatomy<br \/>ref: anatomylearning.com<\/figcaption><\/figure><figure id=\"attachment_17988\" aria-describedby=\"caption-attachment-17988\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-17988\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/tibialis-anterior-anatomy-insertion-300x257.jpg\" alt=\"tibialis anterior tendon insertion anatomy\" width=\"300\" height=\"257\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/tibialis-anterior-anatomy-insertion-300x257.jpg 300w, \/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/tibialis-anterior-anatomy-insertion-768x659.jpg 768w, \/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/tibialis-anterior-anatomy-insertion.jpg 782w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-17988\" class=\"wp-caption-text\">tibialis anterior tendon insertion anatomy<br \/>ref: anatomylearning.com<\/figcaption><\/figure>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-2192\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"2\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-2192\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tpatient position\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-2192\" class=\"pp-accordion-tab-content\" data-tab=\"2\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-2192\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">to ultrasound the tibialis anterior tendon<\/span><\/p><ul><li><span style=\"font-size: 12pt;\">you need access to the antero-medial ankle with gentle eversion.<\/span><\/li><li><span style=\"font-size: 12pt;\">patient supine or with their foot off the side of the bed is best.<\/span><\/li><\/ul>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-2193\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"3\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-2193\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\ttechnique\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-2193\" class=\"pp-accordion-tab-content\" data-tab=\"3\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-2193\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">to identify the tibialis anterior tendon:<\/span><\/p><ol><li><p><span style=\"font-size: 12pt;\">this is an easy tendon to palpate with dorsiflexion (pull the toes up)<\/span><\/p><\/li><li><span style=\"font-size: 12pt;\">place the probe in a transverse plane across the distal tibia (on the tendon you palpated).<\/span><\/li><li><p><span style=\"font-size: 12pt;\">slowly slide distally keeping the tendon in the center of your image.<\/span><\/p><\/li><li><span style=\"font-size: 12pt;\">as you approach the insertion on the medial arch the tendon will become thinner.<\/span><\/li><li><span style=\"font-size: 12pt;\">rotate into longitudinal to assess the insertion.<\/span><\/li><li><span style=\"font-size: 12pt;\">follow the tendon back up in longitudinal and assess sliding with passive inversion\/eversion of the forefoot.<\/span><\/li><\/ol><figure id=\"attachment_6312\" aria-describedby=\"caption-attachment-6312\" style=\"width: 208px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-6312\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2019\/07\/scan-plane-tibialis-anterior-transverse-208x300.png\" alt=\"\" width=\"208\" height=\"300\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2019\/07\/scan-plane-tibialis-anterior-transverse-208x300.png 208w, \/\/www.iolishoes.com\/wp-content\/uploads\/2019\/07\/scan-plane-tibialis-anterior-transverse.png 333w\" sizes=\"(max-width: 208px) 100vw, 208px\" \/><figcaption id=\"caption-attachment-6312\" class=\"wp-caption-text\">scan plane for ultrasound of tibialis anterior tendon.<\/figcaption><\/figure><figure id=\"attachment_6278\" aria-describedby=\"caption-attachment-6278\" style=\"width: 273px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-6278\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2019\/07\/scan-plane-tibialis-anterior-insertion-273x300.png\" alt=\"ultrasound scan plane for the tibialis anterior tendon insertion.\" width=\"273\" height=\"300\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2019\/07\/scan-plane-tibialis-anterior-insertion-273x300.png 273w, \/\/www.iolishoes.com\/wp-content\/uploads\/2019\/07\/scan-plane-tibialis-anterior-insertion.png 437w\" sizes=\"(max-width: 273px) 100vw, 273px\" \/><figcaption id=\"caption-attachment-6278\" class=\"wp-caption-text\">ultrasound scan plane for the tibialis anterior tendon insertion.<\/figcaption><\/figure>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-2194\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"4\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-2194\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tnormal appearances\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-2194\" class=\"pp-accordion-tab-content\" data-tab=\"4\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-2194\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">normal ultrasound appearance of the tibialis anterior tendon:<\/span><\/p><p><span style=\"font-size: 12pt;\">the largest of the 3 anterior ankle tendons.<\/span><\/p><p><span style=\"font-size: 12pt;\">transverse:<\/span><\/p><ul><li><span style=\"font-size: 12pt;\">ovoid echogenic (very subject to anisotropy with probe angulation).<\/span><\/li><\/ul><p><span style=\"font-size: 12pt;\">longitudinal<\/span><\/p><ul><li><span style=\"font-size: 12pt;\">parallel, echogenic\u00a0 fibrillar appearance<\/span><\/li><\/ul><p><span style=\"font-size: 12pt;\">insertion<\/span><\/p><ul><li><span style=\"font-size: 12pt;\">a thin tapering insertion curving slightly around to the 1st metatarsal and cuneiform.<\/span><\/li><\/ul>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-2195\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"5\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-2195\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\twhat to look for?\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-2195\" class=\"pp-accordion-tab-content\" data-tab=\"5\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-2195\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">once you identify the tibialis anterior tendon<\/span><\/p><ol><li><span style=\"font-size: 12pt;\">is it uniform in size?<\/span><\/li><li><span style=\"font-size: 12pt;\">is it homogenous (echogenic and fibrillar)<\/span><\/li><li><span style=\"font-size: 12pt;\">is it intact at the insertion\/<\/span><\/li><li><span style=\"font-size: 12pt;\">is there any fluid in the sheath? (there should be no visible fluid)<\/span><\/li><li><span style=\"font-size: 12pt;\">is there any vascularity of the tendon or paratendon on colour doppler (there should be no discernable vascularity)<\/span><\/li><\/ol>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4d13392a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4d13392a\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7c4ad760\" data-id=\"7c4ad760\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6ff1f62b elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"6ff1f62b\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c739069 elementor-widget elementor-widget-text-editor\" data-id=\"c739069\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>scan plane to assess the tibialis anterior tendon from the proximal musculo-tendinous junction to the distal insertion.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4532952c\" data-id=\"4532952c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-71a7d3c5 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"71a7d3c5\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3440a86 elementor-widget elementor-widget-text-editor\" data-id=\"3440a86\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>transverse view of the tibialis anterior tendon at the level of the superior extensor retinaculum.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6b06dd05 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6b06dd05\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-50e8eddc\" data-id=\"50e8eddc\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-587ae328 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"587ae328\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f227626 elementor-widget elementor-widget-text-editor\" data-id=\"f227626\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>ultrasound scan plane to assess the tibialis anterior tendon longitudinally.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-29c21242\" data-id=\"29c21242\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c5f803a elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"c5f803a\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-62d9912 elementor-widget elementor-widget-text-editor\" data-id=\"62d9912\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>ultrasound of a normal tibialis anterior tendon &#8211; longitudinal plane at the distal tibia.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5ae1e8ae elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5ae1e8ae\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-34895df4\" data-id=\"34895df4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4f312455 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"4f312455\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fed8d48 elementor-widget elementor-widget-text-editor\" data-id=\"fed8d48\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>ultrasound scan plane to assess the tibialis anterior tendon insertion to the base of the 1st metatarsal (and cuneiform).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-69c44a5e\" data-id=\"69c44a5e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7a37ef2 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"7a37ef2\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d58dcd0 elementor-widget elementor-widget-text-editor\" data-id=\"d58dcd0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>the distal tibialis anterior tendon curves around the medial arch to it&#8217;s insertion.<\/p><p>it is important to follow all the way, particularly patients with a background of degenerative oa.