[Tendinopathy of the tibialis anterior tendon : surgical management].
A tendinopathy of the tibialis anterior tendon is a rare clinical problem. MRI is the diagnostic tool of choice. The first-line therapy should be conservative. We report about five patients who underwent operative therapy after failed conservative treatment. The operation included débridement and augmentation of the tendon. The follow-up was at least 6 months. The mean preoperative Kitaoka score was 63 (50-68) points. After 3 months follow-up the mean Kitaoka score was up to 84 (80-90) points and at the 6-month follow-up up to 96 (94-100) points. The results showed a significant reduction of pain. Operative therapy should be considered in cases of failed conservative therapy.
Department für Fuß- und Sprunggelenkschirurgie, Orthopädische Klink der Medizinischen Hochschule Hannover im Annastift, Anna-von-Borries-Straße 3, 30625, Hannover, Deutschland. hwaizy@yahoo.com
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H
Waizy
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F
Goede
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C
Plaass
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Stukenborg-Colsman
D000328:Adult; D000842:Ankle / Q000473:pathology / Q000601:surgery*; D003646:Debridement; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000473:pathology / Q000601:surgery*; D011182:Postoperative Care; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology; D013536:Suture Techniques; D052256:Tendinopathy / Q000175:diagnosis / Q000601:surgery*