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Anterior tibial tendon injuries.

Jolene Moyer¹, Rodney Kosanovich

¹University of Pittsburgh Medical College, South Side Hospital, 2100 Jane Street, Pittsburgh, PA 15203, USA. jmoyer@msx.upmc.edu

Clinics in Podiatric Medicine and Surgery

|October 17, 2002

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Anterior tibial tendon injuries are rare, often resulting from acute trauma. This review covers literature on these lower extremity tendon pathologies, including treatment options and outcomes.

Area of Science:

Orthopedics
Sports Medicine
Lower Extremity Biomechanics

Background:

Daily activities like walking and running place stress on lower extremity tendons.
Pathology of the anterior tibial tendon is infrequently reported in medical literature.
Most reported cases involve acute, complete ruptures due to forced injury.

Purpose of the Study:

To review the existing literature on anterior tibial tendon and muscle pathologies.
To discuss conservative and surgical treatment approaches for these injuries.
To examine the sequelae and outcomes following anterior tibial tendon injuries.

Main Methods:

Comprehensive literature review of anterior tibial tendon pathologies.
Analysis of reported cases focusing on injury mechanisms and types.

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Comparison of conservative management versus surgical interventions.

Evaluation of post-treatment sequelae and long-term outcomes.

Main Results:

Anterior tibial tendon injuries are uncommon, with complete ruptures being the most frequent presentation.
Lacerations and secondary pathological conditions of the anterior tibial tendon are rarely documented.
Literature provides varied evidence for conservative and surgical treatment efficacy.

Conclusions:

Anterior tibial tendon injuries require careful diagnosis and management due to their rarity.
Treatment strategies should be individualized based on injury severity and patient factors.
Further research is needed to establish optimal treatment guidelines and predict long-term sequelae.