Posterior Tibial Tendon Integrity Can Be Screened With Plain Anteroposterior Foot Radiography
- Authors
- Kwon Ki Bum; Lee, Seung Yeol; Chung, Chin Youb; Park, Moon Seok; Choi, Ji Hye; Koo, Seungbum; Lee, Kyoung Min
- Issue Date
- Nov-2020
- Publisher
- SLACK INC
- Citation
- ORTHOPEDICS, v.43, no.6, pp.E503 - E507
- Indexed
- SCIE
SCOPUS
- Journal Title
- ORTHOPEDICS
- Volume
- 43
- Number
- 6
- Start Page
- E503
- End Page
- E507
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/190226
- DOI
- 10.3928/01477447-20200827-04
- ISSN
- 0147-7447
- Abstract
- Posterior tibial tendon integrity is an important consideration when treating adult-acquired flatfoot caused by posterior tibial tendon dysfunction. the condition of this tendon traditionally has been evaluated with ultrasonography or magnetic resonance imaging, but recent advances in radiography have increased the resolution of radiographic scot tissue images. Elie authors . examined whether the posterior tibial tendon could be screened with anteroposterior foot radiographs, based On interobserver agreement and accuracy. The authors retrospectively evaluated consecutive patients who underwent weight-bearing toot radiography and ultrasonography based on suspicion of posterior tibial tendinopathy. The integrity of the posterior tibial tendon was evaluated by 2 orthopedic surgeons with foot radiographs and scored as normal or abnormal. The authors evaluated iriterobserver agreement and compared the findings 01 ultrasonography and radiography to evaluate diagnostic accuracy. The study included 21 patients with a mean age of 51.5 +/- 15.7 years. Ultrasonography showed that 4 patients had normal tendon integrity, 6 patients had tenosynovitis and no tendinopathy, 8 patients had tendinopathy and tendon continuity, and 3 patients had loss of tendon continuity. The surgeons provided consistent radiographic findings for 81.0% of patients (17 of 21). On the basis of the ultrasonographic findings, the surgeons' accuracy was 76.2% (16 of 21) and 61.9% (13 of 21). The results indicate that weight-bearing anteroposterior foot radiography can be used to evaluate posterior tibial tendon integrity, which may allow orthopedic surgeons to predict the prognosis of patients with posterior tibial tendon dysfunction, determine the extent of surgical treatment, and evaluate tendon integrity postoperatively.
- Files in This Item
-
Go to Link
- Appears in
Collections - 서울 의과대학 > 서울 교육협력지원교실 > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.