Posterior tibial tendon dysfunction
Posterior tibial tendon dysfunction
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DOI：
10.2519/jospt.2000.30.2.68
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发表时间：
2000-02-01
影响因子：
6.1
通讯作者：
Johnson, JE
中科院分区：
文献类型：
--
作者：
Geideman, WM;Johnson, JE
胫骨后肌腱功能障碍是成人获得性平足畸形的最常见原因。尽管该术语表明病理仅涉及胫骨后肌腱，但该疾病包括一系列涉及相关肌腱、韧带以及踝关节、后足和中足关节结构的病理变化。早期识别和治疗是预防这种疾病造成的长期衰弱后果的关键。在最早阶段可以进行保守治疗，而在后期则需要进行手术重建和最终关节融合术。本文的目的是总结胫骨后肌腱功能障碍的症状、体格检查、放射学检查、分类和治疗。
Posterior tibial tendon dysfunction is the most common cause of acquired flatfoot deformity in adults. Although this term suggests pathology involving only the posterior tibial tendon, the disorder includes a spectrum of pathologic changes involving associated tendon, ligament, and joint structures of the ankle, hindfoot, and midfoot. Early recognition and treatment is the key to prevention of the debilitating, long-term consequences of this disorder. Conservative care is possible in the earliest stages, whereas surgical reconstruction and eventually arthrodeses become necessary in the latter stages. The purpose of this article is to review the symptoms, physical examination, radiological examination, classification, and treatment of posterior tibial tendon dysfunction.