Seltene Sehnenpathologien am Fuss

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.

Morphological Characteristics of Passive and Active Structures of the Foot Across Populations With Different Levels of Physical Activity

2021 ◽  
pp. 1-7
Author(s):  
Inmaculada Reina-Martin ◽  
Santiago Navarro-Ledesma ◽  
Ana Belen Ortega-Avila ◽  
Kevin Deschamps ◽  
Alfonso Martinez-Franco ◽  
...  
Keyword(s):  
Physical Activity ◽  
Achilles Tendon ◽  
Patellar Tendon ◽  
Morphological Characteristics ◽  
Plantar Fascia ◽  
Posterior Tibial Tendon ◽  
Cross Sectional ◽  
Posterior Tibial ◽  
Longitudinal Measurement ◽  
The Right

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.

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.

Tendon and ligament disorders of the foot and ankle

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.

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

1994 ◽  
Vol 15 (8) ◽  
pp. 420-423 ◽  
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.

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

Traumatic Rupture of Posterior Tibial Tendon Following Closed Supination-Adduction Ankle Fracture

2016 ◽  
Vol 6 (3) ◽  
pp. e75 ◽  
Author(s):  
Sathya Vamsi Krishna ◽  
Anoop Pilar ◽  
Sudhir N. Pai ◽  
Thomas Issac
Keyword(s):  
Ankle Fracture ◽  
Traumatic Rupture ◽  
Posterior Tibial Tendon ◽  
Posterior Tibial
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