In-Office Needle Tendoscopy of the Tibialis Posterior Tendon with Concomitant Intervention

Abstract

Tendoscopy has been recognized to be a useful technique in the diagnosis and treatment of early tibialis posterior tendon (TPT) dysfunction. Although open surgical procedures for advanced TPT disease have led to excellent outcomes, disagreement persists concerning the correct management algorithm for early TPT dysfunction. Recent developments in needle tendoscopy have provided a minimally invasive option for direct evaluation and intervention throughout the forefoot, midfoot, and hindfoot. The goal of this manuscript is to describe the technique for performing in-office needle tendoscopy targeting the TPT with a discussion of indications and opportunities afforded by an in-office procedure over the traditional operating room suite.

Technique Video

Video 1

Operative technique demonstrating needle tendoscopy of the tibialis posterior tendon with concomitant intervention. The video demonstrates portal placement, diagnostic arthroscopy, and debridement of the tissue around the tendon and tendon sheath.