BACKGROUND Split transfers of the tibialis anterior and posterior tendons are commonly performed to address hindfoot varus deformities in patients with cerebral palsy, stroke, or brain injury. Poor outcomes from these procedures are often attributed to a failure to tension the transferred tendon properly, but the mechanical effects of this aspect of the procedure have not been quantified, to ou...

Tibialis posterior tendon ruptures associated with closed medial malleolar fractures are rare. This article describes the association of tibialis posterior tendon ruptures with closed, high-energy, distal tibia fractures. Tendon ruptures are likely to be identified intraoperatively or missed if clinical evaluation at acute injury is limited. A high index of suspicion is required to diagnose thi...

Acquired flatfoot deformity after injury is usually due to partial or complete tearing of the tendon of tibialis posterior, with secondary failure of the other structures which maintain the medial longitudinal arch. We describe a patient in whom the rupture of the plantar calcaneonavicular (spring) ligament resulted in a clinical picture similar to that of rupture of the tendon of tibialis post...

 Background: The transfer of the tibialis posterior tendon to the dorsum of foot can restore the function of the paralyzed dorsiflexor muscles of the foot and ankle. In order to reduce the wound complication in the insertion site of tendon to bone by a plantar knop we used a new method of fixation by an absorbable screw inserted dorsally. Methods: we performed this operation on 15 patients in...

BackgroundTibialis posterior tendon, deltoid ligament and spring are the three most important structures on medial aspect of foot. They contribute to stability foot ankle also maintenance arches These get affected dimensions disrupted in various traumatic degenerative conditions. Normal range these has not been studied an Indian population. Our objective is define normal thicknesses using a cad...

©2004 British Editorial Society of Bone and Joint Surgery doi:10.1302/0301-620X.86B7. 15084 $2.00 J Bone Joint Surg [Br] 2004;86-B:939-46. An acquired flat-foot deformity caused by dysfunction of the tendon of tibialis posterior is common but often missed. Rupture of the tendon was first described in 1953.1 In 1969 Kettelkamp and Alexander2 published results of surgical exploration. They conclu...

The posterior compartment of leg is the largest but it diminishes markedly as it approaches the ankle. Flexor digitorum longus is thin and pointed proximally and gradually widens as it descends in the posterior compartment of leg. It arises from the posterior surface of the tibia medial to tibialis posterior from just below the soleal line to within seven or eight cm of the distal end of bone; ...