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2b109992 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2b109992\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-61675058\" data-id=\"61675058\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-38128516 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"38128516\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-25b3c4c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"25b3c4c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-fbc1f21\" data-id=\"fbc1f21\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3be845b elementor-widget elementor-widget-heading\" data-id=\"3be845b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\"><span class=\"ez-toc-section\" id=\"extensor_digitorum_and_hallucis_tendons\"><\/span>extensor digitorum and hallucis tendons<span class=\"ez-toc-section-end\"><\/span><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-40eecbd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"40eecbd\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d5bf61c\" data-id=\"d5bf61c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-436e77a elementor-widget elementor-widget-pp-advanced-accordion\" data-id=\"436e77a\" data-element_type=\"widget\" data-settings=\"{&quot;accordion_type&quot;:&quot;toggle&quot;,&quot;toggle_speed&quot;:300}\" data-widget_type=\"pp-advanced-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"pp-advanced-accordion pp-toggle-icon-align-right\" id=\"pp-advanced-accordion-436e77a\" data-accordion-id=\"436e77a\" role=\"tablist\">\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-7071\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"1\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-7071\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tanatomy\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-7071\" class=\"pp-accordion-tab-content\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-7071\">\n\t\t\t\t\t\t<p><span style=\"font-size: 12pt;\"><em>the extensor hallucis tendon:<\/em><\/span><\/p><ul><li><span style=\"font-size: 12pt;\">lies lateral to the tibialis anterior tendon.<\/span><\/li><li><span style=\"font-size: 12pt;\">the musculo-tendinous junction is more distal than either the tibialis anterior or the extensor digitorum tendons.<\/span><\/li><li><span style=\"font-size: 12pt;\">the tendon sheath runs from the musculotendinous junction to the distal foot.\u00a0<\/span><\/li><li><span style=\"font-size: 12pt;\">inserts on the base of the distal phalanx of the 1st toe.<\/span><\/li><\/ul><p><span style=\"font-size: 12pt;\"><em>the extensor digitorum tendons:<\/em><\/span><\/p><ul><li><span style=\"font-size: 12pt;\">lies lateral to the extensor hallucis tendon.<\/span><\/li><li><span style=\"font-size: 12pt;\">a common tendon at the anterior ankle crease dividing into 4 at the level of the talus.<\/span><\/li><li><span style=\"font-size: 12pt;\">a common tendon sheath from the musculo-tendinous junction to the mid-foot.<\/span><\/li><li><span style=\"font-size: 12pt;\">inserts on the base of the distal phalanx of each toe.<\/span><\/li><\/ul><figure id=\"attachment_17987\" aria-describedby=\"caption-attachment-17987\" style=\"width: 214px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-17987\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/tibialis-anterior-anatomy-214x300.jpg\" alt=\"tibialis anterior tendon anatomy\" width=\"214\" height=\"300\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/tibialis-anterior-anatomy-214x300.jpg 214w, \/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/tibialis-anterior-anatomy.jpg 457w\" sizes=\"(max-width: 214px) 100vw, 214px\" \/><figcaption id=\"caption-attachment-17987\" class=\"wp-caption-text\">tibialis anterior tendon anatomy<br \/>ref: anatomylearning.com<\/figcaption><\/figure>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-7072\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"2\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-7072\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tpatient position\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-7072\" class=\"pp-accordion-tab-content\" data-tab=\"2\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-7072\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">to ultrasound the extensor tendons<\/span><\/p><ul><li><span style=\"font-size: 12pt;\">you need access to the antero-medial ankle with gentle eversion.<\/span><\/li><li><span style=\"font-size: 12pt;\">patient supine with the sole of their foot flat on the bed in slight dorsiflexion.<\/span><\/li><\/ul>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-7073\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"3\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-7073\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\ttechnique\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-7073\" class=\"pp-accordion-tab-content\" data-tab=\"3\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-7073\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">to identify the tibialis anterior tendon:<\/span><\/p><ol><li><span style=\"font-size: 12pt;\">place the probe in a transverse plane across the distal tibia.<\/span><\/li><li><span style=\"font-size: 12pt;\">identify the 2 tendons (ehl and ed)<\/span><\/li><li><span style=\"font-size: 12pt;\">slowly slide distally keeping the tendon you are evaluating in the center of your image.<\/span><\/li><li><span style=\"font-size: 12pt;\">follow the tendon in transverse to the level of the metatarsals<\/span><\/li><li><span style=\"font-size: 12pt;\">in longitudinal at the ankle crease, mobilise (flex) each toe 1 at a time, ensuring smooth tendon sliding.<\/span><\/li><\/ol><figure id=\"attachment_6312\" aria-describedby=\"caption-attachment-6312\" style=\"width: 208px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-6312\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2019\/07\/scan-plane-tibialis-anterior-transverse-208x300.png\" alt=\"\" width=\"208\" height=\"300\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2019\/07\/scan-plane-tibialis-anterior-transverse-208x300.png 208w, \/\/www.iolishoes.com\/wp-content\/uploads\/2019\/07\/scan-plane-tibialis-anterior-transverse.png 333w\" sizes=\"(max-width: 208px) 100vw, 208px\" \/><figcaption id=\"caption-attachment-6312\" class=\"wp-caption-text\">scan plane for ultrasound of tibialis anterior tendon.<\/figcaption><\/figure><figure id=\"attachment_6278\" aria-describedby=\"caption-attachment-6278\" style=\"width: 273px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-6278\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2019\/07\/scan-plane-tibialis-anterior-insertion-273x300.png\" alt=\"ultrasound scan plane for the tibialis anterior tendon insertion.\" width=\"273\" height=\"300\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2019\/07\/scan-plane-tibialis-anterior-insertion-273x300.png 273w, \/\/www.iolishoes.com\/wp-content\/uploads\/2019\/07\/scan-plane-tibialis-anterior-insertion.png 437w\" sizes=\"(max-width: 273px) 100vw, 273px\" \/><figcaption id=\"caption-attachment-6278\" class=\"wp-caption-text\">ultrasound scan plane for the tibialis anterior tendon insertion.<\/figcaption><\/figure>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-7074\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"4\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-7074\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tnormal appearances\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-7074\" class=\"pp-accordion-tab-content\" data-tab=\"4\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-7074\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">normal ultrasound appearance of the ankle extensor tendons:<\/span><\/p><ul><li><span style=\"font-size: 12pt;\">ovoid echogenic (very subject to anisotropy with probe angulation).<\/span><\/li><\/ul><p><span style=\"font-size: 12pt;\">longitudinal<\/span><\/p><ul><li><span style=\"font-size: 12pt;\">parallel, echogenic\u00a0 fibrillar appearance<\/span><\/li><\/ul><p><span style=\"font-size: 12pt;\">tip:<\/span><\/p><p><span style=\"font-size: 12pt;\">extensor hallucis musculo-tendinous junction is more distal than the other tendons and can easily be mistaken for complex sheath fluid.<\/span><\/p>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-7075\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"5\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-7075\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\twhat to look for?\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-7075\" class=\"pp-accordion-tab-content\" data-tab=\"5\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-7075\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">once you identify the extensor tendons:<\/span><\/p><ol><li><span style=\"font-size: 12pt;\">are they homogenous (echogenic and fibrillar)<\/span><\/li><li><span style=\"font-size: 12pt;\">are they intact? did they glide freely with independent toe flexion?<\/span><\/li><li><span style=\"font-size: 12pt;\">is there any fluid in the sheaths? (there should be no visible fluid)<\/span><\/li><li><span style=\"font-size: 12pt;\">is there any vascularity of the tendon or paratendon on colour doppler (there should be no discernable vascularity)<\/span><\/li><\/ol>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3d84042d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3d84042d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-595d2c36\" data-id=\"595d2c36\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-514cb86 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"514cb86\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2e7d91f elementor-widget elementor-widget-text-editor\" data-id=\"2e7d91f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>ultrasound scan plane to assess the ankle extensor digitorum and hallucis longus tendons.\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6641aa73\" data-id=\"6641aa73\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3c6d98ee elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"3c6d98ee\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<a class=\"elementor-flip-box__layer elementor-flip-box__back\" href=\"#elementor-action%3aaction%3dlightbox%26settings%3deyj1cmwioijodhrwolwvxc91bhryyxnvdw5kcgflzglhlmnvbvwvd3aty29udgvudfwvdxbsb2fkc1wvmjaxovwvmddcl2fudgvyaw9ylwfua2xllxrlbmrvbnmtdwx0cmfzb3vuzc5wbmcilcj0exblijoiaw1hz2uilcj0axrszsi6ilvsdhjhc291bmqgb2ygdghligfudgvyaw9yichlehrlbnnvcikgdgvuzg9ucybvzib0agugyw5rbguuin0%3d\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9d81085 elementor-widget elementor-widget-text-editor\" data-id=\"9d81085\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>ultrasound of the anterior (extensor) tendons of the ankle.<\/p><p>transverse plane at the level of the distal tibia.