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Tibialis Posterior Tendon Dislocation: A Review and Suggested Classification
Andrew Strydom1, Nikiforos Pandelis Saragas2, Makgabo Tladi3
1Fellow, The Orthopaedic Foot and Ankle Unit, Netcare Linksfield Hospital, Johannesburg, South Africa; Consultant Orthopaedic Surgeon, Department of Orthopaedic Surgery, University of the Witwatersrand, Johannesburg, South Africa.
Summary
Tibialis posterior tendon dislocation is often missed, delaying treatment. This study introduces a new classification system and surgical technique to improve diagnosis and management of this rare injury.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Anatomy
Background:
- Tibialis posterior tendon dislocation is an uncommon injury.
- Existing literature lacks consistent reporting on injury details and surgical methods.
- Delayed diagnosis can lead to suboptimal patient outcomes.
Purpose of the Study:
- To propose a novel classification system for tibialis posterior tendon dislocation.
- To describe an effective surgical technique for correcting this injury.
- To standardize reporting for future research and clinical practice.
Main Methods:
- Review of English-language published data on tibialis posterior tendon dislocations.
- Development of a new classification system based on injury patterns.
- Description of a specific surgical correction technique, including retromalleolar groove deepening.
- Case presentation of a professional volleyball player with this injury.
Main Results:
- Inconsistency in previous injury reporting and surgical techniques identified.
- A novel classification system for tibialis posterior tendon dislocation was established.
- A case of successful surgical correction using retromalleolar groove deepening was detailed.
Conclusions:
- A standardized classification system is needed for tibialis posterior tendon dislocation.
- The described surgical technique offers a viable option for managing this condition.
- Improved diagnostic and reporting methods can enhance treatment efficacy.
