Combined Rupture of the Anterior Tibial and Posterior Tibial Tendons: A New Clinical Entity

1994 ◽  
Vol 15 (9) ◽  
pp. 508-511 ◽  
Author(s):  
Tye J. Ouzounian
Keyword(s):  
Severe Pain ◽  
Tendon Rupture ◽  
Elderly Women ◽  
Valgus Deformity ◽  
Clinical Entity ◽  
Posterior Tibial Tendon ◽  
Posterior Tibial ◽  
Anterior Tibial ◽  
Anterior Tibial Tendon ◽  
Significant Clinical Improvement

Two patients with combined rupture of the anterior tibial tendon and posterior tibial tendon are described. Both were elderly women with a gradually progressive valgus deformity of the ankle/hindfoot and severe pain. Arthrodesis procedures were performed in both patients; however, postoperative complications prevented significant clinical improvement. This combined tendon rupture is presented to document a new clinical entity.

scholarly journals Anterior Tibial Tendon Side-to-Side Tenorrhaphy after Posterior Tibial Tendon Transfer: A Technique to Improve Reliability in Drop Foot after Common Peroneal Nerve Injury

2021 ◽  
Author(s):  
Miguel Estuardo Rodríguez-Argueta ◽  
Carlos Suarez-Ahedo ◽  
César Alejandro Jiménez-Aroche ◽  
Irene Rodríguez-Santamaria ◽  
Francisco Javier Pérez-Jiménez ◽  
...  
Keyword(s):  
Peroneal Nerve ◽  
Tendon Transfer ◽  
Common Peroneal Nerve ◽  
Posterior Tibial Tendon ◽  
Drop Foot ◽  
Posterior Tibial ◽  
Anterior Tibial ◽  
Anterior Tibial Tendon ◽  
Peroneal Nerve Injury ◽  
Improve Reliability

scholarly journals Medial Structure Injury During Suture Button Insertion Utilizing “Center-Center” Technique for Syndesmotic Stabilization

2018 ◽  
Vol 3 (3) ◽  
pp. 2473011418S0010
Author(s):  
Christopher Reb ◽  
Roberto Brandao ◽  
Bryan Van Dyke ◽  
Gregory Berlet ◽  
Mark Prissel
Keyword(s):  
Saphenous Vein ◽  
Drill Hole ◽  
Saphenous Nerve ◽  
Posterior Tibial Tendon ◽  
Reliable Technique ◽  
Anatomic Structure ◽  
Suture Button ◽  
Posterior Tibial ◽  
Anterior Tibial ◽  
Anterior Tibial Tendon

Category: Ankle Introduction/Purpose: The “Center-Center” technique for syndesmosis fixation has been described as an improved and reliable technique for proper reduction of the syndesmosis during ankle fracture repair. Concurrently, the use of a flexible suture button is becoming an established means of syndesmotic stabilization. The purpose of this cadaveric study was to assess for medial structure injury during the placement of a suture button utilizing the “Center-Center” technique for ankle syndesmotic repair at 3 insertion intervals. Methods: Simulated open syndesmosis repair was performed on 10 cadaveric specimens. Three intervals were measured at 10 mm, 20 mm, and 30 mm proximal to the level of the distal tibial articular surface along the fibula. Proper longitudinal alignment of the “Center-Center” technique was completed under fluoroscopic guidance and was marked on the medial aspect of the tibia. The 3 intervals were drilled in the appropriate technique trajectory. The suture button was passed through each drill-hole interval. Using a digital caliper, the distance was measured from each suture button aperture with respect to the anterior tibial tendon, posterior tibial tendon, greater saphenous vein and nerve by single observer. Results: The average distance from the suture button to each anatomic structure was -2.61 ± 3.75 mm for the greater saphenous vein, -3.44 ± 6.82 mm for the saphenous nerve, 15.09 ± 4.02 mm for the anterior tibial tendon, and -21.70 ± 4.89 mm for the posterior tibial tendon. Direct impingement of the greater saphenous vein was seen in 11/30 (36.6%) interval measurements. Six of the 11 (54.5%) entrapment intervals occurred at the 10 mm drill hole. Conclusion: The results of the present study suggest the use of the “Center-Center” technique for syndesmotic repair with suture button application does involve risk of injury to the greater saphenous vein and saphenous nerve. These injuries could manifest as persistent lower extremity edema and paresthesias for injury to the saphenous vein and nerve respectively. The “Center-Center” technique with suture button fixation may warrant a minimal medial open dissection, prior to quadricortical drilling, for optimal placement to prevent neurovascular injury.

