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Hindfoot Tendinopathies

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The Lower Limb Tendinopathies

Part of the book series: Sports and Traumatology ((SPORTS))

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Abstract

Posttraumatic tendon disorders and their sequelae involve ankle joint and hindfoot in sport and work-related activities much more than other districts. Ankle trauma represented incidence is 37 sprains every 1000 persons, with an increase in progressive tendency. The ankle is the most involved joint in traumatic pathology and represents 10–15 % of all sports injuries. The pathology of the anterior compartment is most prevalent with a progressive involvement of the posterior compartment of no less importance. Numerous risk factors can contribute in hindfoot and posterior ankle disorders development, intrinsic patient related to its physical form and activities, extrinsic equipment, and environmental conditions related to where the activity is practiced. The population with less than 25 years is the most involved in working and sporting activities with the fibular ligament and posterior tendon compartment involvement. Better coordination between muscle and training activities addressed to the perception of balance makes possible to prevent trauma, resulting in improved muscle strength and improved proprioceptive response from the ankle. Conservative treatment is the first one and represents the 85 % of recoveries. About 15 % needs a surgical treatment, performed preferably by arthroscopic procedure.

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References

  1. Maffulli N, Khan KM, Puddu G (1998) Overuse tendon conditions: time to change a confusing terminology. Arthroscopy 14(8):840–843

    Article  CAS  PubMed  Google Scholar 

  2. Wilder RP, Sethi S (2004) Overuse injuries: tendinopathies, stress fractures, compartment syndrome, and shin splints. Clin Sports Med 23(1):55–81

    Article  PubMed  Google Scholar 

  3. Plattner PF (1989) Tendon problems of the foot and ankle. The spectrum from peritendinitis to rupture. Postgrad Med 86(3):155–170

    Article  CAS  PubMed  Google Scholar 

  4. O’Connor FG, Nirschl RP, Howard TM (1997) Managing overuse injuries. Phys Sportsmed 25(5):88–113

    Article  PubMed  Google Scholar 

  5. Khan KM, Cook JL, Bonar F, Harcourt P, Astrom M (1999) Histopathology of common tendinopathies. Update and implications for clinical management. Sports Med 27(6):393–408

    Article  CAS  PubMed  Google Scholar 

  6. Leadbetter WB (1992) Cell-matrix response in tendon injury. Clin Sports Med 11(3):533–578

    CAS  PubMed  Google Scholar 

  7. Bubra PS, Keighley GS, Rateesh S, Carmody D (2015) Posterior tibial tendon dysfunction: an overlooked cause of foot deformity. J Family Med Prim Care 4:26–29

    Article  PubMed  PubMed Central  Google Scholar 

  8. Pedowitz WJ, Kovatis P (1995) Flatfoot in the adult. J Am Acad Orthop Surg 3:293–302

    Article  PubMed  Google Scholar 

  9. Lhoste-Trouilloud A (2012) The tibialis posterior tendon. J Ultrasound 15:2–6

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Stecco C, Macchi V, Porzionato A et al (2010) The ankle retinacula: morphological evidence of the proprioceptive role of the fascial system. Cells Tissues Organs 192(3):200–210

    Article  PubMed  Google Scholar 

  11. Cabral P, Paulino C, Takahashi R, Clopton P, Resnick D (2013) Correlation of morphologic and pathologic features of the various tendon groups around the ankle: MR imaging investigation. Skeletal Radiol 42:1393–1402

    Article  PubMed  PubMed Central  Google Scholar 

  12. Herráiz Hidalgo L, Carrascoso Arranz J, Recio Rodríguez M, Jiménez de la Peña M, Cano Alonso R, Álvarez Moreno E, Martínez de Vega Fernández V (2014) Posterior tibial tendon dysfunction: what other structures are involved in the development of acquired adult flat foot? Radiologia 56(3):247–256

    Article  PubMed  Google Scholar 

  13. Jones DC (1993) Tendon disorders of the foot and ankle. J Am Acad Orthop Surg 1(2):87–94

    Article  PubMed  Google Scholar 

  14. Rompe JD, Nafe B, Furia JP, Maffulli N (2007) Eccentric loading, shock-wave treatment, or a wait-and-see policy for tendinopathy of the main body of tendo Achillis: a randomized controlled trial [published correction appears in Am J Sports Med. 2007;35(7):1216]. Am J Sports Med 35(3):374–383