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c268aef elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c268aef\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-47167700\" data-id=\"47167700\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-10a3dbd6 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"10a3dbd6\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-37fa535 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"37fa535\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8ee8aa2\" data-id=\"8ee8aa2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c321472 elementor-widget elementor-widget-heading\" data-id=\"c321472\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\"><span class=\"ez-toc-section\" id=\"deep_peroneal_nerve\"><\/span>deep peroneal nerve<span class=\"ez-toc-section-end\"><\/span><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-34afb48 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"34afb48\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f0609ca\" data-id=\"f0609ca\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-dcdf563 elementor-widget elementor-widget-pp-advanced-accordion\" data-id=\"dcdf563\" data-element_type=\"widget\" data-settings=\"{&quot;accordion_type&quot;:&quot;toggle&quot;,&quot;toggle_speed&quot;:300}\" data-widget_type=\"pp-advanced-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"pp-advanced-accordion pp-toggle-icon-align-right\" id=\"pp-advanced-accordion-dcdf563\" data-accordion-id=\"dcdf563\" role=\"tablist\">\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-2311\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"1\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-2311\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tanatomy\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-2311\" class=\"pp-accordion-tab-content\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-2311\">\n\t\t\t\t\t\t<ul><li><span style=\"font-size: 12pt;\">the deep peroneal nerve accompanies the anterior tibial artery at the distal tibia. as you scan distally in the transverse plane, the nerve is seen to switch from medial to lateral to the artery.<\/span><\/li><\/ul><figure id=\"attachment_17969\" aria-describedby=\"caption-attachment-17969\" style=\"width: 186px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-17969\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/deep-peroneal-nerve-anatomy-186x300.jpg\" alt=\"deep peroneal nerve anatomy\" width=\"186\" height=\"300\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/deep-peroneal-nerve-anatomy-186x300.jpg 186w, \/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/deep-peroneal-nerve-anatomy.jpg 336w\" sizes=\"(max-width: 186px) 100vw, 186px\" \/><figcaption id=\"caption-attachment-17969\" class=\"wp-caption-text\">deep peroneal nerve anatomy<\/figcaption><\/figure>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-2312\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"2\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-2312\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tpatient position\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-2312\" class=\"pp-accordion-tab-content\" data-tab=\"2\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-2312\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">to scan the deep peroneal nerve at the ankle:<\/span><\/p><ul><li><span style=\"font-size: 12pt;\">patient supine or seated on the bed.<\/span><\/li><li><span style=\"font-size: 12pt;\">foot flat with some plantar flexion.<\/span><\/li><\/ul><p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-medium wp-image-6267\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2019\/07\/scan-plane-deep-peroneal-nerve-241x300.png\" alt=\"\" width=\"241\" height=\"300\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2019\/07\/scan-plane-deep-peroneal-nerve-241x300.png 241w, \/\/www.iolishoes.com\/wp-content\/uploads\/2019\/07\/scan-plane-deep-peroneal-nerve.png 385w\" sizes=\"(max-width: 241px) 100vw, 241px\" \/><\/p>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-2313\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"3\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-2313\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\ttechnique\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-2313\" class=\"pp-accordion-tab-content\" data-tab=\"3\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-2313\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">to identify the deep peroneal nerve:<\/span><\/p><ol><li><p><span style=\"font-size: 12pt;\">place the probe in a transverse plane on the mid lateral lower leg.<\/span><\/p><\/li><li><p><span style=\"font-size: 12pt;\">slowly slide distally towards the malleolus.<\/span><\/p><\/li><li><span style=\"font-size: 12pt;\">you will see the nerve adjacent to the anterior tibial artery.<\/span><\/li><li><span style=\"font-size: 12pt;\">follow the nerve distally in transverse.<\/span><\/li><\/ol>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-2314\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"4\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-2314\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tnormal appearances\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-2314\" class=\"pp-accordion-tab-content\" data-tab=\"4\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-2314\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">normal appearance:<\/span><\/p><p><span style=\"font-size: 12pt;\">the deep peroneal nerve:<\/span><\/p><p><span style=\"font-size: 12pt;\">transverse:<\/span><\/p><ul><li><span style=\"font-size: 12pt;\">ovoid hypoechoic.<\/span><\/li><\/ul><p><span style=\"font-size: 12pt;\">longitudinal<\/span><\/p><ul><li><span style=\"font-size: 12pt;\">parallel, slightly fibrillar (stripey) appearance<\/span><\/li><li><span style=\"font-size: 12pt;\">approximately 1.5mm thick<\/span><\/li><\/ul>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-2315\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"5\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-2315\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\twhat to look for?\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-2315\" class=\"pp-accordion-tab-content\" data-tab=\"5\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-2315\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">once you identify the deep peroneal nerve:<\/span><\/p><ol><li><span style=\"font-size: 12pt;\">is it uniform in size?<\/span><\/li><li><span style=\"font-size: 12pt;\">are there any masses, collections, varices or scars that may cause entrapment.<\/span><\/li><\/ol>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-140841cd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"140841cd\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-731ce885\" data-id=\"731ce885\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-43077763 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"43077763\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7cf4342 elementor-widget elementor-widget-text-editor\" data-id=\"7cf4342\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>ultrasound scan plane to find the deep peroneal nerve at the anterior ankle.<\/p><p>scan proximally and distally to assess the nerve in transverse.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-66977b15\" data-id=\"66977b15\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3b75ca06 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"3b75ca06\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cd66e84 elementor-widget elementor-widget-text-editor\" data-id=\"cd66e84\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>the nerve accompanies the anterior tibial artery at the distal tibia. as you scan distally in the transverse plane, the nerve is seen to switch from medial to lateral to the artery.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1a0357b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1a0357b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-156c72e2\" data-id=\"156c72e2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-12f30929 elementor-align-right elementor-widget elementor-widget-button\" data-id=\"12f30929\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm elementor-animation-grow\" href=\"https:\/\/www.sciencedirect.com\/topics\/neuroscience\/deep-fibular-nerve\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-arrow-alt-circle-down\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">click here<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-1f7aedfc\" data-id=\"1f7aedfc\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-280ca3d7 elementor-widget elementor-widget-text-editor\" data-id=\"280ca3d7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>to read a helpful resource for the deep peroneal nerve.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1f75f662 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1f75f662\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4a96fd01\" data-id=\"4a96fd01\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-612e87c8 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"612e87c8\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-c0adb4e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c0adb4e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-01f58c5\" data-id=\"01f58c5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8ae3d29 elementor-widget elementor-widget-heading\" data-id=\"8ae3d29\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\"><span class=\"ez-toc-section\" id=\"medial_ankle\"><\/span>medial ankle<span class=\"ez-toc-section-end\"><\/span><\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a3092d4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a3092d4\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-90455b7\" data-id=\"90455b7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-f2ea29e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f2ea29e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-0285f76\" data-id=\"0285f76\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ebc1a92 elementor-widget elementor-widget-text-editor\" data-id=\"ebc1a92\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li>tibialis posterior tendon<\/li><li>flexor digitorum tendon<\/li><li>flexor hallucis longus tendon<\/li><li>deltoid ligament<\/li><li>spring ligament<\/li><li>tibial nerve (and branches)<\/li><li>deep peroneal nerve.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-d883f28\" data-id=\"d883f28\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5e28ef9 elementor-widget elementor-widget-image\" data-id=\"5e28ef9\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"607\" height=\"690\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2020\/12\/medial-ankle-anatomy-labelled.jpg\" class=\"attachment-large size-large wp-image-15270\" alt=\"medial ankle anatomy labelled\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2020\/12\/medial-ankle-anatomy-labelled.jpg 607w, \/\/www.iolishoes.com\/wp-content\/uploads\/2020\/12\/medial-ankle-anatomy-labelled-264x300.jpg 264w\" sizes=\"(max-width: 607px) 100vw, 607px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">anatomy of the medial ankle tendons labelled.\r\nref: anatomylearning.com<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-44989406 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"44989406\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-42435c71\" data-id=\"42435c71\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3f193440 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"3f193440\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-299d3fe elementor-widget elementor-widget-text-editor\" data-id=\"299d3fe\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>scan plane to see tibialis posterior, flexor digitorum and flexor hallucis longus tendons (you may need to adjust the probe posteriorly to view the deeper fhl).