Interosseous membrane window size for tibialis posterior tendon transfer—Geometrical and MRI analysis

Wagner, Pablo; Ortiz, Cristián; Vela, Omar; Arias, Paul G.; Zanolli, Diego; Wagner, Emilio

doi:10.1016/j.fas.2015.09.001

Cited by 6 publications

(4 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…10,11 Although MRI may result in excellent image quality, it is expensive, is often not readily available to clinicians, and does not allow a dynamic assessment. [11][12][13] Ultrasound has a growing place in musculoskeletal rehabilitation. It has been used to evaluate the morphologic characteristics of muscles (thickness, CSA, and volume) [14][15][16][17] and tendons, 18 assess muscle activation, 19 measure rehabilitation or exercise intervention outcomes, [20][21][22] dynamically evaluate pathologic conditions, 13,23 and provide biofeedback.…”

mentioning

confidence: 99%

“…Magnetic resonance imaging has been used to image the resting TP muscle thickness, cross‐sectional area (CSA), and volume 9 as well as structures associated with its tendon 10,11 . Although MRI may result in excellent image quality, it is expensive, is often not readily available to clinicians, and does not allow a dynamic assessment 11–13 . Ultrasound has a growing place in musculoskeletal rehabilitation.…”

mentioning

confidence: 99%

See 1 more Smart Citation

Ultrasound Imaging Is Reliable for Tibialis Posterior Size Measurements

Johnson

Bruening

Violette

et al. 2020

J of Ultrasound Medicine

View full text Add to dashboard Cite

Objectives-The tibialis posterior (TP) is a vital muscle for controlling the medial longitudinal arch of the foot during weight-bearing activities. Dysfunction of this muscle is associated with a variety of pathologic conditions; thus, it is important to reliably assess its morphologic characteristics. Ultrasound (US) has been used to assess characteristics of TP tendons but not the muscle crosssectional area (CSA). The purpose of this study was to establish a reliable US technique to measure the TP CSA and thickness. Methods-Twenty-three healthy volunteers participated. We evaluated the CSA and thickness at 4 measurement locations (anterior and posterior views at both 30% and 50% of the shank length). Results-The participants included 12 female and 11 male volunteers (mean age AE SD, 31.23 AE 14.93 years). Excellent reliability was seen for the CSA and thickness at all locations (intraclass correlation coefficients, 0.988-0.998). Limits of agreement (LoA) and standard errors of the measurement (SEMs) were slightly lower at the 30% locations

show abstract

mentioning

confidence: 99%

mentioning

confidence: 99%

Ultrasound Imaging Is Reliable for Tibialis Posterior Size Measurements

Johnson

Bruening

Violette

et al. 2020

J of Ultrasound Medicine

View full text Add to dashboard Cite

show abstract

“…Thereby, surgeons can achieve a balanced flexion force. 20 , 21 The tenodesis on the medial cuneiform permit a central pull flexion force and the STS-T add a stronger construct, moreover, adding a second and balanced pull force. Biomechanical studies show that STS-T should be able to withstand the physiologic demands from earlier phases.…”

Section: Discussionmentioning

confidence: 99%

Anterior Tibial Tendon Side-to-Side Tenorrhaphy after Posterior Tibial Tendon Transfer: A Technique to Improve Reliability in Drop Foot after Common Peroneal Nerve Injury

Rodríguez-Argueta

Suárez-Ahedo

Jiménez-Aroche

et al. 2021

Arthroscopy Techniques

View full text Add to dashboard Cite

Common peroneal nerve injury is present in 40% of knee dislocations, and foot drop is the principal complication. Posterior tibial tendon transfer is a viable solution to replace the function of the anterior tibial tendon (ATT) in the mid-foot. Several techniques for posterior tibial tendon transfer exist today, with variable results reported. However, adding augmentation with side-to-side tenorrhaphy of ATT to the transferred posterior tibial tendon (PTT) enhances anterior tissue balance and load sharing stress between native ATT enthesis and PTT tenodesis, allowing early rehabilitation and improving functional outcomes. Side-to-side tenorrhaphy is performed after PTT tenodesis in the lateral cuneiform to improve reliability in foot drop. This technique allows shorter immobilization time (from 6 to 2 weeks), earlier rehabilitation, sooner weight-bearing, and decreased risk of arthrofibrosis, scar formation, and muscle atrophy.

show abstract

“…The FHL is characterized by the muscle belly extending further distally than it is in TP. We resected the distal part of the muscle that was in danger of entrapment in the interosseous membrane opening (16).…”

Section: Discussionmentioning

confidence: 99%

Flexor Hallucis Longus Transfer for Foot Drop without Functioning Tibialis Posterior

Boszczyk¹,

Kordasiewicz²

2017

Acta Chir. orthop. Traum. Cech.

View full text Add to dashboard Cite

digitorum longus (EDL), peroneus longus (PL) and peroneus brevis (PB) revealed no function (MRC=0 (15)), while testing of FHL and FDL revealed full (MRC=5) strength. The TP was not functioning (MRC=0) with contracture limiting pronation beyond neutral. The gastrocnemius strength was 4 with contracture limiting dorsiflexion. Supination of the foot was unrestricted. The passive range of ankle motion was (0)-5-45° (equinus contracture of 5°). There was checkrein phenomenon of the toes at the limit of dorsiflexion. On x-ray there were no signs of arthritis in the hindfoot. Patient scored 74 and 71 points in FAOQ (2) and AOFAS (8) scales, respectively. Decision processWith no return of peroneal nerve function in two years observation, neither improvement in conduction studies despite neurolysis, the nerve injury was deemed irreparable. The patient was unwilling to accept the brace and he opted for operative treatment. With no voluntary contraction of TP this tendon was deemed unsuitable for transfer. Fibrotic degeneration of TP is visible in MRI (Fig. 1). With no functioning TP, two potential motors were available -FHL and FDL. We chose to transfer the FHL tendon to the dorsum of the foot. Operative technique and aftertreatmentThe patient was operated supine without a tourniquet (due to previous vascular reconstruction). Z-lengthening of the Achilles tendon was performed through stab incisions (18). By this maneuver 10 degrees of dorsiflexion was achieved. Dorsiflexion exacerbated the checkrein deformity of the toes. Medial approach to the midfoot

show abstract

Interosseous membrane window size for tibialis posterior tendon transfer—Geometrical and MRI analysis

Cited by 6 publications

References 11 publications

Ultrasound Imaging Is Reliable for Tibialis Posterior Size Measurements

Ultrasound Imaging Is Reliable for Tibialis Posterior Size Measurements

Anterior Tibial Tendon Side-to-Side Tenorrhaphy after Posterior Tibial Tendon Transfer: A Technique to Improve Reliability in Drop Foot after Common Peroneal Nerve Injury

Flexor Hallucis Longus Transfer for Foot Drop without Functioning Tibialis Posterior

Contact Info

Product

Resources

About