Posterior tibial tendoscopy

Manuel Monteagudo; Ernesto Maceira

doi:10.1016/j.fcl.2014.10.009

Posterior tibial tendoscopy

Foot Ankle Clin. 2015 Mar;20(1):1-13. doi: 10.1016/j.fcl.2014.10.009. Epub 2014 Dec 13.

Authors

Manuel Monteagudo¹, Ernesto Maceira²

Affiliations

¹ 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.
² 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.

PMID: 25726479
DOI: 10.1016/j.fcl.2014.10.009

Abstract

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.

Keywords: Adult flatfoot; Endoscopy; Posterior tibial tendon; Tendoscopy.

Publication types

Review

MeSH terms

Debridement
Endoscopy / methods*
Flatfoot / surgery*
Humans
Magnetic Resonance Imaging
Posterior Tibial Tendon Dysfunction / diagnosis
Posterior Tibial Tendon Dysfunction / physiopathology
Posterior Tibial Tendon Dysfunction / surgery*
Suture Techniques