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Stage I: Posterior Tibial Tendonitis

- See: rupture of tibialis posterior

- Dicussion:
    - tendinitis is present but tendon remains at its normal length;
    - in a young patient consider accessory navicular;

- Non Operative Treatment:
    - arch supports, rubber-soled shoe w/ quarter-inch medial heel, sole wedge, UCBL;
    - immobilization in a short leg cast for 6 weeks;
    - NSAIDS;

- Surgical Treatment:
    - if tenosynovitis persists over several months, then consider tenosynovectomy;
    - w/ intra-tendinous elogation, consider tendon advancement and reattachment to the navicular;
    - w/ intra-substance elongation, it is necessary to restore the tendon to its proper tension

Tenosynovial fluid as an indication of early posterior tibial tendon dysfunction in patients with normal tendon appearance.

Posttraumatic posterior tibialis tendon insertional elongation with functional incompentency: a case report

Surgical treatment of stage I posterior tibial tendon dysfunction.   

Comparison of MRI and Local Anesthetic Tendon Sheath Injection in the Diagnosis of Posterior Tibial Tendon Tenosynovitis

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