Tibialis posterior dysfunction

master's thesis

• Title: Tibialis posterior dysfunction : a common and treatable cause of adult acquired flatfoot
• Author: Maja Đinkić
• Mentor: Ivan Bojanić (mentor)
• Committee member: Tomislav Smoljanović (predsjednik povjerenstva)
• Committee member: Tomislav Meštrović (član povjerenstva)
• Committee member: Ivan Bojanić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Orthopedics); Zagreb
• Defense date and country: 2014-07-15, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Orthopedics

Abstract

Posterior tibial tendon stabilizes the medial arch of the foot and has a crucial role
during gait. Posterior tibial tendon dysfunction is a clinical condition characterized by
hindfoot valgus, collapsed longitudinal arch, and abduction and supination of the
forefoot. Over the past twenty years, the incidence of posterior tibial tendon
dysfunction has been rising, most frequently occurring in middle-aged women. It is a
common and treatable cause of adult acquired flatfoot. Posterior tibial tendon
dysfunction is often misdiagnosed leaving the patient frustrated. The cause of
posterior tibial tendon dysfunction is not completely understood since there are
multiple factors that can contribute to posterior tibial tendon difficulties. There is
usually swelling and tenderness in the line of tibialis posterior, at and distal to the
medial malleolus. Patients often report change in the shape of the foot. Diagnosis is
mainly clinical; however, history and imaging may help to support the diagnosis.
Conservative care is possible in the earliest stages, whereas operative reconstruction
and eventually arthrodeses become needed in the later stages. An increased
awareness of posterior tibial tendon dysfunction is of importance for prompt diagnosis
and correct management.

• Keywords: posterior tibial trendon dysfunction; flatfoot; ankle; nonoperative treatment
• Language: english
• URN:NBN: urn:nbn:hr:105:198812
• Study programme: Title: Medicine (in English language); Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2015-12-03 13:15:56