Rupture of the tibialis anterior tendon.

Closed rupture of the tendon of tibialis anterior is an infrequently reported entity. A thorough review of the literature was performed with 49 reported cases of this condition identified. Those patients who were treated conservatively experienced late sequelae, including continued slapping of the foot, mild to moderate flatfoot deformity, and ankle arthrosis. Low morbidity associated with surgical reconstruction should preclude only the most sedentary of patients from operative treatment.