Syziu, Anxhela, Aamir, Junaid and Mason, Lyndon William 
ORCID: 0000-0002-0371-3183
(2024)
Posterior tibialis tendon entrapment as a complication of posterior malleolar fractures in complex ankle fractures.
Bone & joint open, 5 (3).
pp. 252-259.
Abstract
<h4>Aims</h4>Posterior malleolar (PM) fractures are commonly associated with ankle fractures, pilon fractures, and to a lesser extent tibial shaft fractures. The tibialis posterior (TP) tendon entrapment is a rare complication associated with PM fractures. If undiagnosed, TP entrapment is associated with complications, ranging from reduced range of ankle movement to instability and pes planus deformities, which require further surgeries including radical treatments such as arthrodesis.<h4>Methods</h4>The inclusion criteria applied in PubMed, Scopus, and Medline database searches were: all adult studies published between 2012 and 2022; and studies written in English. Outcome of TP entrapment in patients with ankle injuries was assessed by two reviewers independently.<h4>Results</h4>Four retrospective studies and eight case reports were accepted in this systematic review. Collectively there were 489 Pilon fractures, 77 of which presented with TP entrapment (15.75%). There were 28 trimalleolar fractures, 12 of which presented with TP entrapment (42.86%). All the case report studies reported inability to reduce the fractures at initial presentation. The diagnosis of TP entrapment was made in the early period in two (25%) cases, and delayed diagnosis in six (75%) cases reported. Using modified Clavien-Dindo complication classification, 60 (67%) of the injuries reported grade IIIa complications and 29 (33%) grade IIIb complications.<h4>Conclusion</h4>TP tendon was the commonest tendon injury associated with pilon fracture and, to a lesser extent, trimalleolar ankle fracture. Early identification using a clinical suspicion and CT imaging could lead to early management of TP entrapment in these injuries, which could lead to better patient outcomes and reduced morbidity.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | Physical Injury - Accidents and Adverse Effects, Injuries and accidents |
| Divisions: | Faculty of Health and Life Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences Faculty of Health and Life Sciences > Institute of Life Courses and Medical Sciences > School of Medicine |
| Depositing User: | Symplectic Admin |
| Date Deposited: | 23 Apr 2024 08:53 |
| Last Modified: | 23 Apr 2024 08:53 |
| DOI: | 10.1302/2633-1462.53.bjo-2023-0139 |
| Open Access URL: | https://doi.org/10.1302/2633-1462.53.BJO-2023-0139 |
| Related URLs: | |
| URI: | https://livrepository.liverpool.ac.uk/id/eprint/3180530 |
Dimensions
Dimensions
