We present our findings in six athletic patients with a ruptured or partially ruptured posterior tibial tendon. Pain in the midarch region, difficulty pushing off while running, and a pronated flattened longitudinal arch are the usual symptoms and physical findings of this injury. Surgical treatment, including reattachment of the rup tured posterior tibial tendon, is effective in restoring some but not all normal function. Nor will surgery restore the flattened longitudinal arch.
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