Posterior tibial tendon pathology: the foot at risk and its treatment by os calcis osteotomy
1993; Elsevier BV; Volume: 3; Issue: 4 Linguagem: Inglês
10.1016/0958-2592(93)90002-k
ISSN1532-2963
Autores Tópico(s)Lower Extremity Biomechanics and Pathologies
ResumoA small number of adult seronegative patients present with crippling pain in one or both feet resulting in serious limitation of walking due to tibialis posterior pathology. It is postulated that this is due to the longstanding effects of the so called ‘pronated foot’. Such feet can be either high or low arched, frequently hypermobile, but have inadequate support under the first metatarsal head. The onset can be gradual, with elongation of the tendon and subsequent failure of the compensatory mechanism with ageing, or suddenly, with tendon rupture. The logical therapeutic implication is to treat the primary cause by recentring the load line within the support area of the foot by an os calcis osteotomy. A study of 18 patients has identified the ‘foot at risk’ and the results of surgery on 10 feet are analysed.
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