Pf. Heini et R. Ganz, ANTEROLATERAL SUBLUXATION OF THE TALUS AFTER OVERLOOKED DISLOCATION OF THE TIBIALIS POSTERIOR TENDON, Journal of orthopaedic trauma, 8(5), 1994, pp. 449-453
We report a case of tibialis posterior tendon dislocation into the dis
rupted ankle mortise between the tibia and fibula that was overlooked
in the initial operative treatment of a fracture dislocation of the an
kle with syndesmosis disruption. Recurrent widening of the ankle morti
se prompted revision surgery where the posterior tibialis tendon dislo
cation was discovered to be the cause of secondary joint subluxation.
The course of the tendon was corrected and the anatomy of the joint re
stored. One year after revision there is a good clinical result, howev
er early posttraumatic osteoarthritis of the tibiotalar joint is seen
radiologically.