Posterior tibial tendoscopy.
The posterior tibial tendon (PTT) helps the triceps surae to work more efficiently during ambulation. Disorders of the PTT include tenosynovitis, acute rupture, degenerative tears, dislocation, instability, enthesopathies, and chronic tendinopathy with dysfunction and flat foot deformity. Open surgery of the PTT has been the conventional approach to deal with these disorders. However, tendoscopy has become a useful technique to diagnose and treat PTT disorders. This article focuses on PTT tendoscopy and tries to provide an understanding of the pathomechanics of the tendon, indications for surgery, surgical technique, advantages, complications, and limitations of this procedure.
Orthopaedic Foot and Ankle Unit, Orthopaedic and Trauma Department, Hospital Universitario Quirón Madrid, Calle Diego de Velázquez n°1, 28223 Pozuelo de Alarcón, Madrid, Spain; Universidad Europea de Madrid, C/Tajo s/n, Villaviciosa de Odón, Madrid 28670, Spain. Electronic address: mmontyr@yahoo.com.
Manuel
M
Monteagudo
Orthopaedic Foot and Ankle Unit, Orthopaedic and Trauma Department, Hospital Universitario Quirón Madrid, Calle Diego de Velázquez n°1, 28223 Pozuelo de Alarcón, Madrid, Spain.
Ernesto
E
Maceira
D003646:Debridement; D004724:Endoscopy / Q000379:methods*; D005413:Flatfoot / Q000601:surgery*; D006801:Humans; D008279:Magnetic Resonance Imaging; D037081:Posterior Tibial Tendon Dysfunction / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D013536:Suture Techniques
Adult flatfoot; Endoscopy; Posterior tibial tendon; Tendoscopy