title: Is advanced imaging necessary before surgical repair.
abstract: Posterior tibial tendon dysfunction (tendinitis, tendinosis, or rupture) and adult acquired flatfoot deformity can manifest with a wide array of bony and soft tissue abnormalities visible on plain radiographs, ultrasound, and magnetic resonance imaging. Imaging abnormalities include various combinations of malalignment, anatomic variants, and enthesopathic and tendinopathic changes. A thorough understanding of differences between anatomic and pathologic presentations of structures in various imaging modalities is an essential tool for clinical and surgical planning.
authors: Division of Foot & Ankle Surgery, West Penn Hospital, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA. Electronic address: jbaca@wpahs.org.
authors: John M
authors: JM
authors: Baca
authors: Division of Foot & Ankle Surgery, West Penn Hospital, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA.
authors: Colin
authors: C
authors: Zdenek
authors: Division of Foot & Ankle Surgery, West Penn Hospital, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA.
authors: Alan R
authors: AR
authors: Catanzariti
authors: Department of Orthopoedics, OhioHealth Orthopedic Surgeons, 4343 All Seasons Drive, Suite 140, Hilliard, OH 43026, USA; Foot & Ankle Surgical Residency, West Penn Hospital, 4800 Friendship Avenue, Pittsburgh, PA 15224, USA.
authors: Robert W
authors: RW
authors: Mendicino
mesh_terms: D000328:Adult; D000843:Ankle Joint / Q000473:pathology; D003952:Diagnostic Imaging; D005413:Flatfoot / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008023:Ligaments, Articular / Q000473:pathology / Q000601:surgery; D037081:Posterior Tibial Tendon Dysfunction / Q000473:pathology / Q000601:surgery; D011300:Preoperative Care; D013710:Tendons / Q000473:pathology / Q000601:surgery
keywords: Adult acquired flatfoot; Imaging; MRI; Posterior tibial tendon dysfunction; Ultrasound