Acquired Flat Foot due to Tibialis Posterior Rupture, a Known Yet Missed Cause
S.N Mansoor, Ahmed Zaheer Qureshi
Citation Information :
Mansoor S, Qureshi AZ. Acquired Flat Foot due to Tibialis Posterior Rupture, a Known Yet Missed Cause. Indian J Phy Med Rehab 2015; 26 (3):79-81.
Rupture of tibialis posterior tendon is a known cause of acquired flat foot but the diagnosis is missed or delayed in most of the cases. It may lead to significant morbidity. We present a case of 13 years old boy with history of blunt trauma to his left foot one year back and presented with pain medial aspect of right foot and difficulty in prolonged walking and running. Clinically he had a flat and hyperpronated foot. His x-rays were normal and MRI revealed partial tear of posterior tibial tendon. He was recommended medial arch support, shoe modification, NSAIDs and referred to orthopedic surgeon for repair. Posterior tibialis tendon dysfunction is one of the concealed injuries that require earliest diagnosis and immediate attention, failing which the outcomes can have debilitating effects on patient's quality of life. This is important to prevent foot deformities and long term disability.
Non-operative treatment of posterior tibial tendon dysfunction. Foot Ankle Int 1996;17:736-41.
Calcaneal osteotomy and transfer of the tendon of flexor digitorum longus for stage-II dysfunction of tibialis posterior. Three-to five-year results. J Bone Joint Surg Br 2002;84:54-8.
The role of muscles in arch support of the foot. J Bone Joint. Surg Am 1963;45:1184-90.
Pathoanatomy and aetiology of posterior tibial tendon dysfunction. Clin Orthop Relat Res 1999;365:12-22.
Current concepts review. Acquired flatfoot in adults due to dysfunction of the posterior tibial tendon. J Bone Joint Surg Am 1999;81:1173-82.
Rupture of the posterior tibial tendon causing flatfoot. J Bone Joint Surg Am 1985;67:556-61.
Posterior tibial tendon dysfunction: its association with seronegative disease. Foot Ankle 1989;9:219-25.
