Tibialis Posterior Tendon Dysfunction

Question 1

role of the tibialis posterior tendon

Answer 1

supports medial arch of the foot, plantarflexing and inverting the foot

Question 2

define tibialis posterior tendon dysfunction

Answer 2

degeneration into tendinitis and can eventually rupture

Question 3

what is tibialis posterior tendon dysfunction a common cause of?

Answer 3

flat feet

Question 4

presentation of tibialis posterior tendon dysfunction

Answer 4

pain and/or swelling posterior to medial malleolus
change in foot shape
diminished walking ability/balance and dislike of uneven surfaces
hallux valgus

Question 5

management of tibialis posterior tendon dysfunction

Answer 5

physiotherapy
insoles
footwear
splint with medial arch to avoid rupture
surgical decompression and tenosynovectomy to prevent rupture
tendon transfer to prevent secondary OA with calcaeneal osteotomy
arthrodesis