PMID- 28980032 OWN - NLM STAT- MEDLINE DCOM- 20190222 LR - 20190222 IS - 1433-044X (Electronic) IS - 0177-5537 (Linking) VI - 120 IP - 12 DP - 2017 Dec TI - [Rupture of the tendon of the tibialis anterior muscle : Etiology, clinical symptoms and treatment]. PG - 1015-1019 LID - 10.1007/s00113-017-0417-z [doi] AB - Ruptures of the tendon of the tibialis anterior muscle tend to occur in the context of degenerative impairments. This mainly affects the distal avascular portion of the tendon. Owing to the good compensation through the extensor hallucis longus and extensor digitorum muscles, diagnosis is often delayed. In addition to the clinical examination, magnetic resonance inaging (MRI) diagnostics are of particular importance, although damage or rupture of the tendon can also be demonstrated sonographically. Therapeutic measures include conservative or operative measures, depending on the clinical symptoms. Conservative stabilization of the ankle can be achieved by avoiding plantar flexion using a peroneal orthosis or an ankle-foot orthosis. Subsequent problems, such as metatarsalgia or overloading of the medial foot edge can be addressed by insoles or a corresponding shoe adjustment. An operative procedure is indicated when there is corresponding suffering due to pressure and functional impairment. The direct end-to-end reconstruction of the tendon is only rarely possible in cases of delayed diagnosis due to the degenerative situation and the retraction of the tendon stumps. Depending on the defect size and the tendon quality, various operative techniques, such as rotationplasty, free transplants or tendon transfer can be used. FAU - Waizy, H AU - Waizy H AD - Klinik fur Fuss- und Sprunggelenkchirurgie, Hessing Stiftung, Hessingstr. 17, 86199, Augsburg, Deutschland. hazibullah.waizy@hessing-stiftung.de. AD - Labor fur Biomechanik und Biomaterialien, Orthopadische Klinik, Medizinische Hochschule Hannover, Hannover, Deutschland. hazibullah.waizy@hessing-stiftung.de. FAU - Bouillon, B AU - Bouillon B AD - Klinik fur Orthopadie, Unfallchirurgie und Sporttraumatologie Koln Merheim, Koln, Deutschland. FAU - Stukenborg-Colsman, C AU - Stukenborg-Colsman C AD - Department Fuss- und Sprunggelenkchirurgie, DIAKOVERE Annastift, Orthopadische Klinik, Medizinische Hochschule Hannover (MHH), Hannover, Deutschland. FAU - Yao, D AU - Yao D AD - Department Fuss- und Sprunggelenkchirurgie, DIAKOVERE Annastift, Orthopadische Klinik, Medizinische Hochschule Hannover (MHH), Hannover, Deutschland. FAU - Ettinger, S AU - Ettinger S AD - Department Fuss- und Sprunggelenkchirurgie, DIAKOVERE Annastift, Orthopadische Klinik, Medizinische Hochschule Hannover (MHH), Hannover, Deutschland. FAU - Claassen, L AU - Claassen L AD - Department Fuss- und Sprunggelenkchirurgie, DIAKOVERE Annastift, Orthopadische Klinik, Medizinische Hochschule Hannover (MHH), Hannover, Deutschland. FAU - Plaass, C AU - Plaass C AD - Department Fuss- und Sprunggelenkchirurgie, DIAKOVERE Annastift, Orthopadische Klinik, Medizinische Hochschule Hannover (MHH), Hannover, Deutschland. FAU - Danniilidis, K AU - Danniilidis K AD - Sporthopaedicum Straubing, Straubing, Deutschland. FAU - Arbab, D AU - Arbab D AD - Orthopadische Klinik, Fakultat Gesundheit Universitat Witten/Herdecke, Klinikum Dortmund, Dortmund, Deutschland. LA - ger PT - Journal Article PT - Review TT - Ruptur der Musculus-tibialis-anterior-Sehne : Atiologie, klinische Symptome und Therapie. PL - Germany TA - Unfallchirurg JT - Der Unfallchirurg JID - 8502736 SB - IM MH - Combined Modality Therapy MH - Delayed Diagnosis MH - Foot Orthoses MH - Humans MH - Muscle, Skeletal/*injuries/surgery MH - Rupture/diagnosis/etiology/*surgery MH - Tendon Injuries/diagnosis/etiology/*surgery MH - Tendon Transfer MH - Tendons/transplantation OTO - NOTNLM OT - Degeneration OT - Muscle stretching exercises OT - Reconstructive surgery OT - Replacement therapy OT - Tendon injuries EDAT- 2017/10/06 06:00 MHDA- 2019/02/23 06:00 CRDT- 2017/10/06 06:00 PHST- 2017/10/06 06:00 [pubmed] PHST- 2019/02/23 06:00 [medline] PHST- 2017/10/06 06:00 [entrez] AID - 10.1007/s00113-017-0417-z [pii] AID - 10.1007/s00113-017-0417-z [doi] PST - ppublish SO - Unfallchirurg. 2017 Dec;120(12):1015-1019. doi: 10.1007/s00113-017-0417-z.