Posterior Tibialis Tendon Dysfunction: Overview of Evaluation and Management
Kaihan Yao, MBBS; Timothy Xianyi Yang, MBBS; Wei Ping Yew, MBBS
Support Statement: There is no commercial support for this activity.
As a result of reading this article, physicians should be able to:
1. Recognize posterior tibialis tendon dysfunction and begin to include it in differential diagnoses.
2. Recall the basic anatomy and pathology of the posterior tibialis tendon.
3. Assess a patient for posterior tibialis tendon dysfunction with the appropriate investigations and stratify the severity of the condition.
4. Develop and formulate a treatment plan for a patient with posterior tibialis tendon dysfunction.
Reviewer names: Robert D. D’Ambrosia, MD, Editor-in-Chief, Orthopedics; Albert Aboulafia, MD, CME Editor, Orthopedics
Disclosure statement: In accordance with the Accreditation Council for Continuing Medical Education’s Standards for Commercial Support, all CME providers are required to disclose to the activity audience the relevant financial relationships of the planners, teachers, and authors involved in the development of CME content. An individual has a relevant financial relationship if he or she has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CME activity content over which the individual has control. Relationship information appears at the beginning of the CME-accredited article in this issue and also on this page.
Faculty members report the following financial relationships:
Robert D. D’Ambrosia, MD, has no relevant financial relationships to disclose.
Albert Aboulafia, MD, has no relevant financial relationships to disclose.
The authors have no relevant financial relationships to disclose.
The staff of Keck School of Medicine of USC and Orthopedics have no relevant financial relationships to disclose.
Signed disclosures are on file at Keck School of Medicine of USC.
Accreditation statements: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Keck School of Medicine of USC and SLACK Incorporated. The Keck School of Medicine of USC is accredited by the ACCME to provide continuing medical education for physicians.
Credit designation: The Keck School of Medicine of USC designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Release date: June 1, 2015.
Expiration date: July 1, 2018.
How to participate: To participate in this CME activity, you must read the educational objectives, log-in to www.Healio.com, pay for the activity ($20.00), answer the pretest questions, read the article[s], complete the CME posttest, and complete the evaluation. Provide only one (1) correct answer for each question. A satisfactory score is defined as answering 80% of the posttest questions correctly. Upon receipt of the completed materials, if a satisfactory score on the posttest is achieved, you will receive a certificate by email, issued by Keck School of Medicine of USC, for 1 AMA PRA Category 1 Credit™.
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Target audience: This CME activity is primarily targeted to orthopedic surgeons, hand surgeons, head and neck surgeons, trauma surgeons, physical medicine specialists, and rheumatologists. There is no specific background requirement for participants taking this activity.
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The posterior tibialis is a muscle in the deep posterior compartment of the calf that plays several key roles in the ankle and foot. Posterior tibialis tendon dysfunction is a complex but common and debilitating condition. Degenerative, inflammatory, functional, and traumatic etiologies have all been proposed. Despite being the leading cause of acquired flatfoot, it is often not recognized early enough. Knowledge of the anatomical considerations and etiology of posterior tibialis tendon dysfunction, as well as key concepts in its evaluation and management, will allow health care professionals to develop appropriate intervention strategies to prevent further development of flatfoot deformities.