Posterior tibial tendon dysfunction: a silent but disabling condition

Abstract

Posterior tibial tendon dysfunction is common and a major cause of flat foot (pes planus) and functional impairment in adults. It is frequently undiagnosed and therefore inappropriately managed. This review raises awareness of posterior tibial tendon dysfunction with the intention of improving patient management.

Posterior tibialis tendon rupture associated with closed medial malleolus fracture and avulsion of anterior talofibular ligament: A case report and review of the literature

“…PTT rupture without repair can ultimately lead to severe pes planovalgus deformity followed by possible degenerative changes to surrounding joints and pain. 7,8 While to the best of our knowledge, there have been a few case reports describing complete PTT rupture in association with closed ankle fracture, [9][10][11][12][13][14][15][16][17][18][19][20][21] we could not find any reports of a triad of simultaneous closed medial malleolus fracture, ATFL avulsion from the talus, and PTT tendon rupture. So we think that it would be worthy to report this case after obtaining written informed consent for his anonymized information to be published in this article.…”

“…PTT rupture without repair can ultimately lead to severe pes planovalgus deformity followed by possible degenerative changes to surrounding joints and pain. 7,8…”

“…The adverse clinical effects of dysfunctional PTT on stability and the kinematics of the foot and ankle have been thoroughly explained. PTT rupture without repair can ultimately lead to severe pes planovalgus deformity followed by possible degenerative changes to surrounding joints and pain 7 , 8 …”

Finite element simulation on posterior tibial tendinopathy: Load transfer alteration and implications to the onset of pes planus

“…Posterior Tibial Tendinopathy (PTT) is described as a silent disabling condition; it is difficult to detect in the early stage and is, therefore, likely to progress into pes planus (Singh et al, 2012). Angular or kinematic changes of pes planus were widely studied (Haleem et al, 2014;Spratley et al, 2013;Zhang et al, 2015), but they could fail to fully address the pathomechanism since the onset does not present observational or radiographic changes (Deland et al, 2005).…”