- See:
rupture of tibialis posterior
- Dicussion:
- tendinitis is present but tendon remains at its normal length;
- in a young patient consider
accessory navicular;
- Non Operative Treatment:
- arch supports, rubber-soled shoe w/ quarter-inch medial heel, sole wedge, UCBL;
- immobilization in a short leg cast for 6 weeks;
-
NSAIDS;
- Surgical Treatment:
- if tenosynovitis persists over several months, then consider tenosynovectomy;
- w/ intra-tendinous elogation, consider tendon advancement and reattachment to the navicular;
- w/ intra-substance elongation, it is necessary to restore the tendon to its proper tension;
Posttraumatic posterior tibialis tendon insertional elongation with functional incompentency: A case report. RM Marks MD and LC Schon MD. FAI. Vol 19. No 3. March 1998. p 180.
Surgical treatment of stage I posterior tibial tendon dysfunction. Teasdall, R. D., and Johnson, K. A.: Foot and Ankle Internat.. 15:646-648, Jan., 1994. Abstract
Comparison of MRI and Local Anesthetic Tendon Sheath Injection in the Diagnosis of Posterior Tibial Tendon Tenosynovitis
