Posterior Tibial Tendon Dysfunction: An Overview.
Posterior Tibial Tendon Dysfunction: An Overview.
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DOI：
10.2174/1874325001711010714
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Lui TH
中科院分区：
文献类型：
--
作者：
Ling SK;Lui TH
成人获得性扁平足畸形是一种常见的疾病，具有广泛的临床谱。其范围从无症状受试者到严重残疾的关节炎患者。胫骨后肌腱功能障碍是成人获得性扁平足畸形的常见原因。本文系统地回顾了已发表的文献，从书籍和期刊，无论是原来写的或后来翻译成英文的主题胫后肌腱功能障碍。胫骨后肌腱功能障碍是一种原发性胫骨后软组织肌腱病，可导致足部生物力学改变。虽然胫骨后肌腱功能障碍的自然史尚不完全清楚，但大多数人认为它是一种进行性疾病。虽然临床检查在诊断成人获得性扁平足中很重要，但通常需要进一步调查以描述疾病的不同病因和阶段。文献描述了不同阶段胫骨后肌腱功能障碍的许多不同的管理选择。由于各种症状和畸形的严重程度，手术重建是基于点菜。共识是，需要提供过多的重建选项，并且程序列表应针对不同的症状进行定制，特别是在管理复杂的多平面重建时。
Adult acquired flatfoot deformity is a commonly seen condition with a large clinical spectrum. It ranges from asymptomatic subjects to severely disabled arthritic patients. Posterior tibialis tendon dysfunction is a common cause of adult acquired flatfoot deformity. This article systematically reviews the published literature from books and journals that were either originally written or later translated into the English language regarding the subject of posterior tibialis tendon dysfunction. Posterior tibialis tendon dysfunction is a primary soft tissue tendinopathy of the posterior tibialis that leads to altered foot biomechanics. Although the natural history of posterior tibialis tendon dysfunction is not fully known, it has mostly been agreed that it is a progressive disorder. While clinical examination is important in diagnosing adult acquired flat-feet; further investigation is often required to delineate the different aetiologies and stage of the disease. The literature describes many different management choices for the different stages of posterior tibialis tendon dysfunction. Because of the wide range of symptom and deformity severity, surgical reconstruction is based on a-la-carte. The consensus is that a plethora of reconstructive options needs to be available and the list of procedures should be tailored to tackle the different symptoms, especially when managing complex multi-planar reconstructions.