Clinical results of peroneal tendon repair in a retrospective series of 30 patients

Bourgault, C.; Pougès, Cécile; Szymanski, C.; Lalanne, Clément; Soudy, K.; Maynou, C.

doi:10.1016/j.otsr.2018.01.020

Cited by 8 publications

(6 citation statements)

References 33 publications

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“…6,34 With a mean AOFAS score of 86 in our cohort, good outcome scores were found after tendon transfer. This is in line with the findings of Bourgault et al 7 and Krause and Brodsky, 20 with mean AOFAS scores of 87 and 85, respectively. In contrast to these studies, we only included patients with severe peroneal tendon lesions, requiring a peroneus longus to brevis tendon transfer.…”

Section: Discussionsupporting

confidence: 92%

Clinical and Functional Outcomes of Peroneus Longus to Brevis Tendon Transfer

et al. 2021

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Background: Peroneal tendon lesions can cause debilitating pain, but operative treatment remains controversial. Some studies recommend peroneal tenodesis or transfer if more than half of the tendon is affected. However, clinical outcomes and inversion/eversion motion after peroneal transfer have not been investigated yet. Methods: Patients who underwent distal peroneus longus to brevis transfer for major peroneus brevis tendon tears with a minimum follow-up of 2 years were included. Clinical outcome parameters included the American Orthopaedic Foot & Ankle Society (AOFAS) hindfoot score, the German Foot Function Index (FFI-D), and Karlsson-Peterson score. Functional outcome was tested with a standardized active range-of-motion (ROM) and isokinetic strength measurement protocol, including concentric and eccentric eversion and inversion tests. Results: Of total 23 eligible patients, 14 (61%) were available for follow-up. Clinical outcome scores were good with AOFAS 86 ± 16 points, FFI-D pain 26% and FFI-D disability 26%, and Karlsson-Peterson score 78 ± 23 points. There was no difference in strength in comparison to the contralateral foot (all P > .05). Isokinetic strength was 16.3 ± 4.9 Nm (108% of contralateral side) and 18.8 ± 4.5 Nm (101%) at concentric 30 deg/s and eccentric 30 deg/s eversion tests, as well as 15.7 ± 5.2 Nm (102%) and 18.7 ± 3.3 Nm (103%) at concentric 30 deg/s and eccentric 30 deg/s inversion tests, respectively. There was no difference in ROM compared to the contralateral side (eversion/inversion 14.5-0-18.7 vs 14.1-0-16.1 degrees). Conclusion: Peroneus longus to brevis transfer is a viable option for treating severe peroneus brevis tendon tears and does not compromise measurable strength or ROM in inversion or eversion in comparison to the contralateral ankle joint. Level of Evidence: Level IV, prospective case series.

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Section: Discussionsupporting

confidence: 92%

Clinical and Functional Outcomes of Peroneus Longus to Brevis Tendon Transfer

et al. 2021

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“…Yet it is also found to have a high incidence of sural nerve injury and ankle ankylosis as surgical complications. 12 In a study conducted in France by Borgault, 13 there were 30 patients with peroneal tendon injury who were treated using various surgical techniques mentioned previously. The study confirmed that the result was satisfactory.…”

Section: Discussionmentioning

confidence: 99%

“…However, from another study we found that there was no superiority of one procedure over another in respect to chronicity, severity or satisfaction score. 13 The postoperative result showed that overall clinical outcomes were positive in lieu of various surgical interventions for peroneal tendon tears. A weakness of this study is the small number of patients in our case series.…”

