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Posterior Tibial Tendon Dislocation: A Case Report.

Stefania Zannoni1, Carlo Bonifacini2, Domenico Albano3

  • 1Scuola di Specializzazione in Radiodiagnostica, Università degli Studi di Milano, Milano, Italy.

The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons
|October 21, 2021
PubMed
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This summary is machine-generated.

Isolated posterior tibial tendon dislocation, a rare condition, can be challenging to diagnose. Surgical intervention, involving tendon repositioning and retinaculum repair, proved effective for traumatic subluxation.

Area of Science:

  • Orthopedics
  • Sports Medicine
  • Radiology

Background:

  • Isolated posterior tibial tendon dislocation is a rare condition.
  • Diagnosis can be challenging, particularly in acute settings.
  • Predisposing factors include a shallow posterior tibial tendon groove and flexor retinaculum tears.

Observation:

  • This case report details traumatic subluxation of the posterior tibial tendon.
  • Dynamic ultrasound detected the dislocation, while MRI provided comprehensive evaluation of anatomical abnormalities and associated pathologies.
  • Conservative treatment was unsuccessful, necessitating a surgical approach.

Findings:

  • A surgical technique involving a bone tunnel behind the retromalleolar groove was employed.
  • The posterior tibial tendon was repositioned into the created groove.
Keywords:
magnetic resonanceposterior tibial tendon subluxationsurgerytendon instabilityultrasound

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  • The flexor retinaculum was repaired and tightened using anchors and absorbable sutures.

    • Implications:

    • Surgical intervention can effectively treat traumatic posterior tibial tendon subluxation.
    • The described technique offers a viable solution for this rare condition.
    • Successful surgical outcomes can restore normal function and eliminate residual pain.