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KMID : 0386419920050010157
Journal of the Korean Fracture Society
1992 Volume.5 No. 1 p.157 ~ p.160
Bilateral Traumatic Dislocation of the Tibialis Posterior Tendons -A Case Report-



Abstract
Traumatic forward dislocation of the tibialis posterior tendon is a rare lesion. On the anatomic basis. the pathogenetic mechanism had been suggested tobe a hypoplasia of the sulcus for tibialis posterior tendon. But the bilateral dislocations
had
not
been reported.
The injury mechanism was dorsiflexion and internal rotation or inversion of the ankle and foot.Inour case, the tendon itself was not injured but the flexor retinaculum and the periosteum were detached and elevated from the medial malleolus.
The excellent result has been obtained by simale reattaching procedure of the detached and elevated coverings.
Our stdy, comparing the depth and the inclination of the sulcus with the normal controls by the CT scanning, shoowed no valuable anaromic considerations.
We demonstrate the uncommon dislocation of the tibialis posterior tendon, pathogenetic mechanisms, treatment, and its prognosis.
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