INFO - Tendon problems of the foot

May 1, 2005

Tendon problems.

Current Opinion in Orthopedics. 12(2):112-119, April 2001.

Arangio, A. MD, FACS

Abstract:

This review highlights the structure, blood supply, and biomechanics of

tendons. The basic science, diagnosis, and treatment of Achilles tendinosis

and rupture are presented. Literature of the past year supports that

diagnostic ultrasonography and treatment with steroid iontophoresis are cost

effective. Data support the hypothesis that open repair of the Achilles

tendon with early restricted plantar flexion range of motion and weight

bearing shortens rehabilitation time. Percutaneous Achilles tendon

lengthening in the adult stiff ankle is effective. Magnetic resonance

imaging of posterior tibial tendinosis is reviewed. In the rheumatoid foot,

there is a high correlation between flatfoot deformity and subtalar (sinus

tarsi) synovitis, but low correlation to posterior tibial rupture. Several

papers report that medial displacement calcaneal osteotomy and lateral

column lengthening decrease forces on the medial column in the cadaver foot.

The association of peroneus longus tendinosis with zones of compression

around the fibula, calcaneus, and cuboid were reported. Magnetic resonance

imaging studies correlate abnormalities of the ostrigonum, lateral talar

tubercle, and flexor hallucis longus synovitis to posterior ankle

impingement. Immunofluorescent antibody techniques quantitate that the

anterior tibial tendon has an avascular area, on the anterior compressed

half of the tendon, that corresponds to the area of clinical rupture.

Lastly, three articles are presented that review the fields of tendon tissue

engineering and collagen molecular biomechanics.

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Not an MD

I'll tell you where to go!

Mayo Clinic in Rochester

s Hopkins Medicine

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