Citron N
Injury. 1985 Nov;16(9):610-2. doi: 10.1016/0020-1383(85)90009-9.
Accidental division of the tibialis posterior tendon near the medial malleolus is easily overlooked and can, if left untreated, cause a painful planovalgus deformity of the foot. Two such patients are described, who had small wounds near the medial malleolus and in whom the tendon's damage was not initially diagnosed. Both patients came later with a painful valgus flat foot. Diagnosis of the lesion may be difficult because the inversion and supination action of the tibialis posterior tendon can be mimicked by the long flexor tendons of the toes. A patient with an intact tibialis posterior tendon can invert and supinate the foot and then plantarflex and dorsiflex the toes with the foot held in that position. Damage to the tendon should be suspected in all penetrating wounds near the medical malleolus.
在内踝附近意外切断胫后肌腱很容易被忽视，如果不治疗，可能会导致足部疼痛性扁平外翻畸形。本文描述了两名此类患者，他们在内踝附近有小伤口，最初未诊断出肌腱损伤。两名患者后来都出现了疼痛性外翻扁平足。由于趾长屈肌腱可模拟胫后肌腱的内翻和旋后动作，因此该病变的诊断可能很困难。胫后肌腱完整的患者可以使足部内翻和旋后，然后在足部保持该位置的情况下使脚趾跖屈和背屈。在所有内踝附近的穿透性伤口中，都应怀疑肌腱损伤。
