Traumatic Dislocation of the Posterior Tibial Tendon: A Case Report and Review of the Literature
Hector Masaragian, Ezequiel Luege, Fernando Perin, Hernan Coria, Luciano Mizdraji, Juan M Santos, Leonel Rega, Nicolas Ameriso
Keywords :
Case report, Dislocation, Posterior tibial tendon, Traumatic
Citation Information :
Masaragian H, Luege E, Perin F, Coria H, Mizdraji L, Santos JM, Rega L, Ameriso N. Traumatic Dislocation of the Posterior Tibial Tendon: A Case Report and Review of the Literature. J Foot Ankle Surg Asia-Pacific 2019; 6 (2):41-45.
Background: Traumatic dislocation of the posterior tibial tendon (PTT) is a highly unusual pathology. Diagnosis is based on suspicion and clinical examination. Case description: A 35-year-old male patient suffered a car accident and presented swelling, pain, and instability in the medial side of the right ankle and ecchymosis, on the affected side, associated with deltoid ligament injury. The mechanisms of the injury have not been completely defined but, in most cases, it has been associated with forced dorsiflexion and inversion of the ankle. He was surgically treated 2 weeks after the procedure. Conclusion: Surgical treatment is mandatory. The goal is to relocate the tendon in its normal anatomical position and recreate a competent flexor retinaculum. Clinical significance: We present an unusual case report with good clinical results after surgical treatment and a surgical tip not described before.
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