title: Posterior tibial tendon tear after 4-cortex syndesmotic screw fixation:  a case report and literature review.
abstract: We describe a previously unreported problem of a patient who underwent errant 4-cortex syndesmotic screw fixation with resultant posterior tibial tendon tear necessitating removal of hardware and repair of a tendon tear.
authors.affiliation: Department of Orthopaedic Surgery, Harvard Medical School, Massachusetts General Hospital, Boston, MA 02114, USA. johnkwonmd@gmail.com
authors.forename: John Y
authors.initials: JY
authors.lastname: Kwon
authors.forename: John T
authors.initials: JT
authors.lastname: Campbell
authors.forename: Mark S
authors.initials: MS
authors.lastname: Myerson
mesh_terms: D001863:Bone Screws; D020878:Device Removal; D005260:Female; D050723:Fractures, Bone / Q000150:complications*; D006801:Humans; D007049:Iatrogenic Disease; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D037081:Posterior Tibial Tendon Dysfunction / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*; D012421:Rupture; D013639:Tarsal Bones / Q000293:injuries*; D013708:Tendon Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery*