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Posterior tibial tendon dysfunction. Diagnosis, evaluation, and treatment
1Harris County Podiatric Surgical Residency Program, Houston, Texas, USA.
Clinics in Podiatric Medicine and Surgery
|February 1, 2000
Summary
Posterior tibial tendon dysfunction (PTTD) is a common lower extremity condition caused by tibialis posterior tendon issues. Early diagnosis and treatment are crucial to prevent progressive flatfoot deformity and potential joint complications.
Area of Science:
- Orthopedics
- Podiatry
- Biomechanics
Background:
- Posterior tibial tendon dysfunction (PTTD) is an increasingly recognized condition affecting the lower extremity.
- It involves muscle imbalance due to tibialis posterior tendon pathology, progressing from flexible to rigid flatfoot.
- Untreated PTTD can lead to peritalar dislocation and degenerative joint disease.
Purpose of the Study:
- To discuss the diagnosis and evaluation of posterior tibial tendon dysfunction.
- To outline the treatment options for PTTD.
- To increase awareness of this complex lower extremity condition.
Main Methods:
- Literature review of PTTD diagnosis, evaluation, and treatment.
- Discussion of the pathophysiology and clinical progression of PTTD.
- Synthesis of current understanding and management strategies.
Main Results:
- PTTD diagnosis involves clinical examination and imaging.
- Evaluation includes assessing foot posture, muscle strength, and tendon integrity.
- Treatment varies from conservative measures to surgical intervention.
Conclusions:
- Prompt diagnosis and appropriate management are essential for PTTD.
- Understanding the progression of PTTD guides treatment decisions.
- Effective treatment can prevent long-term complications and improve patient outcomes.