2015
DOI: 10.4103/2249-4863.152245
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Posterior tibial tendon dysfunction: An overlooked cause of foot deformity

Abstract: Posterior tibial tendon dysfunction is the most common cause of adult acquired flatfoot. Degenerative changes in this tendon, lead to pain and weakness and if not identified and treated will progress to deformity of the foot and degenerative changes in the surrounding joints. Patients will complain of medial foot pain, weakness, and a slowly progressive foot deformity. A “too many toes” sign may be present and patients will be unable to perform a single heal raise test. Investigations such X-ray, ultrasound an… Show more

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Cited by 49 publications
(25 citation statements)
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“…It is a surprisingly common condition, with estimates of its prevalence ranging between 3.3% and 10%; however, the true prevalence may much higher due to the late diagnosis of this condition (Kohls‐Gatzoulis et al ). The disease is mainly characterized by progressiveness, which means that this condition worsens if the previous treatment is not implemented correctly (Mosier et al ; Yeap et al ; Kohls‐Gatzoulis et al ; Uchiyama et al ; Semple et al ; Carmody et al ). PTTD itself occurs as a consequence of overloading the TPM tendon and commonly occurs after activities that involve the tendon, such as running, triathlon, walking or hiking (Wilk et al ; Cipriani et al ; Burns et al ; Shaw et al ; Pinney and Lin ; Howitt et al ; Espinosa and Maurer ).…”
Section: Discussionmentioning
confidence: 99%
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“…It is a surprisingly common condition, with estimates of its prevalence ranging between 3.3% and 10%; however, the true prevalence may much higher due to the late diagnosis of this condition (Kohls‐Gatzoulis et al ). The disease is mainly characterized by progressiveness, which means that this condition worsens if the previous treatment is not implemented correctly (Mosier et al ; Yeap et al ; Kohls‐Gatzoulis et al ; Uchiyama et al ; Semple et al ; Carmody et al ). PTTD itself occurs as a consequence of overloading the TPM tendon and commonly occurs after activities that involve the tendon, such as running, triathlon, walking or hiking (Wilk et al ; Cipriani et al ; Burns et al ; Shaw et al ; Pinney and Lin ; Howitt et al ; Espinosa and Maurer ).…”
Section: Discussionmentioning
confidence: 99%
“…PTTD itself occurs as a consequence of overloading the TPM tendon and commonly occurs after activities that involve the tendon, such as running, triathlon, walking or hiking (Wilk et al ; Cipriani et al ; Burns et al ; Shaw et al ; Pinney and Lin ; Howitt et al ; Espinosa and Maurer ). By detecting early posterior tibial tendon disease, progression may be halted with nonoperative means; if left to progress, surgical reconstruction with osteotomy and arthrodesis becomes necessary (Arangio and Salathe ; Semple et al ; Carmody et al ). A weakening of the TPT could lead to the impossibility of effective action by the gastrocnemius muscle, which can lead to impaired balance and gait correct.…”
Section: Discussionmentioning
confidence: 99%
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“…Kada su uzdužni svodovi spušteni, stopalo je spušteno ili ravno (planus) [19], [20]. Spušteno stopalo kao i kavusno stopalo (s visokim svodom) ne prenosi sile učinkovito i zato može uzrokovati bol u stopalu.…”
Section: Uvodunclassified
“…Tibialis posterior dysfunction is well recognised as a cause of flatfeet in both adults and the elderly [13]. Thus, many studies often investigate the alterations of this muscle during the development of aging [3,34]. However, there has been no comprehensive evaluation of degenerative changes in structural and mechanical properties of the peroneus longus muscle to date.…”
Section: Introductionmentioning
confidence: 99%