Diagnostic efficacy of ultrasonography in stage I posterior tibial tendon dysfunction: sonographic-surgical correlation.

1997 ◽  
Vol 16 (6) ◽  
pp. 417-423 ◽  
Author(s):  
Y J Chen ◽  
S C Liang
Keyword(s):  
Stage I ◽  
Posterior Tibial Tendon ◽  
Posterior Tibial Tendon Dysfunction ◽  
Diagnostic Efficacy ◽  
Posterior Tibial

Surgical Treatment of Stage I Posterior Tibial Tendon Dysfunction

1994 ◽  
Vol 15 (12) ◽  
pp. 646-648 ◽  
Author(s):  
Robert D. Teasdall ◽  
Kenneth A. Johnson
Keyword(s):  
Severe Pain ◽  
Stage I ◽  
Complete Relief ◽  
Posterior Tibial Tendon ◽  
Moderate Pain ◽  
Foot Deformity ◽  
Medial Aspect ◽  
Posterior Tibial Tendon Dysfunction ◽  
Posterior Tibial ◽  
Surgical Release

Nineteen patients underwent surgical synovectomy and debridement for the clinical diagnosis of stage I posterior tibial tendon (PTT) dysfunction. Stage I PTT dysfunction is characterized by pain and swelling along the medial aspect of the ankle. Fourteen patients (74%) reported complete relief of pain, 3 patients (16%) reported minor pain, and 1 patient (5%) had moderate pain, and 1 (5%) had continued severe pain. Sixteen (84%) of the patients subjectively reported being “much better” and had a return of function of the PTT, as evidenced by their ability to perform a single limb-heel-rise test. Two patients (10%) underwent subtalar arthrodesis for progressive foot deformity and continued pain. Based on these results, surgical release, tenosynovectomy, and debridement are recommended for the treatment of stage I PTT dysfunction.

Orthotic treatment for stage I and II posterior tibial tendon dysfunction (flat foot): A systematic review

2020 ◽  
pp. 026921552096012
Author(s):  
Isabel Gómez-Jurado ◽  
José María Juárez-Jiménez ◽  
Pedro V Munuera-Martínez
Keyword(s):  
Risk Of Bias ◽  
Stage I ◽  
Cochrane Library ◽  
Posterior Tibial Tendon ◽  
Foot Orthoses ◽  
Posterior Tibial Tendon Dysfunction ◽  
Flat Foot ◽  
Posterior Tibial ◽  
Exercise Programmes ◽  
Orthotic Treatment

Objective: To investigate whether orthotic treatment is effective for the treatment of posterior tibial tendon dysfunction stages I and II (flat foot). Data Sources: Five databases (PubMed, Scopus, PEDro, SPORTDiscus and The Cochrane Library) were searched for potential RCTs from their inception until August 2020. Review Methods: Only randomised controlled trials (RCT) that included subjects diagnosed with posterior tibial dysfunction in the initial stage and treated with orthotic treatments were selected. The outcomes assessed were whatever symptom related to posterior tibial tendon dysfunction stage I and II. Included RCTs were appraised using the Cochrane collaboration risk of bias tool. Results: Four RCT articles and 186 subjects were included. 75% were at high risk of bias for blinding of participants and personnel. Three different types of conservative treatment were used in the studies: foot/ankle-foot orthoses, footwear and stretching /strengthening exercises. Foot orthoses, together with exercise programmes, seemed to improve the effect of orthotic treatment. Foot orthoses with personalised internal longitudinal arch support were more effective than flat insoles or standard treatments in reducing pain. Conclusions: The use of orthotic treatment may be effective in reducing pain in the early stages of posterior tibial tendon dysfunction. Further research is needed into individualised orthotic treatment and high-intensity monitored exercise programmes.

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