Stage I and II Posterior Tibial Tendon Dysfunction: Return to Running?

Area of Science:

• Orthopedics
• Sports Medicine
• Podiatry

Background:

• Posterior tibial tendon dysfunction (PTTD) presents a significant challenge in athletic individuals.
• Accurate assessment of deformity components is crucial for effective management.

Purpose of the Study:

• To outline nonoperative and surgical strategies for treating PTTD in athletes.
• To discuss the potential for return to athletic activity after treatment.

Main Methods:

• Review of nonoperative interventions including orthotics and physical therapy.
• Evaluation of surgical reconstruction techniques for PTTD.
• Analysis of outcomes related to symptom minimization and return to activity.

Main Results:

• Nonoperative management, guided by deformity assessment, can optimize outcomes.
• Surgical intervention offers a viable option for patients not responding to conservative care.
• While full return to all athletic activities may not be guaranteed, many patients can achieve an active lifestyle.

Conclusions:

• A thorough understanding of PTTD deformity is key to successful nonoperative treatment.
• Surgical reconstruction can effectively alleviate symptoms in refractory cases.
• Restoration of an active lifestyle is a realistic goal for many athletes with PTTD post-treatment.