Tibialis posterior rupture: Difference between revisions
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== Characteristics/Clinical Presentation == | == Characteristics/Clinical Presentation<ref name="2">William M. Geideman, J. E. Posterior Tibial Tendon Dysfunction. Journal of Orthopedic & Sports Physical Therapy , 2000, (2A SR): 68-77</ref> == | ||
• Swelling along the medial aspect of the foot and ankle<br>• Absence of the classical sudden severe pain of a tendon rupture<br>• Tenderness along the posterior tibialis tendon<br>• Progressive loss of longitudinal arch → pes planus and heel valgus<br>• Palpable pain between medial malleolus and navicular<br>• Pain in the plantar medial arch <br>[[Image:Pes_planus.JPG]]<br> | |||
== Differential Diagnosis == | == Differential Diagnosis == | ||
Revision as of 12:52, 30 December 2012
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Search Strategy[edit | edit source]
Databases Searched: Pubmed, ADB, web of knowledge, PEDro, The Journal of Joint and Bone Surgery, Dynamed, PhysioAdvisor
Keyword Searches: tibialis posterior tendon (TPT) , tibialis posterior rupture (TPR), tibialis posterior tendon rupture (TPTR), TPTR treatment, TPTR postoperative treatment, flatfoot, pes planovalgus, tendinitis
Definition/Description[edit | edit source]
Whenever the tibialis posterior muscle contracts or is stretched, tension is placed through the tibialis posterior tendon. If this tension is excessive due to too much force or repetition, damage to the tibialis posterior tendon may occur. This can range from minor tearing of the tendon with subsequent inflammation to a complete tibialis posterior tendon rupture. Early diagnosis and surgical repair will restore full normal function. Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title
A rupture of the posterior tibial tendon can be easily missed because the symptoms of this injury resemble the symptoms of a normal ankle sprain. Some physicians may feel that posterior tibial tendon rupture is a rare condition, one that they have never seen.
Clinically Relevant Anatomy[edit | edit source]
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Epidemiology /Etiology[edit | edit source]
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Characteristics/Clinical PresentationCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title[edit | edit source]
• Swelling along the medial aspect of the foot and ankle
• Absence of the classical sudden severe pain of a tendon rupture
• Tenderness along the posterior tibialis tendon
• Progressive loss of longitudinal arch → pes planus and heel valgus
• Palpable pain between medial malleolus and navicular
• Pain in the plantar medial arch 
Differential Diagnosis[edit | edit source]
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Diagnostic Procedures[edit | edit source]
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Outcome Measures[edit | edit source]
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Examination[edit | edit source]
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Medical Management
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Physical Therapy Management
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Key Research[edit | edit source]
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Resources
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Clinical Bottom Line[edit | edit source]
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Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
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