Post-Tib dysfunction classification

Question 1

What’s involved in stage I of PTTD:

1. Tendon?
2. Pain?
3. Deformity?
4. Specific test?

Answer 1

1. Tenosynovitis or degeneration of the tendon
2. Pain presnet
3. No deformity
4. Mild weakness, able to complete single heel rise with inversion of the hindfoot

Question 2

What’s involved in stage II of PTTD:

1. Tendon?
2. Pain?
3. Deformity?
4. Toe sings?
5. Specific test?

Answer 2

1. Elongation and degeneration of the tendon
2. Pain
3. Flexible Pes planovalgus deformity
4. Toe many toe sings or forefoot abduction
5. Significant weakness; no or limited inversion of the rearfoot when perfomring the single heel rise

Question 3

What’s involved in stage III of PTTD:

1. Tendon?
2. Pain?
3. Deformity?
4. Toe sings?
5. Specific test?

Answer 3

1. Elongation and degenration of the tendon
2. Pain
3. Fixed pes plano valgus
4. yes. abducted forefoot
5. Inability to perform single heel rise

Question 4

What’s involved in stage IV of PTTD:

Answer 4

Same as stage III with inclusion of:

Valgus deformity of the talorural joint

Arthritis of the ankle

Question 5

What’s the treatment for different stages of PTTD?

Answer 5