Tibialis posterior tendon rupture in children

Acute Posterior Tibial Tendon Tear in an Ice-Hockey Player: A Case Report

“…7 Abosala et al published a case report of a non-traumatic PTT tear in a 10-year-old girl. 1 Porter et al reported two cases of PTT tears in athletic individuals who were younger than 30 years of age and required operative intervention prior to returning to competitive sports. 9 However in their series, one patient sustained only a 30% tear at the level of the medial malleolus with mucoid degenerative changes consistent with a chronic injury.…”

“…Posterior tibial tendon tears in athletes are exceedingly rare, but have been reported with increasing frequency over the past few years. 1,2,8,9 Sports that require quick acceleration and rapid changes in direction, such as ice-hockey, place increased stress on the posterior tibial tendon. In most cases of tendonitis, conservative treatment with rest and immobilization, followed by physical therapy and orthotic bracing is successful.…”

Surgical Reconstruction of Posterior Tibial Tendon Tear in Adolescents: Report of Two Cases and Review of the Literature

“…Complete posterior tibial tendon tear in youths was most often reported to be caused by penetrating trauma. 9 Recently, Abosala et al 1 published what they believe to be the first case report of a nontraumatic posterior tibial tendon tear in a 10-year-old girl.…”

“…This has not been previously described in adolescents with posterior tibial tendon tear. 1,9,14,15 However, this is a popular method of treating adults with posterior tibial tendon tears. 11,12 In our review of the literature, we found three patients who had reconstruction with the FHL tendon reported by the same authors.…”

“…A literature search yielded only three papers describing this entity, with one of the papers pertaining to athletes (Table 2). 1,9,14 Patients who were older than 18 years or who did not have a clear evidence of rupture by physical examination or radiography were excluded from this review. Only five patients were described (one of them was an athlete), and the ages of the patients ranged from 5 to 17 years with an average age of 10.4 years.…”