Posterior tibial tendon dislocation: a systematic review of the literature and presentation of a case

British Journal of Sports Medicine
Heinz Lohrer, Tanja Nauck

Abstract

In contrast to posterior tibial tendon lesions, dislocations of the posterior tibial tendon are thought to be 'extremely rare'. Diagnostic criteria for this condition have not yet been established. A systematic literature review revealed 61 published cases with posterior tibial tendon dislocation in 36 reports, including eight (12 patients) in French and five (7 patients) in German. We add one more case, which was complicated by a longitudinal tibial tendon tear and a lateral talar dome osteochondral lesion. Fifty-nine cases were descriptively analysed regarding initial injury, subjective symptoms, clinical presentation and findings on different imaging modalities. Treatment and outcome were additionally evaluated. 58.5% of the initial injuries were induced by sport. Initially most cases were misdiagnosed (53.1%). 35.6% of the patients felt a recurrent snapping phenomenon at the medial ankle. Physical examination exhibited a cord-like structure over the medial malleolus in 58.6%, and a posterior tibial tendon (sub)luxation could be provocated in 54.2%. MRI, ultrasound and plain radiography (medial malleolar chip fracture) detected specific findings in 75.0%, 66.7% and 14.7%, respectively. Surgery was done in 83.1% of the patien...Continue Reading

Citations

Jun 30, 2012·The British Journal of Radiology·R GuillinR Duvauferrier
Dec 24, 2013·The Journal of Foot and Ankle Surgery : Official Publication of the American College of Foot and Ankle Surgeons·Gabriel V GambardellaDavid S Caminear
May 28, 2013·Foot and Ankle Clinics·William John Ribbans, Ajit Garde
Nov 24, 2011·PM & R : the Journal of Injury, Function, and Rehabilitation·Nitin B JainThomas H Grant
Nov 26, 2010·The Foot·Karlene MitchellRichard Hoford
May 10, 2011·Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons·Jeremy OakleyNilesh Makwana
Jun 3, 2014·Revista española de cirugía ortopédica y traumatología·M GodinoE Guerado
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Jul 11, 2020·JBJS Case Connector·Pedro Teixeira da MotaCarlos Pintado
Jul 30, 2016·Emergency Radiology·Yogesh S GuptaStephen Ling

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