ACQUIRED ADULT FLAT FOOT SECONDARY TO POSTERIOR TIBIAL-TENDON PATHOLOGY
ACQUIRED ADULT FLAT FOOT SECONDARY TO POSTERIOR TIBIAL-TENDON PATHOLOGY
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DOI：
10.2106/00004623-198668010-00012
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发表时间：
1986-01-01
影响因子：
5.3
通讯作者：
JOHNSON, KA
中科院分区：
文献类型：
--
作者：
FUNK, DA;CASS, JR;JOHNSON, KA
对19例临床诊断为胫后肌腱功能障碍的患者进行了手术探查。损伤类型有四种：肌腱止点撕脱(组I)、肌腱中质部断裂(组II)、肌腱不连续撕裂(组III)、无腱断裂、单纯腱鞘炎(组IV)。这些情况不能通过临床或放射学手段在术前分离。I组采用肌腱再植，II组采用屈肌腱移位，III组和IV组采用滑膜切除术。在随访时，I组的大多数患者报告没有改善，但II组、III组和IV组的患者在主观和客观上都有改善。胫后肌腱功能障碍的体征和症状不是肌腱中质断裂所特有的，也可以发生在撕脱或滑膜炎，或可能来自其他尚未明确的病变。
Nineteen patients with the clinical diagnosis of dysfunction of the posterior tibial tendon underwent surgical exploration. Four types of lesions were identified: avulsion of the tendon at the insertion (Group I), mid-substance rupture of the tendon (Group II), and in-continuity tear of the tendon (Group III), and no tendon tear, tenosynovitis only (Group IV). These conditions could not be separated preoperatively by clinical or radiographic means. The patients in Group I were treated by reinsertion of the tendon; in Group II, by flexor tendon transfer; and in Groups III and IV, by synovectomy. At follow-up, most patients in Group I reported no improvement, but the patients in Groups II, III, and IV showed both subjective and objective improvement. The signs and symptoms of dysfunction of the posterior tibial tendon are not specific for midsubstance ruptures of the tendon but also can occur with avulsions or synovitis, or perhaps from other, as yet undefined lesions.