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If physical therapy fails, patients will often be referred for surgery. [1] [2] Surgery procedures become more invasive as the condition progresses. Tenosynovectomy with tubularization; Medial calcaneal osteotomy with posterior tendon debridement and repair; Flexor digitorum tendon (FDL) transfer; Spring ligament reconstruction; Achilles tendon ...
[1] [2] [3] When it is symptomatic, surgery may be necessary. Accessory navicular bone may cause a continuous stretch and stress on the tibialis posterior tendon which can progress to chronic disabling pain and may cause tendon rupture or secondary flat foot deformity; when this occurs this condition is commonly known as accessory navicular ...
The tibialis posterior muscle originates on the inner posterior border of the fibula laterally. [2] It is also attached to the interosseous membrane medially, which attaches to the tibia and fibula. [2] The tendon of the tibialis posterior muscle (sometimes called the posterior tibial tendon) descends posterior to the medial malleolus. [2]
[2] [13] More than a 2.7 mm increase between sides indicates a fibular collateral ligament tear, while greater than 4.0 mm indicates with a grade III posterolateral knee injury. [20] Posterior stress radiographs taken with the patient kneeling show the amount of posterior tibial translation in both knees and are helpful to diagnose PCL ...
Injury to the artery behind the knee, compartment syndrome [3] [4] Types: Anterior, posterior, lateral, medial, rotatory [4] Causes: Trauma [3] Diagnostic method: Based on history of the injury and physical examination, supported by medical imaging [5] [2] Differential diagnosis: Femur fracture, tibial fracture, patellar dislocation, ACL tear ...
If non-invasive treatment measures fail, tarsal tunnel release surgery may be recommended. Tarsal tunnel release is a form of a nerve decompression to relieve pressure on the tibial nerve. The incision is made behind the ankle bone and then down towards but not as far as the bottom of foot. The posterior tibial nerve is identified above the ankle.
Allograft (taken from a cadaver) patellar tendon, Achilles tendon, semitendinosus, gracilis, or posterior tibialis tendon; The goal of reconstruction surgery is to prevent instability and restore the function of the torn ligament, creating a stable knee. There are certain factors that the patient must consider when deciding for or against surgery.
Common causes of PCL injuries are direct blows to the flexed knee, such as the knee hitting the dashboard in a car accident or falling hard on the knee, both instances displacing the tibia posterior to the femur. [1] Surgery to repair the posterior cruciate ligament is controversial due to its placement and technical difficulty. [2]
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