Citation Information :
Khazen GE. Stage I Posterior Tibial Tendon Dysfunction: Ten Years Follow-up after Endoscopic Treatment. J Foot Ankle Surg Asia-Pacific 2022; 9 (3):112-115.
Stage I posterior tibial tendon dysfunction (PTTD) is tenosynovitis or tendinitis without hindfoot deformity, for this reason, this condition can be misdiagnosed delaying correct treatment that may improve patient symptoms and probably stop disease progression to the next stage and flatfoot deformity. After diagnosis conservative treatment is indicated, if symptoms persist it has been recommended PTT surgical debridement and synovectomy, which can be performed endoscopically to avoid soft-tissue complications. PTT tendoscopy should be indicated early after diagnosis if patient symptoms do not improve or get worst with conservative treatment. After 10 years of follow-up, 75% of our patients treated for stage I PTTD did not progress to stage II either if they had tendon tears or not.
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