Conti S F
Department of Orthopaedic Surgery, University of Pittsburgh Medical Center, Pennsylvania.
Orthop Clin North Am. 1994 Jan;25(1):109-21.
Posterior tibial tendon problems are uncommon sources of disability in athletes. Awareness of the condition and early diagnosis are important to prevent disability and prolonged time away from sports. Appropriate imaging studies will aid in diagnosis. Tendon tears in younger patients are different than the typical ruptures seen in middle-aged and older adults. Treatment must be individualized based on the type of tear and degree of deformity present. Other conditions such as dislocation of the posterior tibial tendon, accessory navicular and exertional compartment syndrome can involve the tibialis posterior muscle and present as diagnostic dilemmas.
胫后肌腱问题在运动员中是罕见的致残原因。认识到这种情况并早期诊断对于预防残疾和避免长时间远离运动很重要。适当的影像学检查将有助于诊断。年轻患者的肌腱撕裂与中老年患者常见的典型断裂不同。治疗必须根据撕裂类型和现有畸形程度进行个体化。其他情况，如胫后肌腱脱位、副舟骨和运动性骨筋膜室综合征，可能累及胫骨后肌，并带来诊断难题。
