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Early surgical management of traumatic dislocation of the tibialis posterior tendon: a case report and review of the literature

BACKGROUND: Traumatic dislocation of the tibialis posterior tendon at the ankle is a rare injury. Some of these cases are misdiagnosed as ankle sprains and are not treated properly. In addition, because the conservative treatment is not as effective as the surgical treatment, it is essential that pa...

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Autores principales: Sakakibara, Yuzuru, Kura, Hideji, Teramoto, Atsushi, Yamashita, Toshihiko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6251192/
https://www.ncbi.nlm.nih.gov/pubmed/30466481
http://dx.doi.org/10.1186/s13256-018-1872-z
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author Sakakibara, Yuzuru
Kura, Hideji
Teramoto, Atsushi
Yamashita, Toshihiko
author_facet Sakakibara, Yuzuru
Kura, Hideji
Teramoto, Atsushi
Yamashita, Toshihiko
author_sort Sakakibara, Yuzuru
collection PubMed
description BACKGROUND: Traumatic dislocation of the tibialis posterior tendon at the ankle is a rare injury. Some of these cases are misdiagnosed as ankle sprains and are not treated properly. In addition, because the conservative treatment is not as effective as the surgical treatment, it is essential that patients be diagnosed early so that proper surgical treatment can be performed. We report the early surgical management of traumatic dislocation of the tibialis posterior tendon. CASE PRESENTATION: A 44-year-old Japanese man, who was a karate coach, was injured while acting as an umpire in a karate competition. On the same day of his injury, he came to our hospital. He complained of swelling and pain in the medial malleolus. Anterior dislocation of the tibialis posterior tendon was detected upon palpation. Magnetic resonance imaging showed the presence of anterior dislocation of the tibialis posterior tendon with retinaculum injury. Four days after the injury, we performed the Das De procedure as the surgical treatment. Three months after the surgery, the patient was able to participate in karate again. CONCLUSIONS: Dislocation of the tibialis posterior tendon is likely to be misdiagnosed, thus delaying the start of proper treatment. It is essential to diagnose the patient accurately by carefully assessing the physical symptoms manifested. Moreover, magnetic resonance imaging can also be used for better diagnosis, thereby leading to an early and proper surgical treatment.
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spelling pubmed-62511922018-11-29 Early surgical management of traumatic dislocation of the tibialis posterior tendon: a case report and review of the literature Sakakibara, Yuzuru Kura, Hideji Teramoto, Atsushi Yamashita, Toshihiko J Med Case Rep Case Report BACKGROUND: Traumatic dislocation of the tibialis posterior tendon at the ankle is a rare injury. Some of these cases are misdiagnosed as ankle sprains and are not treated properly. In addition, because the conservative treatment is not as effective as the surgical treatment, it is essential that patients be diagnosed early so that proper surgical treatment can be performed. We report the early surgical management of traumatic dislocation of the tibialis posterior tendon. CASE PRESENTATION: A 44-year-old Japanese man, who was a karate coach, was injured while acting as an umpire in a karate competition. On the same day of his injury, he came to our hospital. He complained of swelling and pain in the medial malleolus. Anterior dislocation of the tibialis posterior tendon was detected upon palpation. Magnetic resonance imaging showed the presence of anterior dislocation of the tibialis posterior tendon with retinaculum injury. Four days after the injury, we performed the Das De procedure as the surgical treatment. Three months after the surgery, the patient was able to participate in karate again. CONCLUSIONS: Dislocation of the tibialis posterior tendon is likely to be misdiagnosed, thus delaying the start of proper treatment. It is essential to diagnose the patient accurately by carefully assessing the physical symptoms manifested. Moreover, magnetic resonance imaging can also be used for better diagnosis, thereby leading to an early and proper surgical treatment. BioMed Central 2018-11-23 /pmc/articles/PMC6251192/ /pubmed/30466481 http://dx.doi.org/10.1186/s13256-018-1872-z Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Sakakibara, Yuzuru
Kura, Hideji
Teramoto, Atsushi
Yamashita, Toshihiko
Early surgical management of traumatic dislocation of the tibialis posterior tendon: a case report and review of the literature
title Early surgical management of traumatic dislocation of the tibialis posterior tendon: a case report and review of the literature
title_full Early surgical management of traumatic dislocation of the tibialis posterior tendon: a case report and review of the literature
title_fullStr Early surgical management of traumatic dislocation of the tibialis posterior tendon: a case report and review of the literature
title_full_unstemmed Early surgical management of traumatic dislocation of the tibialis posterior tendon: a case report and review of the literature
title_short Early surgical management of traumatic dislocation of the tibialis posterior tendon: a case report and review of the literature
title_sort early surgical management of traumatic dislocation of the tibialis posterior tendon: a case report and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6251192/
https://www.ncbi.nlm.nih.gov/pubmed/30466481
http://dx.doi.org/10.1186/s13256-018-1872-z
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