Deformity of the Foot Following Anterior Transfer of the Posterior Tibial Tendon and Lengthening of the Achilles Tendon for Spastic Equinovarus

Background: Imaging diagnosis plays a fundamental role in the evaluation and management of injuries suffered in sports activities. Objective: To analyze the differences in the thickness of the Achilles tendon, patellar tendon, plantar fascia, and posterior tibial tendon in the following levels of physical activity: persons who run regularly, persons otherwise physically active, and persons with a sedentary lifestyle. Design: Cross-sectional and observational. Participants: The 91 volunteers recruited from students at the university and the Triathlon Club from December 2016 to June 2019. The data were obtained (age, body mass index, and visual analog scale for quality of life together with the ultrasound measurements). Results: Tendon and ligament thickness was greater in the runners group than in the sedentary and active groups with the exception of the posterior tibial tendon. The thickness of the Achilles tendon was greater in the runners than in the other groups for both limbs (P = .007 and P = .005). This was also the case for the cross-sectional area (P < .01) and the plantar fascia at the heel insertion in both limbs (P = .034 and P = .026) and for patellar tendon thickness for the longitudinal measurement (P < .01). At the transversal level, however, the differences were only significant in the right limb (P = .040). Conclusion: The thickness of the Achilles tendon, plantar fascia, and patellar tendon is greater in runners than in persons who are otherwise active or who are sedentary.

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Seltene Sehnenpathologien am Fuss

Swiss Sports & Exercise Medicine ◽

10.34045/ssem/2015/23 ◽

2015 ◽

Vol 63 (4) ◽

Keyword(s):

Conservative Treatment ◽

Achilles Tendon ◽

Operative Therapy ◽

Defect Size ◽

Posterior Tibial Tendon ◽

Posterior Tibial

While lesions of the achilles tendon and posterior tibial tendon are common and well known, lesions of other ankle bridging tendons are rare and literature is sparse. However, many of these lesions are equally relevant in terms of maintaining the complex functionality of the foot. Such pathologies include tendinitis, tenosynovitis as well as partial and complete tears. If the continuity of the affected tendon is maintained, conservative treatment is appropriate. In cases of ruptures, operative therapy is often needed. Depending on the defect size and retraction of the tendon, auto- or allograft have to be used.

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Tendon and ligament disorders of the foot and ankle

10.1093/med/9780199550647.003.009005 ◽

2011 ◽

Author(s):

Matthew C. Solan ◽

Mark S. Davies

Keyword(s):

Surgical Treatment ◽

Achilles Tendon ◽

Clinical Diagnosis ◽

Posterior Tibial Tendon ◽

Foot And Ankle ◽

Ligament Injuries ◽

Posterior Tibial Tendon Dysfunction ◽

Posterior Tibial ◽

Ankle Ligament ◽

Achilles Tendonitis

♦ Treatment of tendon and ligament disorders of the foot depends on accurate clinical diagnosis, supported by investigation♦ The treatment of posterior tibial tendon dysfunction is guided by classification♦ Ankle ligament injuries only need surgical treatment if very severe or chronic♦ Achilles tendonitis is usually treated conservatively♦ Rupture of the Achilles tendon may be treated operatively or conservatively.

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Adult acquired flexible flatfoot, treated by calcaneo-cuboid distraction arthrodesis, posterior tibial tendon augmentation, and percutaneous Achilles tendon lengthening: A prospective outcome study of 20 patients

Acta Orthopaedica ◽

10.1080/17453670610045858 ◽

2006 ◽

Vol 77 (1) ◽

pp. 156-163 ◽

Cited By ~ 43

Author(s):

Arie van der Krans ◽

Jan Willem K Louwerens ◽

Patricia Anderson

Keyword(s):

Achilles Tendon ◽

Posterior Tibial Tendon ◽

Outcome Study ◽

Posterior Tibial ◽

Tendon Lengthening ◽

Flexible Flatfoot ◽

Achilles Tendon Lengthening

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Tendoscopy of the Achilles Tendon, Peroneal Tendon and Posterior Tibial Tendon

Arthroscopy ◽

10.1007/978-3-662-49376-2_94 ◽

2016 ◽

pp. 1105-1114

Author(s):

J. I. Wiegerinck ◽

C. N. van Dijk

Keyword(s):

Achilles Tendon ◽

Posterior Tibial Tendon ◽

Peroneal Tendon ◽

Posterior Tibial

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Anatomy of Second Muscular Layer of the Foot: Considerations for Tendon Selection in Transfer for Achilles and Posterior Tibial Tendon Reconstruction

Foot & Ankle International ◽

10.1177/107110079401500803 ◽

1994 ◽

Vol 15 (8) ◽

pp. 420-423 ◽

Cited By ~ 45

Author(s):

Keith L. Wapner ◽

Paul J. Hecht ◽

John R. Shea ◽

Thomas J. Allardyce

Keyword(s):

Achilles Tendon ◽

Relative Strength ◽

Flexor Hallucis Longus ◽

Posterior Tibial Tendon ◽

En Bloc ◽

Muscular Layer ◽

Tendon Reconstruction ◽

Posterior Tibial ◽

Flexor Digitorum ◽

Achilles Tendon Reconstruction

Controversy exists regarding tendon choice to substitute for a ruptured posterior tibial tendon. A similar debate about late Achilles tendon reconstruction also persists. To establish priorities and aid the surgeon's decision-making process, we studied 85 en bloc dissections of the second muscular layer of the sole. Muscular and tendinous interconnections were evaluated. Location and minimal donor deficit following harvest of the flexor digitorum longus make it the transfer of choice for posterior tibial tendon reconstruction. We suggest that relative strength, anatomic location, and available length of tendon make the flexor hallucis longus the superior choice for late Achilles tendon reconstruction.

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