title: Tibialis Posterior Tendon Entrapment Within Posterior Malleolar Fracture Fragment.
abstract: Management of posterior malleolus fractures continues to be controversial, with respect to both need for fixation and fixation methods. Fixation methods include an open posterior approach to the ankle as well as percutaneous reduction and fixation with or without arthroscopy for visualization of the articular surface. Plain radiographs are unreliable in identifying fracture pattern and intraoperative reduction, making arthroscopy a valuable adjunct to posterior malleolus fracture management. In this article, we report a case of tibialis posterior tendon entrapment within a posterior malleolus fracture, as identified by arthroscopy and managed with open reduction. Tibialis posterior tendon entrapment within a posterior malleolus has not been previously reported. Ankle arthroscopy for posterior malleolus fractures provides an opportunity to identify soft-tissue or tendinous entrapment, articular surface reduction, and articular cartilage injuries unlikely to be identified with fluoroscopy alone and should be considered in reduction and fixation of posterior malleolus fractures.
authors.affiliation: Department of Orthopedic Surgery, Rhode Island Hospital, Providence, RI. amanda.fantry@gmail.com.
authors.forename: Amanda
authors.initials: A
authors.lastname: Fantry
authors.forename: Craig
authors.initials: C
authors.lastname: Lareau
authors.forename: Bryan
authors.initials: B
authors.lastname: Vopat
authors.forename: Brad
authors.initials: B
authors.lastname: Blankenhorn
mesh_terms: D000368:Aged; D064386:Ankle Fractures / Q000150:complications* / Q000601:surgery; D016512:Ankle Injuries / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D000843:Ankle Joint / Q000601:surgery*; D001182:Arthroscopy; D018460:Fractures, Comminuted / Q000150:complications; D006801:Humans; D004204:Joint Dislocations / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D008297:Male; D053682:Tendon Entrapment / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*