Section: Dovepressmentioning

confidence: 97%

The Surgical Procedure in Managing Peroneal Tendon Injury: A Case Series

Pitarini¹,

Anastasia²,

Kennedy³

et al. 2022

ORR

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Peroneal tendon injury is one of the pathological ankle conditions which causes pain and is frequently misdiagnosed as ankle sprain. There is a variety of peroneal tendon injuries, depending on the mechanism of injury. We report a series of three peroneal injuries in our institution. Case Presentation: All three of the patients presented with ankle pain and instability following injuries. There was a presence of peroneus quartus in one of the patients. Retromalleolar pain was revealed in all of the patients, in addition to instability. All of the three patients received open peroneal tendon repair with groove tubular deepening for the 1 st patient. Following the surgery, the patients could partially weight-bear after 3-4 weeks. Full range of motion was restored 6 weeks after surgery. Discussion: The peroneal muscle functions as a dynamic stabilizer of the ankle, which is vital to control the dynamic stability of the lateral ankle. There is a variety of peroneal injuries ranging from split tear to chronic dislocation. The treatment for peroneal tendon subluxation can be conservative or surgical. There are several surgical techniques for peroneal tendon subluxation repair, such as: 1) direct repair of retinaculum; 2) retromalleolar groove deepening; 3) tendon graft reconstruction; 4) bone block procedure; 5) tendon rerouting procedure. Conclusion:Peroneal tendon injury should always be considered following inversion ankle trauma, especially in case of chronic lateral retromalleolar pain. Surgeries are often required after failure of conservative treatment which can cause impaired walking, decreased sports performance, or chronic pain and muscle strain.

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“…10,20,39 Even though PL tendon tears are reported, the PB tendon is predominantly affected. 6,45 However, mechanisms for the PB tendon tear remain the topic of speculation. 38 Munk and Davis 31 theorized that PB muscle tendon tear occurs either due to subluxation and splitting of the tendon over the posterolateral edge of the fibula or due to compression of the tendon between retrofibular groove and PL tendon.…”

Section: Discussionmentioning

confidence: 99%

Importance of Space-Occupying Anatomical Variations in Peroneal Tendoscopy

2020

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Background: We hypothesized that peroneal tendons disorders are more commonly associated with anatomical variations, which could overcrowd the retrofibular groove. Methods: This single-center retrospective case study covered 84 consecutive cases that had undergone peroneal tendoscopy. Peroneal tendoscopy was performed on 82 patients, predominantly female (3:1) with a median age of 46 years. The preoperative evaluation and all the procedures were performed by a single surgeon using a standardized technique. Results: Two patients required revision surgery 8 and 52 months after the index procedure due to persistent posterolateral ankle pain. Peroneal tendoscopy was performed as a solitary procedure in 45.1% (37/82) of cases, while the remaining cases involved peroneal tendoscopy as a supplementary procedure. Low-lying peroneus brevis muscle belly (LLMB) was the most common finding in this series in 53.7% (44/82) of cases. In 41.5% (34/82) of cases, longitudinal tears of the peroneus brevis tendon were noted. Some patients presented with more than 1 concomitant peroneal tendon pathology. The LLMB was observed in 23.5% (8/34) of cases with a longitudinal tear of the peroneus brevis tendon. Conclusion: Peroneal tendon anatomical variations, especially LLMB, were associated with the presence of peroneus brevis tendon ruptures and intrasheath peroneal tendon subluxations as well as posttraumatic posterolateral ankle pain. Due to high rates of undiagnosed and misdiagnosed cases of LLMB preoperatively, we believe special care should be taken to recognize it during tendoscopy. Peroneal tendoscopy is a high-efficiency, low-complication method to treat some peroneal tendon conditions. Level of Evidence: Level IV, case series.

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Clinical results of peroneal tendon repair in a retrospective series of 30 patients

Abstract: IV, retrospective case series.

Cited by 8 publications

References 33 publications

Clinical and Functional Outcomes of Peroneus Longus to Brevis Tendon Transfer

Clinical and Functional Outcomes of Peroneus Longus to Brevis Tendon Transfer

The Surgical Procedure in Managing Peroneal Tendon Injury: A Case Series

Importance of Space-Occupying Anatomical Variations in Peroneal Tendoscopy

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