We retrospectively evaluated the effectiveness of ultrasonography as a
diagnostic tool for investigating pathology in the posterior tibial t
endon by comparing the preoperative ultrasonograms for 17 patients wit
h their recorded surgical findings. In all cases, the surgical finding
s confirmed the ultrasonographic diagnoses: 3 inflammations, 4 partial
tears, and 10 ruptures. Interestingly, two ruptures had been undiagno
sed by magnetic resonance imaging. Ultrasonography, which seems to be
a reliable means of visualizing the extent of pathology of the symptom
atic posterior tibial tendon, may be a valuable tool in surgical plann
ing.