Bilateral Peroneus Longus Tendon Rupture Through a Bipartite Os Peroneum

Blitz, Neal M.; Nemes, Kristine K.

doi:10.1053/j.jfas.2007.03.006

Cited by 18 publications

(10 citation statements)

References 38 publications

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“…No studies were found with the primary focus on rehabilitation of surgically treated peroneal tendon tears or ruptures. Included studies described their rehabilitation method after one or more of the following surgical treatment methods: group A: primary repair with or without tubularization of the tendon, [ 1 , 2 , 6 , 7 , 12 – 14 , 19 , 23 – 28 , 31 , 36 , 39 , 43 , 47 – 50 , 53 , 56 , 61 , 62 , 65 , 69 ] group B: tenodesis, [ 1 , 2 , 4 , 5 , 10 , 14 , 16 , 25 , 30 , 40 , 43 , 44 , 46 , 47 , 49 , 50 , 61 , 62 , 67 , 69 ] group C: grafting [ 8 , 10 , 21 , 29 , 34 , 37 , 38 , 42 , 43 , 45 , 46 , 49 , 50 , 61 , 69 ] and group D: end-to-end suturing [ 1 , 29 , 41 , 43 , 47 , 66 , 68 ]. Fourteen studies reported two or more surgical treatment methods [ 10 , 25 , 29 , 43 , 4...…”

Section: Resultsmentioning

confidence: 99%

Rehabilitation after surgical treatment of peroneal tendon tears and ruptures

Dijk

Lubberts

Verheul

et al. 2016

Knee Surg Sports Traumatol Arthrosc

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PurposeThe purpose of this study was to provide an overview of the available evidence on rehabilitation programmes after operatively treated patients with peroneal tendon tearsand ruptures.MethodsA systematic review was performed, and PubMed and EMBASE were searched for relevant studies. Information regarding the rehabilitation programme after surgical management of peroneal tendon tears and ruptures was extracted from all included studies.ResultsIn total, 49 studies were included. No studies were found with the primary purpose to report on rehabilitation of surgically treated peroneal tendon tears or ruptures. The median duration of the total immobilization period after primary repair was 6.0 weeks (range 0–12), 7.0 weeks (range 3.0–13) after tenodesis, 6.3 weeks (range 3.0–13) after grafting, and 8.0 weeks (range 6.0–11) after end-to-end suturing. Forty one percent of the studies that reported on the start of range of motion exercises initiated range of motion within 4 weeks after surgery. No difference was found in duration of immobilization or start of range of motion between different types of surgical treatment options.ConclusionAppropriate directed rehabilitation appears to be an important factor in the clinical success of surgically treated peroneal tendon tears and ruptures. There seems to be a trend towards shorter immobilization time and early range of motion, although there is no consensus in the literature on best practice recommendations for optimizing rehabilitation after surgical repair of peroneal tendon tears or ruptures. It is important to adjust the rehabilitation protocol to every specific patient for an optimal rehabilitation.Level of evidence Systematic Review, Level IV.

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Section: Resultsmentioning

confidence: 99%

Rehabilitation after surgical treatment of peroneal tendon tears and ruptures

Dijk

Lubberts

Verheul

et al. 2016

Knee Surg Sports Traumatol Arthrosc

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“…Data regarding morphometry is also infrequent [12,17]. The majority of descriptions refer to the attachments of the LPM, tendon injury or the influence of the LPM on foot biomechanics [3,7,9,11,15,16,20,22].…”

Section: Discussionmentioning

confidence: 99%

Anatomy of the long peroneal muscle of the leg

et al. 2017

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“…A clinical sign of peroneus longus tear is the proximal migration of the os peroneum (Mains & Sullivan, 1973;Tehranzadeh et al 1984;Cachia et al 1988;Bianchi et al 1991;Bloom, 1991;Blitz & Nemes, 2007;Sammarco et al 2010). However, taking into consideration that the frenular ligaments are very common, a peroneus longus tear may be present without migration of the os peroneum, as this may be fixed by the frenular ligaments, especially if the tear occurs distal to the os peroneum, as previously described (Peacock et al 1990).…”

Section: Discussionmentioning

confidence: 99%

The peroneocuboid joint: morphogenesis and anatomical study

et al. 2014

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The peroneocuboid joint, between the peroneus longus tendon and the cuboid bone, has not been anatomically well-defined and no embryological study has been published. Furthermore, the ossification of the os peroneum (a sesamoid inside the peroneus longus tendon) and its associated pathology has been considered to be generated by orthostatic and/or mechanical loads. A light microscopy analysis of serially sectioned human embryonic and fetal feet, the analysis of human adult feet by means of standard macroscopic dissection, X-ray and histological techniques have been carried out. The peroneus longus tendon was fully visible until its insertion in the 1st metatarsal bone already at embryonic stage 23 (56-57 days). The peroneocuboid joint cavity appeared at the transition of the embryonic to the fetal period (8-9th week of gestation) and was independent of the proximal synovial sheath. The joint cavity extended from the level of the calcaneocuboid joint all the way to the insertion of the peroneus longus tendon in the 1st metatarsal bone. The frenular ligaments, fixing the peroneus longus tendon to the 5th metatarsal bone or the long calcaneocuboid ligament, developed in the embryonic period. The peroneus longus tendon presented a thickening in the area surrounding the cuboid bone as early as the fetal period. This thickening may be considered the precursor of the os peroneum and was similar in shape and in size relation to the tendon, to the os peroneum observed in adults. To the best of our knowledge, this is the first study to show that the os peroneum, articular facets of the peroneus longus tendon and cuboid bone, the peroneocuboid joint and the frenular ligaments appear during the embryonic/fetal development period and therefore they can not be generated exclusively by orthostatic and mechanical forces or pathological processes.

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Bilateral Peroneus Longus Tendon Rupture Through a Bipartite Os Peroneum

Cited by 18 publications

References 38 publications

Rehabilitation after surgical treatment of peroneal tendon tears and ruptures

Rehabilitation after surgical treatment of peroneal tendon tears and ruptures

Anatomy of the long peroneal muscle of the leg

The peroneocuboid joint: morphogenesis and anatomical study

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