Posterior Tibialis Tendon Dislocation

NewsBot · Feb 3, 2022

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Posterior Tibialis Tendon Dislocation: Case
Report and Review of Literature
Antigoni Gkoudina , Georgios Graikos , Maria Chatziargiriou , Panagiotis Saloupis
Cureus 13(11): e19301.

Posterior tibialis tendon (PTT) dislocation is an extremely rare yet significant finding in cases with
recalcitrant pain over the medial malleolus, usually as a consequence of trauma. The diagnosis is frequently
delayed, as the patient’s initial clinical presentation generally resembles benign musculoskeletal pathology
of the ankle joint. Herein, we report the case of a female patient diagnosed with PTT dislocation after four
weeks of conservative management for an ankle sprain. Surgical intervention, including retromalleolar
groove-deepening and repair of flexor retinaculum with intraosseous suture anchors, proved to be successful
after a mean follow-up of 12 months. A thorough literature review was conducted regarding the
aforementioned injury, concluding that PTT dislocation-in spite of its rarity-should be included in the
differential diagnosis of patients with importunate pain on medial malleolus after an ankle injury.
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Anatomical Classification for Tibialis Posterior Tendon Insertion

Fluid around the distal tibialis posterior tendon

Tibialis PosteriorTendon Tear

Acute Tears of the Tibialis Posterior Tendon Following Ankle Sprain

Arterial Anatomy of the Tibialis Posterior Tendon

Tibialis Posterior Tendon Rupture

Chronic Tibialis Posterior Tendonitis

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