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-73df4893\" data-id=\"73df4893\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9a4c4b6 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"9a4c4b6\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e5b0ed5 elementor-widget elementor-widget-text-editor\" data-id=\"e5b0ed5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>ultrasound of tibialis posterior, flexor digitorum and flexor hallucis longus tendons (known as &#8220;tom, dick &amp; harry&#8221;). if including the neurovascular bundle &#8211; tom dick and very nervous harry.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1b04c0d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1b04c0d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-cd515e3\" data-id=\"cd515e3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-17f686c elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"17f686c\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-80d3722 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"80d3722\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-adda847\" data-id=\"adda847\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-35664cf elementor-widget elementor-widget-heading\" data-id=\"35664cf\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\"><span class=\"ez-toc-section\" id=\"tibialis_posterior_tendon\"><\/span>tibialis posterior tendon<span class=\"ez-toc-section-end\"><\/span><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3f6a2e5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3f6a2e5\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-cad5e82\" data-id=\"cad5e82\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-91e6ecc elementor-widget elementor-widget-pp-advanced-accordion\" data-id=\"91e6ecc\" data-element_type=\"widget\" data-settings=\"{&quot;accordion_type&quot;:&quot;toggle&quot;,&quot;toggle_speed&quot;:300}\" data-widget_type=\"pp-advanced-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"pp-advanced-accordion pp-toggle-icon-align-right\" id=\"pp-advanced-accordion-91e6ecc\" data-accordion-id=\"91e6ecc\" role=\"tablist\">\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-1521\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"1\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-1521\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tanatomy\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-1521\" class=\"pp-accordion-tab-content\" data-tab=\"1\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-1521\">\n\t\t\t\t\t\t<ul><li><span style=\"font-size: 12pt;\">the tibialis posterior tendon inserts onto multiple bones. the primary insertion is to the navicular. however there are slips to the cuneiforms and the metatarsals.<\/span><\/li><li><span style=\"font-size: 12pt;\">the tendon sheath runs from the musculotendinous junction to the medial arch.\u00a0<\/span><\/li><li><span style=\"font-size: 12pt;\">plantar-flexes and inverts the foot at the ankle.<\/span><\/li><\/ul><figure id=\"attachment_18041\" aria-describedby=\"caption-attachment-18041\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-18041\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/tibialis-posterior-tendon-anatomy-300x277.jpg\" alt=\"tibialis posterior anatomy. ref: anatomylearning.com\" width=\"300\" height=\"277\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/tibialis-posterior-tendon-anatomy-300x277.jpg 300w, \/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/tibialis-posterior-tendon-anatomy.jpg 658w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-18041\" class=\"wp-caption-text\">tibialis posterior anatomy. ref: anatomylearning.com<\/figcaption><\/figure>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-1522\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"2\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-1522\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tpatient position\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-1522\" class=\"pp-accordion-tab-content\" data-tab=\"2\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-1522\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">to ultrasound the tibialis posterior tendon<\/span><\/p><ul><li><span style=\"font-size: 12pt;\">you need access to the medial ankle with gentle eversion.<\/span><\/li><li><span style=\"font-size: 12pt;\">patient supine or with their foot off the side of the bed is best.<\/span><\/li><\/ul>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-1523\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"3\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-1523\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\ttechnique\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-1523\" class=\"pp-accordion-tab-content\" data-tab=\"3\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-1523\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">to identify the tibialis posterior tendon:<\/span><\/p><ol><li><p><span style=\"font-size: 12pt;\">place the probe in a transverse plane on the posterior aspect of the ankle approximately 2cm above the medial malleolar tip.<\/span><\/p><\/li><li><span style=\"font-size: 12pt;\">the tibialis posterior tendon should be visible in a transverse plane agains the tibia. (flexor digitorum tendon lying on top).<\/span><\/li><li><span style=\"font-size: 12pt;\">slowly slide distally keeping the tendon in the center of your image.<\/span><\/li><li><span style=\"font-size: 12pt;\">as you round the malleolus, you will need to rotate the probe to maintain a transverse plane.<\/span><\/li><li><span style=\"font-size: 12pt;\">as you approach the insertion, the tendon will become broader and more heterogeneous (due to it's splayed insertion).<\/span><\/li><li><span style=\"font-size: 12pt;\">rotate into longitudinal to assess the insertion.<\/span><\/li><li><span style=\"font-size: 12pt;\">follow the tendon back up in longitudinal and assess sliding with passive inversion\/eversion of the forefoot.<\/span><\/li><\/ol><figure id=\"attachment_1329\" aria-describedby=\"caption-attachment-1329\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\"size-medium wp-image-1329\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/scan-plane-calc-fib-lig-1-300x225.jpg\" alt=\"ultrasound scan plane for the calcaneo-fibula ligament.\" width=\"300\" height=\"225\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/scan-plane-calc-fib-lig-1-300x225.jpg 300w, \/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/scan-plane-calc-fib-lig-1-768x576.jpg 768w, \/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/scan-plane-calc-fib-lig-1-600x450.jpg 600w, \/\/www.iolishoes.com\/wp-content\/uploads\/2018\/07\/scan-plane-calc-fib-lig-1.jpg 800w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1329\" class=\"wp-caption-text\">ultrasound scan plane for the calcaneo-fibula ligament.<\/figcaption><\/figure><figure id=\"attachment_18046\" aria-describedby=\"caption-attachment-18046\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-18046\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/tibialis-posterior-ultrasound-scan-plane-300x229.jpg\" alt=\"ultrasound scan plane for tibialis posterior tendon\" width=\"300\" height=\"229\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/tibialis-posterior-ultrasound-scan-plane-300x229.jpg 300w, \/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/tibialis-posterior-ultrasound-scan-plane.jpg 412w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-18046\" class=\"wp-caption-text\">ultrasound scan plane for tibialis posterior tendon<\/dd><dd><\/figcaption><\/figure><figure id=\"attachment_18051\" aria-describedby=\"caption-attachment-18051\" style=\"width: 300px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-18051\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/scan-plane-tibialis-post-insert-300x225.jpg\" alt=\"ultrasound scan plane tibialis posterior tendon insertion\" width=\"300\" height=\"225\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/scan-plane-tibialis-post-insert-300x225.jpg 300w, \/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/scan-plane-tibialis-post-insert-768x576.jpg 768w, \/\/www.iolishoes.com\/wp-content\/uploads\/2021\/02\/scan-plane-tibialis-post-insert.jpg 800w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-18051\" class=\"wp-caption-text\">ultrasound scan plane. longitudinal tibialis posterior tendon insertion.<\/figcaption><\/figure>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-1524\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"4\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-1524\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\tnormal appearances\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-1524\" class=\"pp-accordion-tab-content\" data-tab=\"4\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-1524\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">normal ultrasound appearance of the tibialis posterior tendon:<\/span><\/p><p><span style=\"font-size: 12pt;\">the largest of the 3 medial ankle tendons.<\/span><\/p><p><span style=\"font-size: 12pt;\">transverse:<\/span><\/p><ul><li><span style=\"font-size: 12pt;\">ovoid echogenic (very subject to anisotropy with probe angulation).<\/span><\/li><li><span style=\"font-size: 12pt;\">normal to see a trace of fluid in the tendon sheath just distal to the medial malleolus.<\/span><\/li><\/ul><p><span style=\"font-size: 12pt;\">longitudinal<\/span><\/p><ul><li><span style=\"font-size: 12pt;\">parallel, echogenic\u00a0 fibrillar appearance<\/span><\/li><\/ul><p><span style=\"font-size: 12pt;\">insertion<\/span><\/p><ul><li><span style=\"font-size: 12pt;\">a broad complex insertion.<\/span><\/li><li><p><span style=\"font-size: 12pt;\">the collagen fibrillar architecture of the tendon becomes speckled by fibro-cartilage as the tendon fibres spread to the various insertional points.<\/span><\/p><\/li><li><p><span style=\"font-size: 12pt;\">a small accessory ossicle is visible in many patients.(type i accessory navicular bone).<\/span><\/p><\/li><\/ul>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"pp-accordion-item\">\n\t\t\t\t\t\t\t\t\t\t<div id=\"pp-accordion-tab-title-1525\" class=\"pp-accordion-tab-title\" tabindex=\"0\" data-tab=\"5\" role=\"tab\" aria-controls=\"pp-accordion-tab-content-1525\" aria-expanded=\"false\">\n\t\t\t\t\t\t<span class=\"pp-accordion-title-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-accordion-title-text\">\n\t\t\t\t\t\t\t\twhat to look for?