The Bridle Procedure in the Treatment of Paralysis of the Foot

Foot & Ankle ◽  
1992 ◽  
Vol 13 (2) ◽  
pp. 63-69 ◽  
Author(s):  
Raoul P. Rodriguez
Keyword(s):  
Peroneal Nerve ◽  
Tendon Transfer ◽  
Nerve Palsy ◽  
Valgus Deformity ◽  
Lateral Malleolus ◽  
Posterior Tibial Tendon ◽  
Peroneal Nerve Palsy ◽  
Peroneus Longus ◽  
Posterior Tibial ◽  
Anterior Tibial

The Bridle procedure consists of a posterior tibial tendon transfer through the interosseous membrane to the dorsum of the foot with a dual anastomosis to the tendon of the anterior tibial and a rerouted peroneus longus in front of the lateral malleolus. This procedure is performed to restore loss of dorsiflexion and to balance the foot, preventing a secondary varus or valgus deformity. The procedure was performed in 10 patients with 11 feet with paralysis of dorsiflexion of the foot. All are brace-free. The results are better in patients with peroneal nerve palsy secondary to trauma.

scholarly journals PO 18205 - Case report

2019 ◽  
Vol 13 (Supl 1) ◽  
pp. 45S
Author(s):  
Rui Dos Santos Barroco ◽  
Antonio Candido de Paula Neto ◽  
Douglas Hideki Ikeuti ◽  
Letícia Zaccaria Prates de Oliveira ◽  
Bruno Rodrigues De Miranda ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Conservative Treatment ◽  
Tendon Transfer ◽  
Tendon Rupture ◽  
Posterior Tibial Tendon ◽  
Longus Tendon ◽  
Posterior Tibial ◽  
Extensor Hallucis Longus ◽  
Anterior Tibial ◽  
Peroneus Brevis

Introduction: Anterior tibial tendon ruptures are quite rare. All studies found in the literature refer to the adult population, with no reports of this injury in the pediatric population. The literature on the treatment of this injury is scarce. Objective: To report the case of a child subjected to peroneus brevis tendon transfer for the sequela of a severe anterior tibial and extensor hallucis longus tendon injury. Methods: Male patient, 8 years of age, was run over by a car and sustained an exposed tibial fracture and major soft-tissue injury of the foot. Anterior tibial, posterior tibial and extensor hallucis longus tendon rupture were detected. Damage control, soft-tissue cover and conservative treatment of the anterior tibial and extensor hallucis longus tendons were initially performed; however, the conservative treatment failed, and valgus deformity and pronation developed. Subsequently, tenoplasty (posterior tibial tendon), the Strayer procedure (gastrocnemius recession of the Achilles tendon) and elongation of the peroneus longus and brevis tendons were also performed, but the patient experienced deformity recurrence. Subcutaneous peroneus brevis tendon transfer to the navicular was then chosen, with postoperative use of an ankle-foot orthosis (AFO) and physical therapy. Results: The deformity was improved. The patient progressed with satisfactory gait and strength. He currently walks without support using an AFO. Both the patient and his family were satisfied with the functional outcome of the tendon transfer. Conclusion: Reconstruction of anterior tibial and extensor hallucis longus tendon rupture through peroneus brevis tendon transfer is a viable and reliable treatment option. No complications such as adhesions or correction failure were observed, thus corroborating the viability of this method.

Management of Isolated Anterior Tibial Tendon Rupture: A Systematic Review and Meta-Analysis

2019 ◽  
Vol 58 (2) ◽  
pp. 213-220 ◽  
Author(s):  
Anthony Tickner ◽  
Seiha Thorng ◽  
Mary Martin ◽  
Valerie Marmolejo
Keyword(s):  
Systematic Review ◽  
Tendon Rupture ◽  
Meta Analysis ◽  
Anterior Tibial ◽  
Anterior Tibial Tendon
Sign in / Sign up

Export Citation Format

Share Document