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PODIATRY Home

PODIATRY  March 2007

PODIATRY March 2007

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Subject:

Re: posterior tibial tendon dysfunction

From:

Beverly Bowring <[log in to unmask]>

Reply-To:

A group for the academic discussion of current issues in podiatry <[log in to unmask]>

Date:

Thu, 22 Mar 2007 11:05:10 -0000

Content-Type:

text/plain

Parts/Attachments:

Parts/Attachments

text/plain (146 lines)

Hi Martin,

Thanks for these references,

Bev
----- Original Message ----- 
From: "Martin Harvey" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, March 21, 2007 7:55 PM
Subject: Re: posterior tibial tendon dysfunction


> Hi Bev, and all,
>
> The following two articles from Am J. Bone Joint Surg may possibly have a 
> few references that could help, both available free online from 
> http://www.ejbjs.org/:
>
> Gregory C. Pomeroy et al; Dysfunction of the Posterior Tibial Tendon 
> Current Concepts Review.  J. Bone Joint Surg. Am. 81:1173-82, 1999.
> DA Funk, JR Cass and KA Johnson; Acquired adult flat foot secondary to 
> posterior tiabial - tendon pathology. J. Bone Joint Surg. Am. 68:95-102, 
> 1986.
>
> Regards, Martin
>
> Martin Harvey
> Podiatrist.
> Dosthill Medical Practice,
> Tamworth, Staffordshire.
> United Kingdom.
> [log in to unmask]
>
>
> ----- Original Message ----- 
> From: "Rome, Keith" <[log in to unmask]>
> To: <[log in to unmask]>
> Sent: Wednesday, March 21, 2007 7:13 PM
> Subject: Re: posterior tibial tendon dysfunction
>
>
> Hi Bev
>
> We are currently completing a Cochrane review on non-surgical 
> interventions for adult pes planus. We have come across three RCTs:
>
>
> 1.
> Augustin JF et al Nonoperative treatment of adult acquired flat foot with 
> the Arizona brace. Foot Ankle Clin 2003 8: 491-502.
> 2.
> Kulig K et al: Effect of foot ortohses on tibilais posterior activation in 
> persons with pes planus.  Med Sc Sports Exer 2005 37: 24-29.
> 3.
> Exercise and Shoe Orthoses in Treatment of Posterior Tibial Tendon 
> Dysfunction (see attachment).
>
>
>
>
>
> From: A group for the academic discussion of current issues in podiatry on 
> behalf of Beverly Bowring
> Sent: Wed 21/03/2007 17:51
> To: [log in to unmask]
> Subject: posterior tibial tendon dysfunction
>
>
>
> Hello everyone,
>
> I am currently undertaking a systematic review of the literature for
> empirical studies that investigate the effects of conservative treatment
> modalities in the management of posterior tibial tendon dysfunction
> (PTTD), prior to developing a clinical guideline for the conservative
> treatment of this condition.
>
> I have searched the usual databases (MEDLINE, CINAHL, EMBASE, AMED) and
> the Cochrane library. There does not seem to be very much in the way of
> empirical research in this area and no completed randomized controlled
> trials. Although there was a study protocol for a RCT by Kulig et al 
> (2006)
> which I understand is currently being undertaken: 'Non-operative
> management of posterior tibialis tendon dysfunction: A randomised clinical
> trial'.
>
> I should be grateful for any information on both published and unpublished
> empirical studies (experimental or observational)regarding the effects of
> conservative modalities in the treatment of PTTD. Also any existing
> clinical guidelines that anyone has for the treatment of the condition.
>
> Many thanks,
>
> Bev Bowring
> Specialist Podiatrist-Musculoskeltal
> Cornwall and Isles of Scilly Primary Care Trust
> email: [log in to unmask]
>
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