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Author Spotlight: Integrating Mechanical and Biological Analysis in Tendinopathy Research
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Posterior Tibial Tendon Dysfunction: An Overview.

Samuel Ka-Kin Ling1, Tun Hing Lui1

  • 1Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong SAR.

The Open Orthopaedics Journal
|October 6, 2017
PubMed
Summary

Posterior tibialis tendon dysfunction, a common cause of adult acquired flatfoot, is a progressive tendinopathy. Management requires tailored surgical reconstruction based on deformity severity and stage.

Keywords:
Adult acquired flatfoot deformityCalcaneovalgusFlatfootFoot archPes planusPosterior tibial tendonPosterior tibial tendon dysfunctionPosterior tibial tendon insufficiency

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Area of Science:

  • Orthopedics
  • Podiatry
  • Biomechanical Engineering

Background:

  • Adult acquired flatfoot deformity presents a wide clinical spectrum.
  • Posterior tibialis tendon dysfunction is a frequent etiology of this condition.
  • It ranges from asymptomatic cases to severe arthritic disability.

Purpose of the Study:

  • To systematically review the literature on posterior tibialis tendon dysfunction.
  • To consolidate current knowledge on its diagnosis and management.
  • To inform treatment strategies for adult acquired flatfoot deformity.

Main Methods:

  • Systematic literature review.
  • Inclusion of English language books and journal articles.
  • Focus on posterior tibialis tendon dysfunction.

Main Results:

  • Posterior tibialis tendon dysfunction is a primary tendinopathy causing altered foot biomechanics.
  • It is widely considered a progressive disorder.
  • Diagnosis involves clinical examination and often further investigation to determine etiology and stage.

Conclusions:

  • Surgical reconstruction is individualized ('a la carte') due to variable symptom and deformity severity.
  • A wide array of reconstructive options is necessary.
  • Procedures should be tailored for complex, multi-planar reconstructions.