Imaging of posterior tibial tendon dysfunction—Comparison of high-resolution ultrasound and 3T MRI

Arnoldner, Michael A.; Gruber, M.; Syré, Stefanie; Kristen, Karl-Heinz; Trnka, Hans-Jörg; Kainberger, Franz; Bodner, Gerd

doi:10.1016/j.ejrad.2015.05.021

Cited by 47 publications

(30 citation statements)

References 23 publications

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“…The posterior tibialis is the deepest and most central of the calf muscles, originating from the proximal tibia, fibula, and interosseous membrane. The tendon forms above the ankle and turns from a vertical to a more horizontal orientation at the medial malleolus, where it is held firmly in the retromalleolar groove by the flexor retinaculum, forming a fibro-osseous pulley (16,(28)(29)(30) (Fig 6). A 1-2-cm avascular segment is described behind the malleolus, where the intratendinous vessels lack anastomoses (31).…”

Section: Posterior Tibialis Tendon Anatomymentioning

confidence: 99%

“…Tears appear as clefts or gaps in a tendinotic tendon and are often associated with caliber alterations (38) (Fig 10). Dynamic US is useful in patients suspected of having friction syndrome at a thickened retinaculum and tendon instability related to flexor retinaculum disruption, which allows anterior tendon subluxation (29,38,42).…”

Section: Imaging Of Ptt Degenerationmentioning

confidence: 99%

“…MRI is the preferred modality for assessment of the PTT, and it has good accuracy for showing tendon abnormalities while allowing comprehensive evaluation of other soft-tissue and osseous structures (24,29,44). The normal PTT is the largest and most medial of the three flexor tendons and appears as an ovoid low-signal-intensity structure with a transverse diameter of 7-11 mm, which is approximately twice that of the adjacent flexor digitorum longus muscle (30,44,45) (Fig 11).…”

Section: Imaging Of Ptt Degenerationmentioning

confidence: 99%

See 2 more Smart Citations

Adult Acquired Flatfoot Deformity: Anatomy, Biomechanics, Staging, and Imaging Findings

Flores¹,

Gómez²,

Hernando³

et al. 2019

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■ Describe the anatomy and function of each of the principal stabilizers of the medial arch and how their dysfunction leads to AAFD. ■ Assess foot malalignment with standard radiographic metrics and recognize imaging findings that indicate damage to the supporting structures of the foot. ■ Explain the principles of clinical staging of AAFD and the most commonly used treatment options for each stage.

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Section: Posterior Tibialis Tendon Anatomymentioning

confidence: 99%

Section: Imaging Of Ptt Degenerationmentioning

confidence: 99%

Section: Imaging Of Ptt Degenerationmentioning

confidence: 99%

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Adult Acquired Flatfoot Deformity: Anatomy, Biomechanics, Staging, and Imaging Findings

Flores¹,

Gómez²,

Hernando³

et al. 2019

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106

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“…Therefore, we cannot compare the diagnostic performance between ultrasound and MRI in the detection of tendon abnormalities based in our study. For note prior publications have shown ultrasound to be equally accurate for the diagnosis of rotator cuff tendon injuries16 and even more accurate than MRI for posterior tibial tendon dysfunction 17…”

Section: Discussionmentioning

confidence: 99%

Epidemiology of imaging-detected tendon abnormalities in athletes participating in the Rio de Janeiro 2016 Summer Olympics

Jarraya

Crema

Engebretsen³

et al. 2017

Br J Sports Med

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“…Diagnostic ultrasound (US) is commonly used to assess tendon changes. Highresolution US is a cost effective, readily accessible and clinically available tool, 182 that has shown good sensitivity and specificity for diagnosing TPT when using MRI as the reference standard. 182 [225][226][227] It is a reliable method for assessing greyscale tendon changes (e.g.…”

Section: Introductionmentioning

confidence: 99%

Exploring the clinical presentation of tibialis posterior tendinopathy

Ross¹

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Foot pain is a common musculoskeletal complaint, that is associated with significant functional limitations and is often accompanied by systemic co-morbidities. Pain on the medial aspect of the foot and ankle between the medial malleolus and navicular is often diagnosed as dysfunction of the tibialis posterior tendon. Tibialis posterior tendinopathy (TPT) is considered to constitute the early stages of a condition that progresses to an acquired flatfoot deformity. Surgical intervention is recommended when conservative approaches are unsuccessful, with invasive and costly procedures recommended when significant deformity and dysfunction are present. Effective management in the early stages when tendon signs and symptoms predominate is desirable in order to prevent or delay progression of the condition. The overarching objective of this thesis was to inform the future development of targeted interventions for TPT. Specific thesis aims were to systematically synthesise current evidence in relation to terminology, clinical presentation and management of TPT (Part A) and to address current gaps in the literature in relation to diagnosis, and to explore the presentation of TPT using the ICF framework (Part B). iv Publications included in this thesis Ross MH, Smith MD, Vicenzino B. Reported selection criteria for adult acquired flatfoot deformity and posterior tibial tendon dysfunction: Are they one and the same? A systematic review. PLoS One. 2017;12(12):e0187201. Ross MH, Smith MD, Vicenzino B. Self-reported social and activity restrictions accompany local postural and strength impairments in posterior tibial tendon dysfunction: a systematic review. v Submitted manuscripts included in this thesis Ross MH, Smith MD, Durbridge, G, Vicenzino B. The diagnostic accuracy of clinical tests to diagnose ultrasound-confirmed tibialis posterior tendinopathy in patients presenting with medial foot/ankle pain. Submitted to BJSM. vi Other publications during candidature (as at May 2019) Peer-Reviewed PapersRoss MH, Setchell J. People who identify as LGBTIQ+ can experience assumptions, discomfort, some discrimination, and a lack of knowledge while attending physiotherapy: a survey.Plinsinga ML, Ross MH, Coombes BK, et al. Physical findings differ between individuals with greater trochanteric pain syndrome and healthy controls: A systematic review with meta-analysis.

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Imaging of posterior tibial tendon dysfunction—Comparison of high-resolution ultrasound and 3T MRI

Cited by 47 publications

References 23 publications

Adult Acquired Flatfoot Deformity: Anatomy, Biomechanics, Staging, and Imaging Findings

Adult Acquired Flatfoot Deformity: Anatomy, Biomechanics, Staging, and Imaging Findings

Epidemiology of imaging-detected tendon abnormalities in athletes participating in the Rio de Janeiro 2016 Summer Olympics

Exploring the clinical presentation of tibialis posterior tendinopathy

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