\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-accordion-toggle-icon\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-close pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-down\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class='pp-accordion-toggle-icon-open pp-icon'>\n\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-caret-square-up\"><\/i>\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"pp-accordion-tab-content-1525\" class=\"pp-accordion-tab-content\" data-tab=\"5\" role=\"tabpanel\" aria-labelledby=\"pp-accordion-tab-title-1525\">\n\t\t\t\t\t\t<p><span style=\"color: #003366; font-size: 12pt;\">once you identify the tibialis anterior tendon<\/span><\/p><ol><li><span style=\"font-size: 12pt;\">is it uniform in size?<\/span><\/li><li><span style=\"font-size: 12pt;\">is it homogenous? (echogenic and fibrillar)<\/span><\/li><li><span style=\"font-size: 12pt;\">is it intact at the insertion?<\/span><\/li><li><span style=\"font-size: 12pt;\">is there any significant fluid in the sheath?<\/span><\/li><li><span style=\"font-size: 12pt;\">is there any vascularity of the tendon or paratendon on colour doppler (there should be no discernable vascularity)<\/span><\/li><\/ol>\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-40f02cc5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"40f02cc5\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2339b552\" data-id=\"2339b552\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2b710f9a elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"2b710f9a\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1ae1a99e elementor-widget elementor-widget-text-editor\" data-id=\"1ae1a99e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>ultrasound of the tibialis posterior tendon insertion.<\/p><p>the collagen fibrillar architecture of the tendon becomes speckled by fibro-cartilage as the tendon fibres spread to the various insertional points.<\/p><p>a small accessory ossicle is visible in many patients.(type i accessory navicular bone).<\/p><p>this rounded, embedded ossicle should not be confused with an avulsion<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-48319042\" data-id=\"48319042\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4b8d57a0 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"4b8d57a0\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<a class=\"elementor-flip-box__layer elementor-flip-box__back\" href=\"#elementor-action%3aaction%3dlightbox%26settings%3deyj1cmwioijodhrwolwvxc91bhryyxnvdw5kcgflzglhlmnvbvwvd3aty29udgvudfwvdxbsb2fkc1wvmjaymvwvmdncl3vsdhjhc291bmqtdgliawfsaxmtcg9zdgvyaw9ylwzsdwlklw5vcm1hbc1obc5qcgcilcj0exblijoiaw1hz2uilcj0axrszsi6ilvsdhjhc291bmqgb2ygdghlihrpymlhbglzihbvc3rlcmlvcib0zw5kb24gzglzdgfsihrvihrozsbtywxszw9sdxmuifrozsbmbhvpzcb2axnpymxligluihrozsbzagvhdgggaxmgbm9ybwfsihboexnpb2xvz2ljigzsdwlklibmywjlbgxlzcbhbmf0b215lij9\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d9e6ec5 elementor-widget elementor-widget-text-editor\" data-id=\"d9e6ec5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>transverse plane of the tibialis posterior tendon distal to the medial malleolus.<\/p><p>it is common and physiologically normal to have a small amount of fluid in the sheath at this point.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2d7e7cbd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2d7e7cbd\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-70fd3cfd\" data-id=\"70fd3cfd\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-51f15f7 elementor-grid-1 elementor-grid-tablet-2 elementor-grid-mobile-1 pp-video-gallery-content-below-video elementor-widget elementor-widget-pp-video-gallery\" data-id=\"51f15f7\" data-element_type=\"widget\" data-settings=\"{&quot;layout&quot;:&quot;grid&quot;}\" data-widget_type=\"pp-video-gallery.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"pp-video-gallery-container pp-video-gallery-grid\">\n\t\t\t<div class=\"pp-video-gallery-wrap\">\n\t\t\t\t\t\t\t\t<div class=\"pp-video-gallery elementor-grid\" data-action=\"inline\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-grid-item-wrap elementor-grid-item filter-\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-video-container\">\n\t\t\t\t\t\t\t<div class=\"pp-video-play\" data-src=\"https:\/\/www.youtube.com\/embed\/t8irzd7ltao?feature=oembed&amp;autoplay=1&amp;wmode=opaque&amp;mute=0\" href=\"https:\/\/www.youtube.com\/embed\/t8irzd7ltao?feature=oembed&amp;autoplay=1&amp;wmode=opaque&amp;mute=0\">\n\t\t\t\t\t\t\t\t<div class=\"pp-media-overlay pp-video-overlay\"><\/div>\t\t\t\t\t\t\t\t<div class=\"pp-video-player\">\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" class=\"pp-video-thumb\" src=\"https:\/\/i.ytimg.com\/vi\/t8irzd7ltao\/hqdefault.jpg\" alt=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-video-play-icon pp-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-play-circle\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"pp-video-content-container\">\n\t\t\t\t<div class=\"pp-video-content\">\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-video-title\">\n\t\t\t\t\t\t\ttibialis posterior insertion\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-video-description\">\n\t\t\t\t\t\t\tultrasound of a normal tibialis posterior tendon insertion. particular note is made of the accessory ossicle that should not be confused with an avulsed fragment. everting the forefoot allows dynamic assessment of the tibialis tendon insertion with ultrasound.\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-14def56 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"14def56\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bb59ed9\" data-id=\"bb59ed9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4caa946 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"4caa946\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4ae3410 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4ae3410\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-65e9a09\" data-id=\"65e9a09\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ef8e5b0 elementor-widget elementor-widget-heading\" data-id=\"ef8e5b0\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\"><span class=\"ez-toc-section\" id=\"flexor_digitorum_longus_fdland_flexor_hallucis_longus_fhl_tendons\"><\/span>flexor digitorum longus (fdl)and flexor hallucis longus (fhl) tendons<span class=\"ez-toc-section-end\"><\/span><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-cd3342b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"cd3342b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-26c567a\" data-id=\"26c567a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-16dd33e7 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"16dd33e7\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<a class=\"elementor-flip-box__layer elementor-flip-box__back\" href=\"#elementor-action%3aaction%3dlightbox%26settings%3deyj1cmwioijodhrwolwvxc91bhryyxnvdw5kcgflzglhlmnvbvwvd3aty29udgvudfwvdxbsb2fkc1wvmjaymfwvmtjcl2tub3qtb2ytagvucnktyw5hdg9tes5qcgcilcj0exblijoiaw1hz2uilcj0axrszsi6ikfuyxrvbxkgzglhz3jhbsbvzib0agugs25vdcbvzibizw5yeswgd2hlcmugdghligzszxhvcibkawdpdg9ydw0gbg9uz3vzigfuzcbmbgv4b3igagfsbhvjaxmgbg9uz3vzihrlbmrvbnmgaw50zxjzzwn0lij9\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-486b715a elementor-widget elementor-widget-text-editor\" data-id=\"486b715a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>the &#8216;knot of henry&#8217; where the flexor digitorum longus (fdl) and flexor hallucis longus (fhl) tendons cross.<\/p><p>source: anatomylearning.com<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2e057753\" data-id=\"2e057753\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-47af1228 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"47af1228\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-75bf8567 elementor-widget elementor-widget-text-editor\" data-id=\"75bf8567\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>the <strong>&#8216;knot of henry&#8217;<\/strong> where the <span style=\"color: #ffcc00;\">fhl<\/span> and <span style=\"color: #00ff00;\">fdl<\/span> tendons cross at the plantar aspect of the posterior arch.<\/p><p>a trace of fluid may normally accumulate here in the fhl sheath. a small percentage of patients may have a communication between the fhl sheath and the ankle joint.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-40a74771 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"40a74771\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5f382692\" data-id=\"5f382692\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a7b8ec0 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"a7b8ec0\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-219898a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"219898a\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6ff90ab\" data-id=\"6ff90ab\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a11cfbd elementor-widget elementor-widget-heading\" data-id=\"a11cfbd\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\"><span class=\"ez-toc-section\" id=\"deltoid_ligament\"><\/span>deltoid ligament<span class=\"ez-toc-section-end\"><\/span><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-067b139 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"067b139\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-758bada\" data-id=\"758bada\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-db16032 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"db16032\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-7222c4b\" data-id=\"7222c4b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3b72b58 elementor-widget elementor-widget-text-editor\" data-id=\"3b72b58\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>the deltoid liagment is a complex piece of anatomy stabilizing the medial ankle joint.\u00a0 due to it&#8217;s complexity and oblique fibres, ultrasound cannot entirely exclude pathology, however it is a good positive predictor. (ie ultrasound cannot exclude pathology).<\/p><p>the deltoid ligament is comprised of 4 inter-related ligamentous components.<\/p><ol><li>posterior tibiotalar ligament.<\/li><li>tibiocalcaneal ligament<\/li><li>tibionavicular ligament.<\/li><li>anterior tibiotalar ligament.<\/li><\/ol><p>to examine the deltoid ligament with ultrasound, you need to evert and flex the foot to stretch each component individually.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-c69a3fe\" data-id=\"c69a3fe\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-43951ed elementor-widget elementor-widget-image\" data-id=\"43951ed\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t\t<a href=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2020\/12\/deltoid-ligament-anatomy-gray354.png\" data-elementor-open-lightbox=\"yes\" data-elementor-lightbox-title=\"anatomy of the medial ankle ligament complex. \nthe deltoid ligament.