![]() The tendon of the tibialis posterior muscle traverses the medial malleolus where it changes direction to insert on the navicular tuberosity, the plantar aspect of all three cuneiforms, the cuboid, and metatarsal bases two through four. The tibialis posterior muscle is a centralized muscle located in the deep posterior compartment of the leg. Treatment for PTTD is dependent on the severity of the condition, and clinicians have many conservative and surgical options to choose from. 1,2 PTTD is a progressive musculoskeletal condition that ranges from its simplest form as a localized tenosynovitis to a complex rigid foot and/or ankle deformity. AAFD is a common condition among patients caused primarily by specific pathology of the posterior tibialis tendon, referred to as posterior tibial tendon dysfunction (PTTD). Peterson, DPMĪdult acquired flatfoot deformity (AAFD), the painful flatfoot deformity in adults, is a major cause of disability for a patient and can be a challenge for foot and ankle specialists. Adult acquired flatfoot deformity, primarily posterior tibial tendon dysfunction, in many cases can be successfully managed with conservative treatment modalities including early immobilization, long-term bracing, physical therapy, and anti-inflammatory medications.īy Robert W.
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