Author/Editor		Barovič, Jože; Vujović, Dragan
Title		Talo-peronealni sindrom pri nogometu
Translated title		Taloperoneal syndrome in football
Type		članek
Source		In: 1. mednarodna konferenca NOGOMED "Nogomet in medicina"; 2007 sep 28-29; Maribor. Maribor: ,
Publication year		2007
Volume		str. 79-82
Language		slo
Abstract		In sports medicine - and in football medicine in particular - pain in the foot is a very frequent occurrence. Such pain may well be caused by the taloperoneal pain syndrome. This syndrome is often proceded by an unidentified injury to the foot, which received improper treatment. The history taken from footballers coming to see a physician on account of pain in the foot includes a previous ankle inversion sprain. The sharp pain on full load is particularly disturbing. The pain increases during the day and decreases when resting. Clinical investigation reveals pain on palpation in the tarsal canal. Palpation is used to confirm the increased tonus of peroneal muscles, particularly in the region of the styloid process of the fibula. Occasionally pain is also present in the calcenocuboid and cuneonavicular joints.
Summary		V športni medicini so bolečine v stopalu zelo pogoste. Strokovno javnost bi želeli opozoriti na prisotnost taloperonealnega sindroma, ki ga pri svojem delu pogosto prezremo. Bolniki poleg bolečine posredujejo podatke o everzijskem zvinu stopala. Bolečina je posebej ostra pri polni obremenitvi stopala. Pri kliničnem pregledu opazujemo prisotnost bolečine na palpacijo v tarzalnem sinusu in v lateralni regiji subtalarnega sklepa. Tonus peronealne muskulature je povečan. Bolečina je posebej ostra na palpacijo v predelu procesusa stiloideusa fibule. Diagnozo potrjujemo z rentgenskim posnetkom, kjer pri stranski projekciji v polni obremenitvi (stoje) določamo kot talarne deklinacije (normalno od 9-25°), pri taloperonealnem sindromu pa je večji od 30°. Zdravljenje taloperonealnega sindroma je konzervativno. Po manipulaciji stopala, stopalo imobiliziramo za 14 dni, nakar sledi individualna kineziterapija ter elektroanalgetska fizikalna terapija.
Descriptors		FOOTBALL FOOT INJURIES ANKLE INJURIES PAIN