Posterior tibial tendon dysfunction is the most common cause of adult acquired flatfoot. Effectively what happens in this condition is that the posterior tibial muscles just literally gives up and can no longer do its job of providing a supinatory moment to the subtalar joint. As a result of this the foot progressively becomes more and more pronated and flatter. Accompanying this progressive deformity is increasing pain and disability. If posterior tibial tendon dysfunction is not caught early
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