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Review
. 2004 Dec 4;329(7478):1328-33.
doi: 10.1136/bmj.329.7478.1328.

Tibialis posterior dysfunction: a common and treatable cause of adult acquired flatfoot

Julie Kohls-Gatzoulis  1 , John C Angel, Dishan Singh, Fares Haddad, Julian Livingstone, Greg Berry
Affiliations
Review

Tibialis posterior dysfunction: a common and treatable cause of adult acquired flatfoot

Julie Kohls-Gatzoulis et al. BMJ. .
No abstract available

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Figures

Fig 5
Fig 5
Stage III tibialis posterior dysfunction before and after surgery (a triple arthrodesis). (top) Preoperative film shows a plantar flexed talus (arrows point to head of talus) and loss of arch contour and height. (bottom) Postoperative film shows union and reconstitution of the arch
Fig 5
Fig 5
Stage III tibialis posterior dysfunction before and after surgery (a triple arthrodesis). (top) Preoperative film shows a plantar flexed talus (arrows point to head of talus) and loss of arch contour and height. (bottom) Postoperative film shows union and reconstitution of the arch
Fig 1
Fig 1
Arrows indicate swelling along the tibialis posterior tendon
Fig 2
Fig 2
Left tibialis posterior dysfunction deformity is easily visible. The medial longitudinal arch is flattened. The left heel is in valgus. Also visible is the “too many toes sign,” which results from abduction of the left forefoot
Fig 3
Fig 3
(top) Unsupported single heel rise on patient's good (right) side. (bottom) Attempt to perform a single heel rise on the affected left side. The patient was unable to do so unsupported but for the purpose of this photo was allowed to lean forward and support herself on the counter in front of her. The heel of the left foot has not inverted into varus
Fig 3
Fig 3
(top) Unsupported single heel rise on patient's good (right) side. (bottom) Attempt to perform a single heel rise on the affected left side. The patient was unable to do so unsupported but for the purpose of this photo was allowed to lean forward and support herself on the counter in front of her. The heel of the left foot has not inverted into varus
Fig 4
Fig 4
Before surgery (top) and five years after surgery (bottom) for a patient with stage II tibialis posterior dysfunction. The surgical reconstruction included a Cobb split tibialis anterior tendon transfer and a Rose varus calcaneal osteotomy
Fig 4
Fig 4
Before surgery (top) and five years after surgery (bottom) for a patient with stage II tibialis posterior dysfunction. The surgical reconstruction included a Cobb split tibialis anterior tendon transfer and a Rose varus calcaneal osteotomy
Fig 6
Fig 6
Treating tibialis posterior dysfunction
See this image and copyright information in PMC

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References

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