Posterior tibial tendon dysfunction by bone imprisonment
Hassane Zejjari, Khalid Rachid
The Pan African Medical Journal. 2016;24:218. doi:10.11604/pamj.2016.24.218.9162

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Posterior tibial tendon dysfunction by bone imprisonment

Cite this: The Pan African Medical Journal. 2016;24:218. doi:10.11604/pamj.2016.24.218.9162

Received: 21/02/2016 - Accepted: 08/03/2016 - Published: 12/07/2016

Key words: Dysfunction, posterior tibial tendon, bone imprisonment

© Hassane Zejjari et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/24/218/full

Corresponding author: Hassane Zejjari, Department of Trauma and Orthopaedic Surgery, Military Hospital Moulay Ismail, Meknès, Morroco (hasanzej@gmail.com)


Posterior tibial tendon dysfunction by bone imprisonment

Hassane Zejjari1,&, Khalid Rachid1

 

1Department of Trauma and Orthopaedic Surgery, Military Hospital Moulay Ismail, Meknès, Morroco

 

 

&Corresponding author
Hassane Zejjari, Department of Trauma and Orthopaedic Surgery, Military Hospital Moulay Ismail, Meknès, Morroco

 

 

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The posterior tibial muscle is the main functional support of the plantar arch its dysfunction is the main cause of acquired flat foot. This is a 32 year old patient who consults for progressive pain of the inside of the ankle and right foot with a considerable decrease in its sporting and professional activity. Examination reveals a collapse of the plantar arch. The radiological assessment finds imprisonment of posterior tibial tendon in the internal retromalleolar bony canal. The patient received a release of the tendon with resection of the bony canal in full. The posterior tibial tendon showed longitudinal laceration was sutured and the internal retromalleolar canal was closed. The race and the freedom of the tendon were considered satisfactory by the end of surgery. The evolution was marked by the disappearance of pain, recovery of a satisfactory sport and professional activity and a progressive decrease in the collapse of the plantar arch.

 

 

Figure 1: appearance of bone imprisonment of posterior tibial tendon on a scanner of the ankle and the various stages of his surgical liberation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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ISSN: 1937-8688. © 2017 - Pan African Medical Journal. All rights reserved