\" data-e-action-hash=\"#elementor-action%3aaction%3dlightbox%26settings%3deyjpzci6mtu1mjusinvybci6imh0dhbzolwvxc91bhryyxnvdw5kcgflzglhlmnvbvwvd3aty29udgvudfwvdxbsb2fkc1wvmjaymfwvmtjcl2rlbhrvawqtbglnyw1lbnqtyw5hdg9tes1hcmf5mzu0lnbuzyj9\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"550\" height=\"424\" src=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2020\/12\/deltoid-ligament-anatomy-gray354.png\" class=\"attachment-large size-large wp-image-15525\" alt=\"anatomy of the medial ankle ligament complex.\" srcset=\"\/\/www.iolishoes.com\/wp-content\/uploads\/2020\/12\/deltoid-ligament-anatomy-gray354.png 550w, \/\/www.iolishoes.com\/wp-content\/uploads\/2020\/12\/deltoid-ligament-anatomy-gray354-300x231.png 300w\" sizes=\"(max-width: 550px) 100vw, 550px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">anatomy of the medial ankle ligament complex. \nthe deltoid ligament.<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4a7bc8c5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4a7bc8c5\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-71541081\" data-id=\"71541081\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1c7f9ce elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"1c7f9ce\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7902635 elementor-widget elementor-widget-text-editor\" data-id=\"7902635\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>the posterior tibio-talar ligament ultrasound scan plane.<\/p><p>dorsiflex and evert the foot.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-17fbfa75\" data-id=\"17fbfa75\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1c1a8c28 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"1c1a8c28\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-60aeee9 elementor-widget elementor-widget-text-editor\" data-id=\"60aeee9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>deltoid ligament ultrasound.<\/p><ol><li>the posterior tibio-talar ligament component.<\/li><\/ol>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3dbfa17b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3dbfa17b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-23d5fd77\" data-id=\"23d5fd77\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6a6cd363 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"6a6cd363\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2557f115 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2557f115\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-38421b89\" data-id=\"38421b89\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-25a675b2 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"25a675b2\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cf9fba9 elementor-widget elementor-widget-text-editor\" data-id=\"cf9fba9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>tibio-calcaneal ligament ultrasound scan plane.<\/p><p>dorsiflex and evert the foot.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-63289d9a\" data-id=\"63289d9a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4581f6f6 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"4581f6f6\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-823a8a3 elementor-widget elementor-widget-text-editor\" data-id=\"823a8a3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>deltoid ligament ultrasound.<\/p><p>2. the tibio-calcaneal ligament component.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3d19af70 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3d19af70\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-32581045\" data-id=\"32581045\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-61a687a9 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"61a687a9\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4eb919d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4eb919d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-d306c97\" data-id=\"d306c97\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a91bbb elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"a91bbb\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a3a14d1 elementor-widget elementor-widget-text-editor\" data-id=\"a3a14d1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>the tibio-navicular ligament ultrasound scan plane.<\/p><p>plantar-flex and evert the foot.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-76bbcca2\" data-id=\"76bbcca2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1cd2d28 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"1cd2d28\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7137b02 elementor-widget elementor-widget-text-editor\" data-id=\"7137b02\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>deltoid ligament ultrasound.<\/p><p>3. the tibio-navicular ligament component.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-697b8b1e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"697b8b1e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-466a0339\" data-id=\"466a0339\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-399fe6e0 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"399fe6e0\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-69528d7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"69528d7\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-249ba520\" data-id=\"249ba520\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4d6effcb elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"4d6effcb\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-eea7b68 elementor-widget elementor-widget-text-editor\" data-id=\"eea7b68\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>the anterior tibio-talar ligament ultrasound scan plane.<\/p><p>also plantar flex and evert the foot.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3aa16eb8\" data-id=\"3aa16eb8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-767d0382 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"767d0382\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ab22e33 elementor-widget elementor-widget-text-editor\" data-id=\"ab22e33\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>deltoid ligament<\/p><p>4.the anterior tibio-talar ligament component<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2bb62524 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2bb62524\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3088a1ba\" data-id=\"3088a1ba\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-71a8b180 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"71a8b180\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-06575c2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"06575c2\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a1c6920\" data-id=\"a1c6920\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e6de749 elementor-widget elementor-widget-heading\" data-id=\"e6de749\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\"><span class=\"ez-toc-section\" id=\"spring_ligament_calcaneo-navicular_ligament\"><\/span>spring ligament (calcaneo-navicular ligament)<span class=\"ez-toc-section-end\"><\/span><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b75d569 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b75d569\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8ba22b0\" data-id=\"8ba22b0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-94a69b5 elementor-widget elementor-widget-text-editor\" data-id=\"94a69b5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>this is a technically challenging ligamentous complex to examine with ultrasound.<\/p><p>the spring ligament is comprised of 3 bands which are indistinguishable from one another on ultrasound. posteriorly, the fibres blend with the deltoid ligament.<\/p><p>it runs from sustentaculum talus on the calcaneum to the navicula where it has 3 attachment points.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5cc09bbc elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5cc09bbc\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-573b90f2\" data-id=\"573b90f2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-199ce5a0 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"199ce5a0\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a7ee8cb elementor-widget elementor-widget-text-editor\" data-id=\"a7ee8cb\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>ultrasound can plane to assess the calcaneo-navicular ligament (spring ligament).<\/p><p>approach from slightly inferiorly and angle up for the best view of this challenging ligament.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3c0afe39\" data-id=\"3c0afe39\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7779fae6 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"7779fae6\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<a class=\"elementor-flip-box__layer elementor-flip-box__back\" href=\"#elementor-action%3aaction%3dlightbox%26settings%3deyj1cmwioijodhrwczpcl1wvdwx0cmfzb3vuzhbhzwrpys5jb21cl3dwlwnvbnrlbnrcl3vwbg9hzhnclziwmjfclza4xc9zchjpbmctbglnyw1lbnqtdwx0cmfzb3vuzc5qcgcilcj0exblijoiaw1hz2uilcj0axrszsi6ilvsdhjhc291bmqgb2ygdghlihn1cgvyb21lzglhbcbjb21wb25lbnqgb2ygdghlihnwcmluzybsawdhbwvudc4ifq%3d%3d\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-af66b5d elementor-widget elementor-widget-text-editor\" data-id=\"af66b5d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>the spring ligament (calcaneo-navicular ligament)<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3e5767c3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3e5767c3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-fd6c363\" data-id=\"fd6c363\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-423c0208 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"423c0208\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-120c7dc elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"120c7dc\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c7a0e37\" data-id=\"c7a0e37\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-ee38be6 elementor-widget elementor-widget-heading\" data-id=\"ee38be6\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\"><span class=\"ez-toc-section\" id=\"tibial_nerve\"><\/span>tibial nerve<span class=\"ez-toc-section-end\"><\/span><\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f42799f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f42799f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-14bae21\" data-id=\"14bae21\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-57b7e76 elementor-widget elementor-widget-text-editor\" data-id=\"57b7e76\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>distal to the medial malleolus, the tibial nerve divides into the medial and lateral plantar nerves.<\/p><p>a slightly more proximal branch, the medial calcaneal nerve, innervates the superficial area of the heel.<\/p><p>baxters nerve (inferior calcaneal nerve) is the 1st branch off the lateral plantar nerve. entrapment of this nerve may simulate plantar fascitis.