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How Common is Subsequent Posterior Tibial Tendon Dysfunction or Tarsal Tunnel Syndrome After Ankle Sprain Injury?

Publication ,  Journal Article
Foster, KS; Greenlee, TA; Young, JL; Janney, CF; Rhon, DI
Published in: J Knee Surg
September 2022

Posterior tibial tendon dysfunction (PTTD) and tarsal tunnel syndrome (TTS) are debilitating conditions reported to occur after ankle sprain due to their proximity to the ankle complex. The objective of this study was to investigate the incidence of PTTD and TTS in the 2 years following an ankle sprain and which variables are associated with its onset. In total, 22,966 individuals in the Military Health System diagnosed with ankle sprain between 2010 and 2011 were followed for 2 years. The incidence of PTTD and TTS after ankle sprain was identified. Binary logistic regression was used to identify potential demographic or medical history factors associated with PTTD or TTS. In total, 617 (2.7%) received a PTTD diagnosis and 127 (0.6%) received a TTS diagnosis. Active-duty status (odds ratio [OR] 2.18, 95% confidence interval [CI] 1.70-2.79), increasing age (OR 1.03, 95% CI 1.02-1.04), female sex (OR 1.58, 95% CI 1.28-1.95), and if the sprain location was specified by the diagnosis (versus unspecified location) and did not include a fracture contributed to significantly higher (p < 0.001) risk of developing PTTD. Greater age (OR 1.06, 95% CI 1.03-1.09), female sex (OR 2.73, 95% CI 1.74-4.29), history of metabolic syndrome (OR 1.73, 95% CI 1.03-2.89), and active-duty status (OR 2.28, 95% CI 1.38-3.77) also significantly increased the odds of developing TTS, while sustaining a concurrent ankle fracture with the initial ankle sprain (OR 0.45, 95% CI 0.28-0.70) significantly decreased the odds. PTTD and TTS were not common after ankle sprain. However, they still merit consideration as postinjury sequelae, especially in patients with persistent symptoms. Increasing age, type of sprain, female sex, metabolic syndrome, and active-duty status were all significantly associated with the development of one or both subsequent injuries. This work provides normative data for incidence rates of these subsequent injuries and can help increase awareness of these conditions, leading to improved management of refractory ankle sprain injuries.

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Published In

J Knee Surg

DOI

EISSN

1938-2480

Publication Date

September 2022

Volume

35

Issue

11

Start / End Page

1181 / 1191

Location

Germany

Related Subject Headings

  • Tarsal Tunnel Syndrome
  • Sprains and Strains
  • Reinjuries
  • Posterior Tibial Tendon Dysfunction
  • Metabolic Syndrome
  • Humans
  • Female
  • Ankle Injuries
  • 3202 Clinical sciences
  • 1103 Clinical Sciences
 

Citation

APA
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ICMJE
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Foster, K. S., Greenlee, T. A., Young, J. L., Janney, C. F., & Rhon, D. I. (2022). How Common is Subsequent Posterior Tibial Tendon Dysfunction or Tarsal Tunnel Syndrome After Ankle Sprain Injury? J Knee Surg, 35(11), 1181–1191. https://doi.org/10.1055/s-0042-1751246
Foster, Kaitlyn S., Tina A. Greenlee, Jodi L. Young, Cory F. Janney, and Daniel I. Rhon. “How Common is Subsequent Posterior Tibial Tendon Dysfunction or Tarsal Tunnel Syndrome After Ankle Sprain Injury?J Knee Surg 35, no. 11 (September 2022): 1181–91. https://doi.org/10.1055/s-0042-1751246.
Foster KS, Greenlee TA, Young JL, Janney CF, Rhon DI. How Common is Subsequent Posterior Tibial Tendon Dysfunction or Tarsal Tunnel Syndrome After Ankle Sprain Injury? J Knee Surg. 2022 Sep;35(11):1181–91.
Foster, Kaitlyn S., et al. “How Common is Subsequent Posterior Tibial Tendon Dysfunction or Tarsal Tunnel Syndrome After Ankle Sprain Injury?J Knee Surg, vol. 35, no. 11, Sept. 2022, pp. 1181–91. Pubmed, doi:10.1055/s-0042-1751246.
Foster KS, Greenlee TA, Young JL, Janney CF, Rhon DI. How Common is Subsequent Posterior Tibial Tendon Dysfunction or Tarsal Tunnel Syndrome After Ankle Sprain Injury? J Knee Surg. 2022 Sep;35(11):1181–1191.
Journal cover image

Published In

J Knee Surg

DOI

EISSN

1938-2480

Publication Date

September 2022

Volume

35

Issue

11

Start / End Page

1181 / 1191

Location

Germany

Related Subject Headings

  • Tarsal Tunnel Syndrome
  • Sprains and Strains
  • Reinjuries
  • Posterior Tibial Tendon Dysfunction
  • Metabolic Syndrome
  • Humans
  • Female
  • Ankle Injuries
  • 3202 Clinical sciences
  • 1103 Clinical Sciences