Journal of Foot and Ankle Surgery (Asia Pacific)

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VOLUME 6 , ISSUE 2 ( July-December, 2019 ) > List of Articles


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.

DOI: 10.5005/jp-journals-10040-1106

License: CC BY-NC 4.0

Published Online: 01-06-2020

Copyright Statement:  Copyright © 2019; The Author(s).


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.

  1. Godino M, Vides M, Guerado E. Traumatic dislocation of posterior tibial tendon by avulsion of flexor retinacular release. Reconstruction with suture anchors. Rev Esp Cir Ortop Traumatol 2015;59(3):211–214. DOI: 10.1016/j.recote.2015.03.002.
  2. Jeong S, Hwang S, Kim D, et al. A new surgical technique for traumatic dislocation of posterior tibial tendon with avulsion fracture of medial malleolus. Acta Orthop Traumatol Turc 2015;49(6):690–693. DOI: 10.3944/AOTT.2015.15.0021.
  3. Bencardino J, Beltran J, Broker M, et al. MR imaging of dislocation of the posterior tibial tendon. AJR Am J Roentgenol 1997;169(4): 1109–1112. DOI: 10.2214/ajr.169.4.9308473.
  4. Nuccion SL, Hunter DM, DiFiori J. Dislocation of the posterior tibial tendon without disruption of the flexor retinaculum: a case report and review of the literature. Am J Sports Med 2001;29(5):656–659. DOI: 10.1177/03635465010290052101.
  5. Lohrer H, Nauck T. Posterior tibial tendon dislocation: a systematic review of the literature and presentation of a case. Br J Sports Med 2010;44(6):398–406. DOI: 10.1136/bjsm.2007.040204.
  6. Gambardella GV, Donegan R, Caminear DS. Isolated dislocation of the posterior tibial tendon in an amateur snowboarder: a case report. J Foot Ankle Surg 2014;53(2):203–207. DOI: 10.1053/j.jfas.2013.10.006.
  7. Strydom A, Saragas NP, Tladi M, et al. Tibialis posterior tendon dislocation: a review and suggested classification. J Foot Ankle Surg 2017;56(3):656–665. DOI: 10.1053/j.jfas.2017.01. 006.
  8. Mitchell K, Mencia MM, Hoford R. The foot tibialis posterior tendon dislocation: a case report. Foot (Edinb) 2011;21(3):154–156. DOI: 10.1016/j.foot.2010.10.005.
  9. Goucher NR, Coughlin MJ, Kristensen RM. Dislocation of the posterior tibial tendon: a literature review and presentation of two cases. Iowa Orthop J 2006;26:122–126.
  10. Kim SC, Kim SH, Kim SJ. A case report: large trichobezoar causing rapunzel syndrome. Medicine (Baltimore) 2016;95(22):e3745. DOI: 10.1097/MD.0000000000003745.
  11. Ouzounian TJ, Myerson MS. Dislocation of the posterior tibial tendon. Foot Ankle 1992;13(4):215–219. DOI: 10.1177/107110079201300409.
  12. Trividi M, Brown E, Lese A, et al. Lateral dislocation and incarceration of the posterior tibial tendon through the distal tibiofibular syndesmosis. Skeletal Radiol 2014;43(8):1175–1178. DOI: 10.1007/s00256-014-1859-9.
  13. Aguiar ROC, Cabral MVG, Moura BB, et al. Dislocation of the flexor digitorum longus and posterior tibial tendons without fracture dislocation of the ankle: a case report. Foot Ankle Int 2007;28(11): 1187–1189. DOI: 10.3113/FAI.2007.1187.
  14. Ikuta Y, Adachi N, Nakasa T, et al. Postoperative repeat dislocation of the posterior tibial tendon: a case report. J Foot Ankle Surg 2017;56(3):687–691. DOI: 10.1053/j.jfas.2017.01.045.
  15. Healy WA, Starkweather KD, Gruber MA. Chronic dislocation of the posterior tibial tendon: a case report. Am J Sports Med 1995;23(6):776–777. DOI: 10.1177/036354659502300625.
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