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6dfefd6b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6dfefd6b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-1deac917\" data-id=\"1deac917\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-51a27e84 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"51a27e84\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-624d48dd elementor-widget elementor-widget-text-editor\" data-id=\"624d48dd\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>anatomy of the medial ankle, heel and arch nerves.<br \/>the tibial nerve bifurcates into the medial calcaneal nerve (posterior) and plantar nerve(anterior).<br \/>the plantar nerve then bifurcates into the lateral and medial plantar nerves.<br \/>the lateral plantar nerve gives rise to the inferior calcaneal nerve at the posterior arch (this is also called baxter&#8217;s nerve).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-18d82059\" data-id=\"18d82059\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b12498d elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"b12498d\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-be5dc92 elementor-widget elementor-widget-text-editor\" data-id=\"be5dc92\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>transverse image posterior and slightly superior to the medial malleolus. this is where the medial calcaneal nerve arises posteriorly from the tibial nerve.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5ae30e43 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5ae30e43\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5d6821a0\" data-id=\"5d6821a0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-38ba6254 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"38ba6254\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-52089b51 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"52089b51\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-40a97575\" data-id=\"40a97575\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a0081e8 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a0081e8\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-10b7a599\" data-id=\"10b7a599\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-601b62c6 elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"601b62c6\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-07632cc elementor-widget elementor-widget-text-editor\" data-id=\"07632cc\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>ultrasound scan plane for the tibial and plantar nerves.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-300f7cd9\" data-id=\"300f7cd9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1a31c189 elementor-grid-1 elementor-grid-tablet-2 elementor-grid-mobile-1 pp-video-gallery-content-below-video elementor-widget elementor-widget-pp-video-gallery\" data-id=\"1a31c189\" data-element_type=\"widget\" data-settings=\"{&quot;layout&quot;:&quot;grid&quot;}\" data-widget_type=\"pp-video-gallery.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"pp-video-gallery-container pp-video-gallery-grid\">\n\t\t\t<div class=\"pp-video-gallery-wrap\">\n\t\t\t\t\t\t\t\t<div class=\"pp-video-gallery elementor-grid\" data-action=\"lightbox\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-grid-item-wrap elementor-grid-item filter-\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-video-container\">\n\t\t\t\t\t\t\t<div class=\"pp-video-play\" data-fancybox=\"video-gallery-1a31c189\" href=\"https:\/\/vimeo.com\/494583013\">\n\t\t\t\t\t\t\t\t<div class=\"pp-media-overlay pp-video-overlay\"><\/div>\t\t\t\t\t\t\t\t<div class=\"pp-video-player\">\n\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" class=\"pp-video-thumb\" src=\"https:\/\/i.vimeocdn.com\/video\/1022751371-55974d62fa331073f1cf1780e14456b2d0e317dd38235e805a1767c97a226b1f-d_840\" alt=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"pp-video-play-icon pp-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-play-circle\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<div class=\"pp-video-content-container\">\n\t\t\t\t<div class=\"pp-video-content\">\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-video-title\">\n\t\t\t\t\t\t\ttibial nerve bifurcation at the ankle\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"pp-video-description\">\n\t\t\t\t\t\t\tultrasound, posterior to the medial malleolus in a transverse plane, sliding the probe distally.\nthe tibial nerve bifurcates into the medial calcaneal (posterior) and plantar nerve(anterior).\nthe plantar nerve then bifurcates into the lateral and medial plantar nerves.\nat the end of the clip, the probe is rotated slightly demonstrating the lateral plantar nerve in a longitudinal section (direction of baxter&#8217;s nerve).\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-55031617 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"55031617\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-5544d60e\" data-id=\"5544d60e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-25ac274b elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"25ac274b\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<a class=\"elementor-flip-box__layer elementor-flip-box__back\" href=\"#elementor-action%3aaction%3dlightbox%26settings%3deyj1cmwioijodhrwolwvxc91bhryyxnvdw5kcgflzglhlmnvbvwvd3aty29udgvudfwvdxbsb2fkc1wvmjaxovwvmddcl3rpymlhbc10by1wbgfudgfylw5lcnzllwjpznvyy2f0aw9ulxvsdhjhc291bmquanbniiwidhlwzsi6imltywdliiwidgl0bguioijvbhryyxnvdw5kigjpznvyy2f0aw9uig9mihrozsb0awjpywwgbmvydmugaw50byb0agugcgxhbnrhcibuzxj2zxmuin0%3d\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/a>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5a072a6c elementor-widget elementor-widget-text-editor\" data-id=\"5a072a6c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"text-decoration: underline;\">tibial nerve bifurcation ultrasound.<\/span><\/p><p>transverse image at the infero-posterior arch of the foot showing the subtle bifurcation of the tibial nerve into the plantar nerves.<\/p><p>the medial plantar nerve is anterior.<\/p><p>the lateral plantar nerve is more posterior and then gives rise to the inferior calcaneal nerve (baxter&#8217;s nerve)<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-2b56bfca\" data-id=\"2b56bfca\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3cade20c elementor-flip-box--effect-fade elementor-widget elementor-widget-flip-box\" data-id=\"3cade20c\" data-element_type=\"widget\" data-widget_type=\"flip-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-flip-box\" tabindex=\"0\">\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__front\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\t\n\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t<\/div>\n\t\t\t<div class=\"elementor-flip-box__layer elementor-flip-box__back\">\n\t\t\t<div class=\"elementor-flip-box__layer__overlay\">\n\t\t\t\t<div class=\"elementor-flip-box__layer__inner\">\n\t\t\t\t\t\n\t\t\t\t\t\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4d6546d7 elementor-widget elementor-widget-text-editor\" data-id=\"4d6546d7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>\u00a0longitudinal ultrasound of <span style=\"text-decoration: underline;\">baxter&#8217;s (inferior calcaneal) nerve.<\/span><\/p><p>this is immediately inferior to the bifurcation of the tibial nerve into the plantar nerves shown in the previous image.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-464c2f7a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"464c2f7a\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-3d82de53\" data-id=\"3d82de53\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-175506e2 elementor-align-right elementor-widget elementor-widget-button\" data-id=\"175506e2\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm elementor-animation-grow\" href=\"http:\/\/radsource.us\/baxters-nerve\/\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t<span class=\"elementor-button-icon\">\n\t\t\t\t<i aria-hidden=\"true\" class=\"far fa-arrow-alt-circle-down\"><\/i>\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">click here<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7f110a32\" data-id=\"7f110a32\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-faf9c77 elementor-widget elementor-widget-text-editor\" data-id=\"faf9c77\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>to read a description of baxters nerve pathology on radsource.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-668d1862 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"668d1862\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-18f90efe\" data-id=\"18f90efe\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-10cad4db elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"10cad4db\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-63522965 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"63522965\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-31e4df5c\" data-id=\"31e4df5c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2189f998 elementor-widget elementor-widget-spacer\" data-id=\"2189f998\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9867eea elementor-widget elementor-widget-text-editor\" data-id=\"9867eea\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h1 style=\"text-align: center;\">scan protocol<\/h1>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-44502b98 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"44502b98\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-120b3053\" data-id=\"120b3053\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1afa201d elementor-widget elementor-widget-text-editor\" data-id=\"1afa201d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3><span class=\"ez-toc-section\" id=\"role_of_ultrasound\"><\/span>role of ultrasound<span class=\"ez-toc-section-end\"><\/span><\/h3><p>ultrasound is essentially used for the external structures of the ankle. ultrasound is a valuable diagnostic tool in assessing the following indications; muscular, tendinous and ligamentous damage (chronic and acute) bursitis joint effusion vascular pathology haematomas soft tissue masses such as ganglia, lipomas classification of a mass eg solid, cystic, mixed post surgical complications eg abscess, oedema guidance of injection, aspiration or biopsy relationship of normal anatomy and pathology to each other some bony pathology.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1dea657b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1dea657b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4b0b1140\" data-id=\"4b0b1140\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4528014c elementor-widget elementor-widget-text-editor\" data-id=\"4528014c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3><span class=\"ez-toc-section\" id=\"limitations\"><\/span>limitations<span class=\"ez-toc-section-end\"><\/span><\/h3><p>it is recognised that ultrasound cannot adequately assess the deltoid ligament, the ankle mortice and some inter-tarsal ligments.