Dislocated Tibialis Posterior Tendon in a Classical Ballet Dancer

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Abstract:

Dislocated tibialis posterior tendon is a rare condition in the absence of trauma. We report a case of a 17-year-old classical ballet dancer who dislocated her tibialis posterior tendon while performing a relevé. She was unable to bear weight on that leg subsequently but she did have full active range of motion and her pain resolved quickly. She reported feeling a “flicking” at the ankle when the injury occurred. On examination it was possible to dislocate the tendon with the foot fully plantar flexed (pointed). Investigations are not diagnostic in this condition. Treatment consisted of surgical repair of the flexor retinaculum, 6 weeks non-weightbearing, and progressive functional rehabilitation with attention to strengthening foot musculature and regaining ankle range of motion, particularly dorsiflexion (plié). The dancer returned to full ballet performance 5 months after injury.

Document Type: Research Article

Affiliations: 1: Department of Medicine at the University of British Columbia, School of Human Kinetics, 6081 University Boulevard, Vancouver, BC, Canada V6T 1Z1 2: East Melbourne Radiology, Melbourne, Australia 3: North Sydney Orthopaedic and Sports Medicine Center, Crows Nest, Australia 4: Professor in the Bone and Mineral Service, University of Melbourne, Department of Medicine (RMH), Melbourne, Australia

Publication date: December 1, 1997

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