Tibialis posterior tendon dysfunction.

@article{Johnson1989TibialisPT,
  title={Tibialis posterior tendon dysfunction.},
  author={K. A. Johnson and D E Strom},
  journal={Clinical orthopaedics and related research},
  year={1989},
  volume={239},
  pages={
          196-206
        }
}
Dysfunction of the tibialis posterior tendon evolves through a series of stages. The pain symptoms, clinical signs, and roentgenographic changes for each of these stages are characteristic. This staging system permits clarification and individualization of dysfunction, expected pathologic changes, and surgical treatment. The importance of the tibialis posterior tendon in normal hindfoot function and its treatment when injured are now being properly appreciated. 
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The focus of this chapter is to review the surgical options available for correction of posterior tibial tendon dysfunction.
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This chapter will focus on the adult population where the posterior tibial tendon plays a major role and flatfoot deformity is a common disorder in adults.
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References

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  • Medicine
    Clinical orthopaedics and related research
  • 1983
TLDR
Watch for such deformities as too many toes and including the single heel rise test in the examination will facilitate an accurate diagnosis ofupture of the tibialis posterior tendon.
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The diagnostic features in four cases of spontaneous rupture of the posterior tibial tendon were pain distal and posterior to the medial malleolus, loss of stability of the foot, and the absence of
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  • Medicine
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TLDR
Twelve patients in whom conservative treatment failed were treated by division of the tendon sheath, with complete relief in eleven, with one exception the changes were regarded as non-specific.
Chronic tenosynovitis of the posterior tibial tendon with new bone formation.
TLDR
Three cases of chronic non-specific tenosynovitis of the posterior tibial tendon are discussed, each presenting with the clinical findings typical of the syndrome but with associated radiological changes.
Spontaneous Rupture of the Tibialis Posterior Tendon: Clinical Findings, Tenographic Studies, and a New Technique of Repair
TLDR
It was concluded that while tenography was a significant diagnostic adjuvant, the diagnosis and decision for surgical intervention must be based primarily upon the clinical findings.
Acquired adult flat foot secondary to posterior tibial-tendon pathology.
TLDR
The signs and symptoms of dysfunction of the posterior tibial tendon are not specific for mid-substance ruptures of the tendon but also can occur with avulsions or synovitis, or perhaps from other, as yet undefined lesions.
Ankle tenography: a key to unexplained symptomatology. Part II: Diagnosis of chronic tendon disabilities.
Eight cases of tenosynovitis of the foot and ankle are reviewed with special attention to the value of tenography as a diagnostic and prognostic tool. Stenosing tenosynovitis of the posterior tibial
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TLDR
Treatment attempts to provide a dynamic replacement or enhancement of the insufficient posterior tibial muscle in order to restore the power of inversion to the hind part of the foot.
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TLDR
Surgery frequently can help patients who have not responded to conservative therapy to return to active and even competitive athletic lives.
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