link
Bookmarks
Posterior Tibial Tendon Tear and Tendinopathy
Julia R. Crim, MD
To access 4,300 diagnoses written by the world's leading experts in radiology, please log in or subscribe.Log inSubscribe
0
17
1
0

KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Pathology

        • Diagnostic Checklist

          TERMINOLOGY

          • Abbreviations

            • Posterior tibial tendon (PTT)
          • Synonyms

            • Tibialis posterior tendon
          • Definitions

            • Type I accessory navicular: Sesamoid in PTT, normally slightly proximal to navicular
            • Type II accessory navicular: Accessory center of ossification united to parent navicular by synchondrosis
            • Type III accessory navicular: Assimilated accessory navicular, resulting in enlarged median eminence of navicular = cornuate navicular

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • MR Findings

                  • Ultrasonographic Findings

                    • Imaging Recommendations

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Staging, Grading, & Classification

                            • Relevant Anatomy

                              CLINICAL ISSUES

                              • Presentation

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Arnoldner MA et al: Imaging of posterior tibial tendon dysfunction-Comparison of high-resolution ultrasound and 3T MRI. Eur J Radiol. 84(9):1777-81, 2015
                                        2. Donovan A et al: Extraarticular lateral hindfoot impingement with posterior tibial tendon tear: MRI correlation. AJR Am J Roentgenol. 193(3):672-8, 2009
                                        3. Nallamshetty L et al: Evaluation of posterior tibial pathology: comparison of sonography and MR imaging. Skeletal Radiol. 34(7):375-80, 2005
                                        4. Balen PF et al: Association of posterior tibial tendon injury with spring ligament injury, sinus tarsi abnormality, and plantar fasciitis on MR imaging. AJR Am J Roentgenol. 176(5):1137-43, 2001
                                        5. Pomeroy GC et al: Acquired flatfoot in adults due to dysfunction of the posterior tibial tendon. J Bone Joint Surg Am. 81(8):1173-82, 1999
                                        6. Khoury NJ et al: MR imaging of posterior tibial tendon dysfunction. AJR Am J Roentgenol. 167(3):675-82, 1996
                                        Related Anatomy
                                        Loading...
                                        Related Differential Diagnoses
                                        Loading...
                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Pathology

                                              • Diagnostic Checklist

                                                TERMINOLOGY

                                                • Abbreviations

                                                  • Posterior tibial tendon (PTT)
                                                • Synonyms

                                                  • Tibialis posterior tendon
                                                • Definitions

                                                  • Type I accessory navicular: Sesamoid in PTT, normally slightly proximal to navicular
                                                  • Type II accessory navicular: Accessory center of ossification united to parent navicular by synchondrosis
                                                  • Type III accessory navicular: Assimilated accessory navicular, resulting in enlarged median eminence of navicular = cornuate navicular

                                                IMAGING

                                                • General Features

                                                  • Radiographic Findings

                                                    • CT Findings

                                                      • MR Findings

                                                        • Ultrasonographic Findings

                                                          • Imaging Recommendations

                                                            DIFFERENTIAL DIAGNOSIS

                                                              PATHOLOGY

                                                              • General Features

                                                                • Staging, Grading, & Classification

                                                                  • Relevant Anatomy

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Arnoldner MA et al: Imaging of posterior tibial tendon dysfunction-Comparison of high-resolution ultrasound and 3T MRI. Eur J Radiol. 84(9):1777-81, 2015
                                                                              2. Donovan A et al: Extraarticular lateral hindfoot impingement with posterior tibial tendon tear: MRI correlation. AJR Am J Roentgenol. 193(3):672-8, 2009
                                                                              3. Nallamshetty L et al: Evaluation of posterior tibial pathology: comparison of sonography and MR imaging. Skeletal Radiol. 34(7):375-80, 2005
                                                                              4. Balen PF et al: Association of posterior tibial tendon injury with spring ligament injury, sinus tarsi abnormality, and plantar fasciitis on MR imaging. AJR Am J Roentgenol. 176(5):1137-43, 2001
                                                                              5. Pomeroy GC et al: Acquired flatfoot in adults due to dysfunction of the posterior tibial tendon. J Bone Joint Surg Am. 81(8):1173-82, 1999
                                                                              6. Khoury NJ et al: MR imaging of posterior tibial tendon dysfunction. AJR Am J Roentgenol. 167(3):675-82, 1996