Posterior tibial tendon problems can occur for a variety of reasons, including: Overuse symptoms occur after activities that use the tendon, such as walking, hiking or climbing stairs, especially when a person is not used to such activities.
Cause An acute injury, such as from a fall, can tear the posterior tibial tendon or cause it to become inﬂ amed. The tendon can also tear due to overuse. For example, people who do high-impact sports, such as basketball, tennis, or soccer, may have tears of the tendon from repetitive use. Anatomy The posterior tibial tendon is one of the most important tendons of the leg. A tendon attaches muscles to bones, and the posterior tibial tendon attaches the calf muscle to the bones on the inside of the foot. The main function of the tendon is to hold up the arch and support the foot when walking. The posterior tibial tendon attaches the calf muscle to the bones inside the foot and supports the foot and arch while walking. Flat feet or constant stress will cause the tendon to fray and tear, resulting in posterior tibial tendon dysfunction. Symptoms of Posterior Tibial Tendon Dysfunction include: 1  Foot pain is the main symptom of tibial tendon dysfunction. 2  Pain can occur on the inside of the foot and ankle. 3  Pain can magnify during high-impact activities. 4  Pain can occur on the outside of the ankle if the foot collapses. Anatomy. The posterior tibial tendon is one of the most important tendons of the leg. A tendon attaches muscles to bones, and the posterior tibial tendon attaches the calf muscle to the bones on the inside of the foot. The main function of the tendon is to hold up the arch and support the foot when walking. The posterior tibial tendon attaches the calf muscle to the bones on the inside of the foot Posterior tibial tendon rupture: Introduction. Posterior tibial tendon rupture: Rupture of the tendon at the bottom of the foot that helps maintain the foot arch. Some people are more prone to this condition than others-e.g. those who are over weight or have a history of flat feet. The pain usually begins on the inside of the foot behind the ankle.  The patient may also have a history of injury to the tibialis posterior muscle. Pain in the foot may be a symptom although this is usually associated with a secondary condition, such as a tendinopathy or a muscle or tendon tear in the foot. Posterior tibial syndrome is slightly different and is a dysfunction of the muscle, resulting in a fallen arch, or flat feet. Because the Tibialis Posterior muscle is responsible for inverting the foot, if it is not working correctly, then this causes the arch of the foot to flatten when we stand, walk or run. The cause of Posterior Tibial tendon tear or rupture is most often due to a trauma, forcing the foot to over pronate severely and quickly. The tendon is not allowed enough time to relax placing the stress on the insertion point.  The true meanings of these conditions are slightly different however. Tibialis posterior tendinopathy is just that a degenerative, painful injury to the tendon of the tibialis posterior. Posterior tibial syndrome is slightly different and is a dysfunction of the muscle, resulting in a fallen arch, or flat feet. Because the Tibialis Posterior muscle is responsible for inverting the foot, if it is not working correctly, then this causes the arch of the foot to flatten when we stand, walk or run. What causes posterior tibial tendonitis or tears? Posterior tibial tendon problems can occur for a variety of reasons, including: 1  Overuse: Overuse symptoms occur after activities that use the tendon, such as walking, hiking or climbing stairs, especially when a person is not used to such activities. In most cases, the symptoms of posterior tibial tendonitis develop gradually. When the tendon tears, the symptoms are more obvious. Symptoms may include the following: 1  Pain and swelling on the inside of the ankle. 2  Loss of the arch and the development of a flatfoot. 3  A rolling of the ankle and foot inwards. 1 Long term, it can cause the tendon to deteriorate, lengthen, and even completely rupture. 2  If that happens, the foot flattens. 3  This condition is called flatfoot deformity. 4  Aging. 5  With age, the posterior tibial muscle and tendon may become weaker and cause flattening of the arch. The posterior tibialis tendon helps maintain the arch of the foot and is used to turn the foot in (the medical term for this is “inversion”) and to help flex it (plantar flexion). Injury to this tendon can result in loss of function, primarily affecting push off from the ground with walking and running.
http://orthoinfo.aaos.org/PDFs/A00166.pdf http://www.footankleinstitute.com/posterior-tibial-tendon-dysfunction-tear http://orthoinfo.aaos.org/topic.cfm?topic=A00166 http://www.rightdiagnosis.com/p/posterior_tibial_tendon_rupture/intro.htm http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/tibialis-posterior-syndrome http://www.murraysshoes.com/posterior_tibial_rupture_or_tendinitis http://www.sportsinjuryclinic.net/sport-injuries/ankle-achilles-shin-pain/tibialis-posterior-syndrome http://orthospecmd.com/posterior-tibial-tendonitis-and-tears/ http://podlink.com/pathology/pttd.php
what causes a posterior tibial tendon tear