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Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2017, Number 5

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Acta Ortop Mex 2017; 31 (5)

Acute rupture of the tibialis anterior tendon

Gómez-Canedo JM

Language: Spanish
References: 17
Page: 252-256
PDF size: 214.89 Kb.


ABSTRACT

Tibialis anterior tendon rupture is a relatively rare injury, with diverse etiologies, that can cause significant deficits in the functionality of the ankle. These injuries are sometimes diagnosed too late, being in many occasions the alteration in walking the symptom that makes the patient go to the doctor. The six weeks will mark the limit between acute and chronic injury, requiring different therapeutic approaches, along with other parameters such as age, functional demand or concomitant pathologies. Objective: To present two cases of acute rupture, with different etiology, the surgical technique used and the final results. Material and methods: We present two cases of acute rupture of the tibialis anterior tendon in the critical hipovascular area, a male and a female, with posttraumatic and spontaneous etiology, respectively, in which tendon reinsertion was performed on the tarsal scaphoid with a biothenodesis screw, followed by immobilization with permission to walk at three weeks and subsequent physiotherapy. Results: In both cases a satisfactory final functional result was obtained, with a significant improvement in the AOFAS score, returning to their work and sports activities at 3 and 4 months of surgery respectively, with a follow-up of 7.5 years and 10 months. Discussion: This technique, within the variety described in the medical literature, has provided us excellent results, restoring the functionality of the anterior tibialis tendon and being reproducible for its simplicity, providing a high degree of safety when performing an early physiotherapy.


REFERENCES

  1. Perry J: Gait analysis: normal and pathological function. SLACK incorporated: Thorofare, New Jersey. 1992; 174-5.

  2. Brüning F: Zwei seltene Fälle von subkutaner Sehnenzerreissung. München Med Wchschr. 1905; 23(52): 1928-9.

  3. Geppert MJ, Sobel M, Hannafin JA: Microvasculature of the tibialis anterior tendon. Foot Ankle. 1993; 14: 261-4.

  4. Petersen W, Stein V, Tillmann B: Blood supply of the tibialis anterior tendon. Arch Orthop Trauma Surg. 1999; 119(7-8): 371-5.

  5. Sammarco VJ, Sammarco GJ, Henning C, Chaim S: Surgical repair of acute and chronic tibialis anterior tendón ruptures. J Bone Joint Surg Am. 2009; 91(2): 325-32.

  6. Sammarco VJ, Sammarco GJ: Injuries to tibialis anterior, peroneal tendons and long flexors and extensors of the toes. In: Porter DA, Schon LC, editors. Baxter’s the foot and ankle in sports. 2nd ed. Philadelphia: Mosby Elvesier. 2008:121-46.

  7. Scott TA, Sammarco JG, Sammarco VJ: Surgical repair of tibialis anterior tendon ruptura. Tech Foot Ankle Surg. 2012; 11: 39-44.

  8. Anagnostakos K, Bachelier F, Fürst OA, Kelm J: Rupture of the anterior tibial tendon: three clinical cases, anatomical study, and literature review. Foot Ankle Int. 2006; 27: 330-9.

  9. Jerome JT, Varghese M, Sankarn B: Tibialis anterior rupture: a missed diagnosis. Foot Ankle Online J. 2010; 3(9): 2.

  10. Velan GJ, Hendel D: Degeneration tear of the tibialis anterior tendon after corticosteroid injection-augmentation with the extensor hallucis longus tendon. Case report. Acta Orthop Scand. 1997; 68(3): 308-9.

  11. ElMaraghy A, Deveraux MV: Bone tunnel fixation for repair of tibilais anterior tendon ruptura. Foot Ankle Surg. 2010; 16(2): e47-50.

  12. Rodrigues ME, Pereira A, Alpoim B, Geada JM: Traumatic rupture of the tibialis anterior tendon: a case report. Rev Bras Ortop. 2013; 48(3): 278-81.

  13. Funk SS, Gallagher B, Thomson AB: Repair of chronic tibialis anterior tendon ruptures. Orthopedics. 2016; 39(2): e386-e90.

  14. Gallego A, Anta L, Amhaz S, Caeiro JR: Desinserción inveterada del tendón tibial anterior. Rev Pie Tobillo. 2016; 30(2): 99-102.

  15. Mao H, Xu G: Soft tissue repair for tibialis anterior tendon ruptures using plate and screw fixation technique in combination with anterolateral thigh flaps transplantation. J Orthop Res. 2015; 10: 143-8.

  16. Miyamoto RG, Elser, F, Millett, PJ: Distal biceps tendon injury. J Bone Joint Surg Am. 2010; 92(11): 2128-38.

  17. Christman-Skieller C, Merz MK, Tansey JP: A systematic review of tibilais anterior tendon ruptura treatments and outcomes. Am J Orthop (Belle Mead NJ). 2015; 44(4): E94-9.




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