Chronic Peroneal Tendon Dislocation: A Case Report

Safavi, Kiya Shazadeh; Ratnasingam, Saruthija; Janney, Cory

doi:10.1093/milmed/usaa093

Cited by 2 publications

(3 citation statements)

References 12 publications

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“…Relying solely on MRI, B-ultrasound, and physical examination may not provide a complete picture, and arthroscopy can offer valuable insights to guide the most suitable surgical decision. 14,19,22 Author Contributions Z henyu Wang and Xu Tao: wrote the main manuscript text. Fangcheng Yang, Guo Zheng, Yuanqiang Li, Yang Liu, Xinyu Xie: conducted data analysis and collection.…”

Section: Discussionmentioning

confidence: 99%

“…This approach allows for a comprehensive evaluation of the integrity of the SPR and the presence of other tendinopathies of the peroneal tendon. Relying solely on MRI, B‐ultrasound, and physical examination may not provide a complete picture, and arthroscopy can offer valuable insights to guide the most suitable surgical decision 14,19,22 …”

Section: Discussionmentioning

confidence: 99%

“…Relying solely on MRI, B‐ultrasound, and physical examination may not provide a complete picture, and arthroscopy can offer valuable insights to guide the most suitable surgical decision. 14 , 19 , 22 …”

Section: Discussionmentioning

confidence: 99%

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Comparison of Clinical Efficacy between Arthroscopic and Open Surgery for Ogden Type 1–2 Peroneal Tendon Dislocation

Wang,

Zheng,

Yang

et al. 2024

Orthopaedic Surgery

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ObjectiveWhile the incidence of peroneal tendon dislocation (PTD) is relatively low, it is frequently underdiagnosed in clinical practice, and the misdiagnosis or improper treatment of this condition may lead to a decline in patients' quality of life. Currently, the surgical treatment options for PTD mainly include open and arthroscopic surgery. However, in order to evaluate the advantages and disadvantages of these two surgical approaches, further comparative research is needed. Therefore, the aim of this study is to investigate the early clinical outcomes of arthroscopic and open surgery in the treatment of Ogden type 1–2 PTD.MethodsWe conducted a comprehensive analysis of 46 patients diagnosed with PTD who underwent surgery at our institution between January 2017 and January 2023. The patients were divided into two groups: the open surgery group, consisting of 26 cases, and the arthroscopic surgery group, consisting of 20 cases. To compare the effectiveness of the surgical approach, we evaluated several parameters, including the integrity of the superior peroneal retinaculum on MRI images, functional scores, pain interference scores, and ankle eversion muscle strength. These assessments are conducted respectively before the surgery, 1 month after the surgery, 3 months after the surgery, and at the final follow‐up for each group of patients (at least 6 months post‐surgery). Demographics and intergroup comparisons of the two groups of data were analyzed by t‐test or the Mann–Whitney U test. Intragroup comparisons of the two groups of data were analyzed by one‐way analysis of variance (ANOVA) or the Kruskal–Wallis test, followed by post hoc multiple comparisons.ResultsIn the intragroup comparisons, both the arthroscopic surgery and the open surgery group demonstrated significant improvement in functional scores, pain interference scores, muscle strength, and MRI findings at the final follow‐up postoperatively (p < 0.01). However, the open surgery group exhibited significant improvements in these outcomes at the final follow‐up, while the arthroscopic surgery group showed significant improvement at 3 months postoperatively. In intergroup comparisons, the arthroscopic surgery group outperformed the open surgery group in functional scores, pain interference scores, and muscle strength 3 months after the surgery, with statistically significant differences (p < 0.01).ConclusionArthroscopic surgery offers advantages in early clinical outcomes, such as pain relief, function, and muscle strength improvement. However, over time, both approaches provide similar results regarding effectiveness.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comparison of Clinical Efficacy between Arthroscopic and Open Surgery for Ogden Type 1–2 Peroneal Tendon Dislocation

Wang,

Zheng,

Yang

et al. 2024

Orthopaedic Surgery

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Peroneal Tendon Dislocation: A Report of Two Cases

Maroc¹,

Khatab²,

Moueqqit³

et al. 2023

Cureus

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Ankle injuries are a very common cause of patient visits to the primary care units and emergency departments. Although the most frequent ones are lateral ligament sprains, peroneal tendon subluxations have the same inversion mechanism and are described as one of the main causes of lateral ankle pain and instability. They are often missed during the acute phases as they are misdiagnosed as ankle sprains since both injuries share similar mechanisms and often occur in athletes and patients with high sports activity.We present two different cases of peroneal tendon dislocation that illustrate how this pathological condition may be present under different circumstances. We aim, through these cases, to provide clinical awareness and help improve earlier diagnosis of this condition; we also demonstrate the effectiveness of surgical reattachment of the upper retinaculum that two of our patients underwent.

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Chronic Peroneal Tendon Dislocation: A Case Report

Cited by 2 publications

References 12 publications

Comparison of Clinical Efficacy between Arthroscopic and Open Surgery for Ogden Type 1–2 Peroneal Tendon Dislocation

Comparison of Clinical Efficacy between Arthroscopic and Open Surgery for Ogden Type 1–2 Peroneal Tendon Dislocation

Peroneal Tendon Dislocation: A Report of Two Cases

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