Tibialis Posterior Tendon Dislocation: A Review and Suggested Classification

Strydom, A; Saragas, Nikiforos Pandelis; Tladi, Makgabo John; Ferrao, Paulo N. F.

doi:10.1053/j.jfas.2017.01.006

Cited by 12 publications

(33 citation statements)

References 32 publications

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“…Typically, patients may complain of medial ankle pain, difficulty with ambulation and a popping sensation 4 . Due to the relatively uncommon occurrence of this injury, multiple studies report delays in diagnosis and treatment 1,4,5,6 . Postoperative repeat dislocations are an even rarer entity and to knowledge there has only been one reported case in the literature 7 .…”

Section: Discussionmentioning

confidence: 99%

“…Traumatic subluxation or dislocation of the TPT is an uncommon injury that has not been extensively studied in the literature and to date, the data appear to be mostly limited to case reports. While dislocation of the peroneal tendons and lateral malleolar groove-deepening procedures have been readily described, the etiology and treatment guidelines of TPT dislocation have not been clearly defined 1,2 . Previous studies have discussed possible factors leading to this injury, including weakening of the flexor retinaculum, hypoplastic or shallow retromalleolar groove, medial malleolar fractures, or previous soft tissue procedures of the tarsal tunnel 3,10 .…”

Section: Introductionmentioning

confidence: 99%

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Repeat tibialis posterior tendon subluxation and retromalleolar groove deepening: A case report and technique guide

Irfan¹,

Steffes²

2021

Foot & Ankle Surgery: Techniques, Reports & Cases

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Repeat tibialis posterior tendon subluxation and retromalleolar groove deepening: A case report and technique guide

Irfan¹,

Steffes²

2021

Foot & Ankle Surgery: Techniques, Reports & Cases

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“…The leading symptom is medial ankle pain with tenderness behind the medial malleolus. Persistent swelling and events of snapping and clicking are described as well as sensations of instability and weakness of supination [ 9 ]. Due to swelling and pain, a clinical examination is often not possible.…”

Section: Discussionmentioning

confidence: 99%

“…Strydom classification supposes a treatment for each type (Table 2 ) [ 9 ]: Nonoperative treatment is considered only in type 1b, even though sufficient evidence is missing. The group further suggests surgical repair of the retinaculum (type 2) or reattachment with transosseous sutures (type 1a).…”

Section: Discussionmentioning

confidence: 99%

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Simultaneous traumatic dislocation of the posterior tibial tendon and long peroneal tendon: a case report

Riecke

Bölderl

et al. 2021

J Med Case Reports

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Background Viewing the existing literature, one can find several documents about dislocation of the peroneal tendons. Clinical findings, diagnostics, and therapy are well described. Instead, the list of documents describing dislocations of the posterior tibial tendon is short. We found no case in which a dislocation of both long peroneal tendon and posterior tibial tendon is described. Case presentation We present a case of a 29-year-old male patient who sustained an ankle injury after a fall at a boulder gym. He admitted himself with severe pain, tenderness, and swelling of his left ankle. Dislocation of the posterior tibial tendon and simultaneous dislocation of the long peroneal tendon was diagnosed using x-ray, computed tomography, and magnetic resonance imaging. Transosseous suture repair with periosteal augmentation of the flexor retinaculum was performed at the medial malleolus. At the lateral malleolus, transosseous suture was used to repair the superior retinaculum. The ankle was immobilized following surgery. The patient underwent physical therapy afterwards. The treatment resulted in good recovery, and the patient returned to the same level of performance at rock climbing. Conclusion Our novel finding is that simultaneously sustained dislocations of the posterior tibial tendon and the long peroneal tendon may occur and can be successfully treated as if each injury is treated individually. Level of evidence Level V, case report.

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Ultrasound Features of Ankle Retinacula: Normal Appearance and Pathologic Findings

Bianchi¹,

Becciolini²

2019

J of Ultrasound Medicine

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Disorders of retinacula are frequent in acute and repetitive microtrauma of the ankle. Ultrasound (US), thanks to its spatial resolution and dynamic capabilities, is routinely used in the evaluation of the posttraumatic ankle for accurate delineation of ligaments and tendons. In addition, US can provide a depiction of normal retinacula and a detailed assessment of their pathologic changes. An accurate US assessment of ankle retinacula is helpful in choosing the proper treatment. In this pictorial essay, we briefly review the normal anatomy of ankle retinacula, describe their normal US appearance, and present a wide range of US pathologic abnormalities.

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Tibialis Posterior Tendon Dislocation: A Review and Suggested Classification

Cited by 12 publications

References 32 publications

Repeat tibialis posterior tendon subluxation and retromalleolar groove deepening: A case report and technique guide

Repeat tibialis posterior tendon subluxation and retromalleolar groove deepening: A case report and technique guide

Simultaneous traumatic dislocation of the posterior tibial tendon and long peroneal tendon: a case report

Ultrasound Features of Ankle Retinacula: Normal Appearance and Pathologic Findings

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