Original article | Volume 24, Article 218, 12 Jul 2016 | 10.11604/pamj.2016.24.218.9162

Posterior tibial tendon dysfunction by bone imprisonment

Hassane Zejjari, Khalid Rachid

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

Received: 21 Feb 2016 - Accepted: 08 Mar 2016 - Published: 12 Jul 2016

Domain: Clinical medicine

Keywords: Dysfunction, posterior tibial tendon, bone imprisonment

©Hassane Zejjari et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Cite this article: Hassane Zejjari et al. Posterior tibial tendon dysfunction by bone imprisonment. Pan African Medical Journal. 2016;24:218. [doi: 10.11604/pamj.2016.24.218.9162]

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

Home | Volume 24 | Article number 218

Original article

Posterior tibial tendon dysfunction by bone imprisonment

Posterior tibial tendon dysfunction by bone imprisonment

Hassane Zejjari1,&, Khalid Rachid1

 

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

 

 

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Original article

Posterior tibial tendon dysfunction by bone imprisonment

Original article

Posterior tibial tendon dysfunction by bone imprisonment

Original article

Posterior tibial tendon dysfunction by bone imprisonment

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Dysfunction

Posterior tibial tendon

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