Các chấn thương Attritional và chấn thương dây chằng xung quanh bàn chân và mắt cá chân không phải là hiếm. Điều trị sử dụng quá nhiều loại thương tích (gân) vẫn đơn giản. Tuy nhiên, phẫu thuật điều trị của mác subluxation, vỡ gân Achilles, và suy gân chày sau vẫn còn gây tranh cãi. | Tendon Disorders of the Foot and Ankle Donald C. Jones MD Abstract Attritional and traumatic injuries to the tendons around the foot and ankle are not uncommon. Treatment of overuse-type injuries tendinitis remains straightforward. However surgical treatment of peroneal subluxation Achilles tendon ruptures and posterior tibial tendon insufficiency remains somewhat controversial. Generally speaking soft-tissue reconstruction of the superior peroneal retinaculum is superior to bony procedures for peroneal dislocation. Open repair of a torn Achilles tendon is more predictable than closed treatment. Good clinical judgment is needed in determining the best treatment for posterior tibial tendon problems. The painful os peroneum syndrome is a newly described spectrum of posttraumatic conditions that may be the cause of lateral foot pain which is frequently difficult to identify. J Am Acad Orthop Surg 1993 1 87-94 Every tendon around the foot and ankle can cause symptoms as the result of overuse or injury. Most frequently affected are the anterior tibial flexor hallucis longus Achilles peroneal and posterior tibial tendons. In this article I will review the relevant anatomy discuss the clinical syndromes involving these tendons and outline the appropriate treatment. Anterior Tibial Tendon The anterior tibial muscle originates from the proximal two thirds of the tibia the lateral tibial condyle and the interosseous membrane with insertion onto the navicular the first metatarsal base and the medial cuneiform. This musculotendinous unit supplies 80 of the dorsiflexion power of the ankle. The straight course of the tendon under the superior extensor retinaculum results in minimal mechanical demands therefore an overuse syndrome is less common than would be expected in a muscle of this size and power. Localized swelling tenderness and crepitus over this tendon indicate a diagnosis of anterior tibial tenosynovitis. Treatment includes ice rest and on rare occasions .
