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Posterior tibial tendon dysfunction.

K M Supple1, J R Hanft, B J Murphy

  • 1Department of Diagnostic Radiology, Doctors' Hospital, Coral Gables, FL 33146.

Seminars in Arthritis and Rheumatism
|October 1, 1992
PubMed
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Posterior tibial tendon dysfunction can cause flat foot deformity. Early recognition and conservative treatments like rest and orthotics are often effective, but surgery may be needed for severe cases.

Area of Science:

  • Orthopedics
  • Podiatry
  • Musculoskeletal Disorders

Background:

  • Posterior tibial tendon dysfunction (PTTD) is a common condition often misdiagnosed.
  • It can lead to progressive flat foot deformity and chronic pain.
  • Early identification is crucial for effective management.

Purpose of the Study:

  • To review the presentation, diagnosis, and management of posterior tibial tendon dysfunction.
  • To highlight the importance of recognizing PTTD for appropriate treatment.
  • To outline the spectrum of PTTD from inflammation to rupture.

Main Methods:

  • Review of clinical presentation, including medial ankle and arch pain.
  • Radiographic assessment for bony changes in chronic cases.
  • Magnetic resonance imaging (MRI) for staging tendon pathology.

Related Experiment Videos

Main Results:

  • PTTD can progress from inflammation to tendon rupture and flat foot.
  • Plain radiographs show chronic anatomical changes.
  • MRI identifies three stages of tendon pathology.
  • Most cases respond to conservative treatment.

Conclusions:

  • Conservative management, including rest, NSAIDs, immobilization, or orthotics, is effective for most PTTD cases.
  • Surgical intervention is reserved for persistent tenosynovitis, complete rupture, or progressive deformity.
  • Timely diagnosis and appropriate management are key to preventing long-term complications.