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4c0b9897 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4c0b9897\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5732bc80\" data-id=\"5732bc80\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-58a3d35a elementor-widget elementor-widget-text-editor\" data-id=\"58a3d35a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3><span class=\"ez-toc-section\" id=\"patient_preparation\"><\/span>patient preparation<span class=\"ez-toc-section-end\"><\/span><\/h3><ul><li>position the patient comfortably where you can readily access the ankle to scan and manipulate.<\/li><li>this may be supine or seated on the examination bed with feet on the bed.<\/li><li>alternatively seated on the side of the bed, you seated in front of the ultrasound machine\u00a0 with their foot on your knee.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-321f6f80 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"321f6f80\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-60bd4af3\" data-id=\"60bd4af3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-12e0dd8d elementor-widget elementor-widget-text-editor\" data-id=\"12e0dd8d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3><span class=\"ez-toc-section\" id=\"equipment_setup\"><\/span>equipment setup<span class=\"ez-toc-section-end\"><\/span><\/h3><p>use of a high resolution, (&gt;10mhz), small footprint probe is essential when assessing the superficial structures of the ankle. careful scanning technique to avoid anisotropy (and possible misdiagnosis). beam steering or compounding can help to overcome anisotropy in linear structures such as tendons. good colour \/ power \/ doppler capabilities when assessing vessels or vascularity of a structure. be prepared to change frequency output of the probe (or probes) to adequately assess both superficial and deeper structures.<\/p><p>any assessment of vascularity, the tissue should not be undertension as this may compress the micro-vasculature. ensure light probe pressure and tendons relaxed.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-548ab0b6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"548ab0b6\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-7f57a429\" data-id=\"7f57a429\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-18c8ef14 elementor-widget elementor-widget-text-editor\" data-id=\"18c8ef14\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3><span class=\"ez-toc-section\" id=\"common_pathology\"><\/span>common pathology<span class=\"ez-toc-section-end\"><\/span><\/h3><ul><li>joint effusions.<\/li><li>tendinopathy and tendon tears<\/li><li>ligamentosis and ligament tears<\/li><li>foreign bodies<\/li><li>oedema<\/li><li>haematomas<\/li><li>collections \/ abscess&#8217;<\/li><li>arthroses \/ arthritis<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-66f9012 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"66f9012\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8de2314\" data-id=\"8de2314\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-3a52e8ac elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"3a52e8ac\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3e364c2d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3e364c2d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-422ea8e3\" data-id=\"422ea8e3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-61f53daa elementor-widget elementor-widget-text-editor\" data-id=\"61f53daa\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h1 style=\"text-align: center;\">scanning technique<\/h1>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9415d6d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9415d6d\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-756aa2f\" data-id=\"756aa2f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1e4392e9 elementor-widget elementor-widget-text-editor\" data-id=\"1e4392e9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>lateral ankle<\/strong><strong>\u00a0<\/strong><\/p><p>patient sits on the side of a raised bed with foot resting on the sonographers knee for support. alternatively, the patient may sit or lie supine on bed with their foot flat.\u00a0<br \/><em><a href=\"\/\/www.iolishoes.com\/normal-ankle\/#peroneus\" target=\"_blank\" rel=\"noopener\">peroneus longus and brevis tendons:<\/a><\/em>\u00a0begin in transverse, posterior to the lateral malleolus. the two tendons are easily seen with the peroneus\u00a0<strong>b<\/strong>revis closest to the\u00a0<strong>b<\/strong>one. follow them proximally to the muscle and distally with particular attention to the insertion of the peroneus brevis tendon onto the base of the 5th metatarsal.<\/p><p><strong>calcaneo-fibular ligament<em>:<\/em><\/strong>\u00a0with the probe diagonally under the malleolus, angled from the fibula to the heel, you will see the peroneus tendons in transverse and the calcaneo-fibula ligament underlying them.<\/p><p><strong>anterior ankle<\/strong><\/p><p>patient positioned as above.\u00a0<br \/><a href=\"\/\/www.iolishoes.com\/normal-ankle\/#atfl\" target=\"_blank\" rel=\"noopener\"><em>anterior talo-fibula ligament (atfl):<\/em><\/a>\u00a0place the heel of the probe on the anterior aspect of the distal fibula and rotate the toe of the probe towards the 2nd toe. the ligament should be readily visible as a 2cm long, 3mm thick tight fibrillar structure.\u00a0<br \/><a href=\"\/\/www.iolishoes.com\/normal-ankle\/#tibfib\" target=\"_blank\" rel=\"noopener\">tibio-fibula ligament (tfl):<\/a>\u00a0from the ataf, further rotate the toe of the probe until just above the horizontal. the tfl has a similar appearance to the ataf.\u00a0<br \/><a href=\"\/\/www.iolishoes.com\/normal-ankle\/#ed\" target=\"_blank\" rel=\"noopener\">extensor tendons:<\/a>\u00a0in transverse across the anterior ankle crease, you will see, from lateral to medial, the\u00a0<em>extensor digitorum<\/em>,\u00a0<em>extensor hallucis<\/em>\u00a0and\u00a0<em>tibialis anterior<\/em>\u00a0tendons. by independently mobilising each of the toes and watching the tendons glide, you can identify which is which and exclude tendon rupture the overlying extensor retinaculum should also be observed.<\/p><p><strong>medial ankle<\/strong><strong>\u00a0<\/strong><\/p><p>patient positioned as above.\u00a0<br \/><a href=\"\/\/www.iolishoes.com\/normal-ankle\/#tp\"><em>tibialis posterior, flexor digitorum and flexor hallucis longus tendons:<\/em>\u00a0<\/a>assess the tendons along their length in longitudinal and transverse. pay particular attention to the insertion of the tibialis posterior tendon with caution not to mistake the often present accessory ossicle, for an avulsed fragment. begin diagonally under the medial malleolus with the toe of the probe on the malleolus. you will see the tibialis posterior and flexor digitorum tendons in transverse. slide the probe postero-inferiorly and you will see the flexor hallucis longus tendon deeper against the calcaneum.<\/p><p>the\u00a0<a href=\"\/\/www.iolishoes.com\/normal-ankle\/#deltoid\">deltoid ligament:<\/a>\u00a0is poorly assessed with ultrasound.<\/p><p><a href=\"\/\/www.iolishoes.com\/normal-ankle\/#ptnerve\">posterior tibial nerve:<\/a>\u00a0the neurovascular bundle is easily seen posterior to the medial malleolus<\/p><p><strong>posterior ankle<\/strong><strong>\u00a0<\/strong><\/p><p><em>patient positioned<\/em>\u00a0prone with the feet off the end of the bed.\u00a0<br \/><a href=\"\/\/www.iolishoes.com\/usp%20ankle%20winner.html#achilles%20norm\">achilles tendon:<\/a>\u00a0perform a survey scan ,in transverse, from the calcaneum up to the musculo-tendinous junction (of both medial and lateral gastrocnemii). rotate into longitudinal and examine for thickening and integrity. at the same time assess the\u00a0<a href=\"\/\/www.iolishoes.com\/normal-ankle\/#kagers\">retrocalcaneal (kager&#8217;s) fat pad<\/a>.<\/p><p>the calf muscles and\u00a0<a href=\"\/\/www.iolishoes.com\/normal-ankle\/#plantaris\">plantaris tendon<\/a>\u00a0should also be assessed as clinically indicated.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-281b7507 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"281b7507\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5cb5bed0\" data-id=\"5cb5bed0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-50514c60 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"50514c60\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-75d0cfd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"75d0cfd\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-35172290\" data-id=\"35172290\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-53de62f0 elementor-widget elementor-widget-text-editor\" data-id=\"53de62f0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3><span class=\"ez-toc-section\" id=\"basic_hardcopy_imaging\"><\/span>basic hardcopy imaging<span class=\"ez-toc-section-end\"><\/span><\/h3><ul><li>if undertaking a targeted examination, saved imaging of normal and pathology in 2 planes should be performed.<\/li><\/ul><p><em>a comprehensive ankle series should include the following minimum images:<\/em><\/p><ul><li>peroneus tendons &#8211; long, trans + peroneus brevis insertion<\/li><li>calcaneo-fibular ligament<\/li><li>anterior talo-fibula ligament<\/li><li>tibio-fibula ligament<\/li><li>extensor digitorum tendon<\/li><li>extensor hallucis longus tendon<\/li><li>tibialis anterior tendon<\/li><li>tibialis posterior tendon<\/li><li>flexor digitorum tendon<\/li><li>flexor hallucis longus<\/li><li>achilles tendon and retro calcaneal bursa<\/li><li>document the normal anatomy. any pathology found in 2 planes(ligament tears or thickening, synovial bulging\/cysts, joint effusion, gross bony changes), including measurements and any vascularity.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>lateral ankle peroneus longus and brevis tendons calcaneo-fibula ligament anterior talofibula ligament tibio-fibula ligament subtalar joint peroneus longus &#038; brevis tendons anatomy peroneus longus wraps under the lateral foot to insert medially onto the 1st cuniform and proximal end of 1st metatarsal. approximately 20% of patients have an os peroneum (accessory ossicle) at the insertion [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"tags":[],"class_list":["post-232","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/pages\/232","targethints":{"allow":["get"]}}],"collection":[{"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/comments?post=232"}],"version-history":[{"count":0,"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/pages\/232\/revisions"}],"wp:attachment":[{"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/media?parent=232"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"\/\/www.iolishoes.com\/wp-json\/wp\/v2\/tags?post=232"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}