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Posterior tibial tendon dysfunction
1Department of Orthopaedic Surgery, Washington University School of Medicine, St Louis, Mo., USA. ifixbone@aol.com
The Journal of Orthopaedic and Sports Physical Therapy
|February 29, 2000
Summary
Posterior tibial tendon dysfunction, a common cause of adult acquired flatfoot, involves multiple foot structures. Early diagnosis and treatment are crucial to prevent long-term disability and manage this condition effectively.
Area of Science:
- Orthopedics
- Podiatry
- Musculoskeletal Disorders
Background:
- Posterior tibial tendon dysfunction (PTTD) is the primary cause of acquired flatfoot deformity in adults.
- This condition encompasses a range of pathologies affecting not only the posterior tibial tendon but also adjacent ligaments, tendons, and joints in the ankle, hindfoot, and midfoot.
Purpose of the Study:
- To provide a comprehensive review of posterior tibial tendon dysfunction.
- To cover key aspects including symptoms, physical and radiological examination findings, classification systems, and treatment modalities.
Main Methods:
- Literature review of posterior tibial tendon dysfunction.
- Synthesis of information on clinical presentation, diagnostic methods, and therapeutic strategies.
Main Results:
- PTTD presents a spectrum of pathology beyond the posterior tibial tendon itself.
- Early intervention is critical for preventing chronic debilitating consequences.
- Treatment approaches range from conservative management in early stages to surgical reconstruction and arthrodesis in advanced cases.
Conclusions:
- Effective management of posterior tibial tendon dysfunction requires a thorough understanding of its multifaceted nature.
- Timely diagnosis and appropriate treatment are essential for successful patient outcomes.
- The review highlights the progression of the disorder and the corresponding evolution of treatment options.