    Article  PubMed  Google Scholar 

  15. Patla C, Lwin J, Smith L, Chaconas E (2015) Cuboid manipulation and exercise in the management of posterior tibialis tendinopathy: a case report. Int J Sports Phys Ther 10(3):363–370

    PubMed  PubMed Central  Google Scholar 

  16. Houck J, Neville C, Tome J, Flemister A (2015) Randomized controlled trial comparing orthosis augmented by either stretching or stretching and strengthening for Stage II Tibialis Posterior Tendon Dysfunction. Foot Ankle Int 36(9):1006–1016

    Article  PubMed  Google Scholar 

  17. Kulig K, Lederhaus ES, Reischl S, Arya S, Bashford G (2009) Effect of eccentric exercise program for early tibialis posterior tendinopathy. Foot Ankle Int 30(9):877–885

    Article  PubMed  Google Scholar 

  18. Sammarco GJ (1994) Peroneal tendon injuries. Orthop Clin North Am 25(1):135–145

    CAS  PubMed  Google Scholar 

  19. DiGiovanni BF, Fraga CJ, Cohen BE, Shereff MJ (2000) Associated injuries found in chronic lateral ankle instability. Foot Ankle Int 21(10):809–815

    CAS  PubMed  Google Scholar 

  20. Giza E, Mak W, Wong SE, Roper G, Campanelli V, Hunter JC (2013) A clinical and radiological study of peroneal tendon pathology. Foot Ankle Spec 6(6):417–421

    Article  PubMed  Google Scholar 

  21. Schubert R (2013) MRI of peroneal tendinopathies resulting from trauma or overuse. Br J Radiol 86(1021):20110750

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Park HJ, Cha SD, Kim HS, Chung ST, Park NH, Yoo JH, Park JH, Kim JH, Lee TW, Lee CH, Oh SM (2010) Reliability of MRI findings of peroneal tendinopathy in patients with lateral chronic ankle instability. Clin Orthop Surg 2(4):237–243

    Article  PubMed  PubMed Central  Google Scholar 

  23. Hamilton WG, Geppert MJ, Thompson FM (1996) Pain in the posterior aspect of the ankle in dancers. Differential diagnosis and operative treatment. J Bone Joint Surg Am 78(10):1491–1500

    CAS  PubMed  Google Scholar 

  24. Cooper ME, Wolin PM (1999) Os trigonum syndrome with flexor hallucis longus tenosynovitis in a professional football referee. Med Sci Sports Exerc 31(7 Suppl):S493–S496

    Article  CAS  PubMed  Google Scholar 

  25. Corte-Real NM, Moreira RM, Guerra-Pinto F (2012) Arthroscopic treatment of tenosynovitis of the flexor hallucis longus tendon. Foot Ankle Int 33(12):1108–1112

    Article  PubMed  Google Scholar 

  26. Carreira DS, Vora AM, Hearne KL, Kozy J (2016) Outcome of arthroscopic treatment of posterior impingement of the ankle. J Foot Ankle Int 37(4):394–400

    Article  Google Scholar 

  27. Smyth NA, Murawski CD, Levine DS, Kennedy JG (2013) Hindfoot arthroscopic surgery for posterior ankle impingement: a systematic surgical approach and case series. Am J Sports Med 41(8):1869–1876

    Article  PubMed  Google Scholar 

  28. Hsu AR, Gross CE, Lee S, Carreira DS (2014) Extended indications for foot and ankle arthroscopy. J Am Acad Orthop Surg 22(1):10–19

    Article  PubMed  Google Scholar 

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Correspondence to Francesco Allegra .

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Allegra, F., Bonacci, E., Martinelli, F. (2016). Hindfoot Tendinopathies. In: Bisciotti, G., Volpi, P. (eds) The Lower Limb Tendinopathies. Sports and Traumatology. Springer, Cham. https://doi.org/10.1007/978-3-319-33234-5_12

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  • DOI: https://doi.org/10.1007/978-3-319-33234-5_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-33232-1

  • Online ISBN: 978-3-319-33234-5

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