Lateral extra-articular hindfoot impingement with posterior tibial tendon split tear

Case contributed by Dr Roberto Schubert


Posterior tibial tendon dysfunction and lateral ankle pain in a patient with valgus deformity of the hindfoot.

Patient Data

Age: 55
Gender: Female

The valgus position of the calcaneus has led to combined talocalcaneal and subfibular lateral hindfoot impingement with edema and cystic changes in the distal fibula and osteoarthritis as well as scar tissue formation between the lateral talus and calcaneus. There are also chronic degenenerative changes of the posterior tibial tendon involving a split tear (best seen on the coronal images) and chronic tenosynovitis with osteophytes along the retrotibial tendon groove. Effusion in the flexor hallucis longus sheath.

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Case information

rID: 18824
Published: 23rd Jul 2012
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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