Bubra Preet Singh, Keighley Geffrey, Rateesh Shruti, Carmody David
Mona Vale Hospital, 1 Coronation Drive, Mona Vale NSW, Australia.
J Family Med Prim Care. 2015 Jan-Mar;4(1):26-9. doi: 10.4103/2249-4863.152245.
Posterior tibial tendon dysfunction is the most common cause of adult acquired flatfoot. Degenerative changes in this tendon, lead to pain and weakness and if not identified and treated will progress to deformity of the foot and degenerative changes in the surrounding joints. Patients will complain of medial foot pain, weakness, and a slowly progressive foot deformity. A "too many toes" sign may be present and patients will be unable to perform a single heal raise test. Investigations such X-ray, ultrasound and magnetic resonance imaging will help stage the disease and decide on management. The optimal manage may change based on the progression of deformity and stage of disease. Early identification and prompt initiation of treatment can halt progression of the disease. The purpose of this article is to examine the causes, signs, symptoms, examinations, investigations and treatment options for posterior tibial tendon dysfunction.
胫后肌腱功能障碍是成人后天性平足最常见的原因。该肌腱的退行性改变会导致疼痛和无力，如果未被识别和治疗，将发展为足部畸形以及周围关节的退行性改变。患者会主诉足内侧疼痛、无力以及缓慢进展的足部畸形。可能会出现“多趾”征，患者将无法完成单足跟抬起试验。诸如X线、超声和磁共振成像等检查将有助于对疾病进行分期并决定治疗方案。最佳治疗方案可能会根据畸形的进展和疾病阶段而改变。早期识别并及时开始治疗可阻止疾病进展。本文旨在探讨胫后肌腱功能障碍的病因、体征、症状、检查、检验及治疗选择。
