Periostitis blade of a horned dinosaur. Periostitis Periostitis, also known as periostalgia, is a medical condition caused by inflammation of the periosteum, a layer of connective tissue that surrounds bone. The condition is generally chronic, and is marked by tenderness and swelling of the bone and pain. Acute periostitis is due to infection, is characterized by diffuse formation of pus, severe pain, constitutional symptoms, and usually results in necrosis. It can be caused by excessive physical activity as well, as in the case of medial tibial stress syndrome (also referred to as tibial periostalgia, soleus periostalgia, or shin splints). Congenital infection
Posterior tibial artery the calcaneus. The posterior tibial artery pulse can be readily palpated halfway between the posterior border of the medial malleolus and the achilles tendon and is often examined by physicians when assessing a patient for peripheral vascular disease. It is very rarely absent in young and healthy individuals; in a study of 547 healthy individuals only one person did not have a palpable posterior tibial artery. It is easily palpated over Pimenta's Point. Posterior tibial artery The posterior tibial artery of the lower limb carries blood to the posterior compartment of the leg and plantar surface of the foot, from