Acute Posterior Tibial Tendon Rupture Can Induce a Rapid Development of Progressive Collapsing Foot Deformity: A Case...

Area of Science:

• Orthopedics
• Podiatry
• Foot and Ankle Surgery

Background:

• Progressive collapsing foot deformity (PCFD) is a complex condition affecting foot alignment.
• The posterior tibial tendon (PTT) plays a crucial role in maintaining foot arch support.
• Understanding the etiology and progression of PCFD is vital for effective treatment.

Purpose of the Study:

• To present a case study illustrating the link between PTT rupture and the rapid onset of PCFD.
• To provide chronologic insight into the development of tendon-driven PCFD.
• To emphasize the importance of early PTT injury recognition in PCFD management.

Main Methods:

• A case report detailing a 78-year-old female patient with a history of a fall.
• Utilized pre- and post-injury imaging to assess PTT integrity and foot alignment.
• Documented the progression of foot deformity following a traumatic event.

Main Results:

• Preinjury imaging showed an intact PTT and normal foot alignment.
• Postinjury imaging revealed a PTT rupture.
• The patient developed classic features of PCFD after the injury, indicating rapid deformity progression.

Conclusions:

• PTT rupture can be a direct precipitating factor for the rapid development of PCFD.
• This case highlights the tendon's critical role in preventing foot collapse.
• Early diagnosis and management of PTT injuries are essential to mitigate PCFD progression.