Posterior Tibial Tendon Dysfunction: An Overview

Ling, Samuel Ka-Kin; Lui, Tun Hing

doi:10.2174/1874325001711010714

Cited by 47 publications

(52 citation statements)

References 68 publications

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“…Up to 15% of the population never develop well-defined arches. Developmental flatfoot among adults is considered physiologic unless the person becomes symptomatic (16,17). An estimated 7%-15% of adults with developmental flatfoot eventually develop symptoms that lead them to seek medical attention (16).…”

Section: Stabilizersmentioning

confidence: 99%

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: Stabilizersmentioning

confidence: 99%

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

Flores¹,

Gómez²,

Hernando³

et al. 2019

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161

106

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“…The non-surgical treatment of flatfeet has been studied and shown to be ineffective in addressing the osseous misaligned, so how could anyone expect the feet to auto-heal? There is documentation that adult flatfeet continue to progressively get worse (25,26). Those asymptomatic pediatric flatfeet eventually lead to a symptomatic adult flatfoot.…”

Section: The Myth Of "Autocorrection"mentioning

confidence: 99%

Pediatric Flatfeet—A Disease Entity That Demands Greater Attention and Treatment

Bresnahan

Juanto

2020

Front. Pediatr.

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Background: Pediatric flatfoot is a common deformity. Unfortunately, the common opinion has been that most children with this faulty foot structure will simply out-grow it, despite no radiographic evidence to support this claim. Every step on a deformed foot leads to excessive tissue strain and further joint damage. Many forms of conservative and surgical treatments have been offered. This study was aimed at investigating the effectiveness of non-surgical and surgical treatment options.Main Text: faulty-foot structure is the leading cause of many secondary orthopedic deformities. A wide range of treatments for pediatric flatfeet have been recommended from the “do-nothing” approach, observation, to irreversible reconstructive surgery. Most forms of conservative care lack evidence of osseous realignment and stability. A conservative surgical option of extra-osseous talotarsal joint stabilization provides patients an effective form of treatment without the complications associated with other irreversible surgical procedures.Conclusion: Pediatric flatfeet should not be ignored or downplayed. The sooner effective treatment is prescribed, the less damage will occur to other parts of the body. When possible, a more conservative corrective procedure should be performed prior to irreversible, joint destructive options.

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“…Além disso, o processo degenerativo é a causa mais comum das lesões do tendão do tibial posterior, segundo Ling & Lui [13]. Neste estudo foram realizadas as técnicas de artrodese subtalar, tríplice ou osteotomia com transferência tendínea do flexor longo dos dedos dependendo do grau e do perfil físico do paciente conforme literatura atual.…”

Section: I S C U S S ã Ounclassified

Tendinopatias do pé e tornozelo

Bittar¹,

Ricci²,

Costa³

et al. 2019

Rev. Ciênc. Méd.

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ObjetivoAvaliar a etiologia das tendinopatias e as diferentes técnicas cirúrgicas utilizadas na reparação dos tendões calcâneos, tibial posterior, tibial anterior, fibular curto e fibular longo e apresentar os resultados clínico-funcionais, grau de satisfação dos pacientes e as complicações pós-cirúrgicas.MétodosEstudo retrospectivo de 88 pacientes com lesões degenerativas ou agudas dos tendões calcâneo, tibial anterior, tibial posterior, fibular curto e fibular longo, entre o período de 2005 a 2017.ResultadosDos 88 pacientes analisados, 50 eram do sexo masculino e 38 do sexo feminino, com idade média de 49 anos. A frequência de lesão foi de 54% para o membro direito,40% para o membro esquerdo e 6% para ambos os pés. O mecanismo de ruptura predominante foi o degenerativo, em 56% dos pacientes. A maioria dos indivíduos (49%) apresentou lesões no tendão calcâneo e a técnica cirúrgica com a utilização do tendão semitendíneo foi empregada na maioria dos casos (41%). Os resultados clínicos funcionais obtidos pelo Questionário da American Orthopaedic Foot and Ankle Society no pós-operatório, após um tempo médio de 18 meses, foram de 87 pontos (variando de 65 a 92). Houve complicação na área receptora em apenas 5 pacientes.ConclusãoO reparo cirúrgico das tendinopatias mostrou-se extremamente efetivo na reabilitação funcional dos pacientes, com uma baixa taxa de complicações e elevado grau de satisfação dos pacientes.

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Posterior Tibial Tendon Dysfunction: An Overview

Cited by 47 publications

References 68 publications

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

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

Pediatric Flatfeet—A Disease Entity That Demands Greater Attention and Treatment

Tendinopatias do pé e tornozelo

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