title: Posterior tibial tendon dysfunction. Diagnosis, evaluation, and treatment.
abstract: Posterior tibial tendon dysfunction (PTTD) is a complex multifaceted condition that can affect the lower extremity. Rarely mentioned 20 years ago, today it is the subject of numerous articles, books, and is a topic at most scientific seminars relating to the foot and ankle. It is a muscle imbalance initiated by a rupture, avulsion, or chronic inflammation of the tibialis posterior tendon. With time, it progresses from a flexible to rigid flatfoot deformity. Left untreated, peritalar dislocation and degenerative joint disease may develop. This article discusses the diagnosis, evaluation, and treatment of PTTD.
authors.affiliation: Harris County Podiatric Surgical Residency Program, Houston, Texas, USA.
authors.forename: S S
authors.initials: SS
authors.lastname: Mendicino
mesh_terms: D005413:Flatfoot / Q000209:etiology / Q000601:surgery; D005528:Foot / Q000601:surgery*; D006801:Humans; D011032:Podiatry; D013708:Tendon Injuries / Q000150:complications / Q000175:diagnosis / Q000601:surgery*