Endoscopic Resection of Peroneal Tubercle

Lui, Tun Hing

doi:10.1016/j.eats.2017.06.006

Cited by 13 publications

(7 citation statements)

References 12 publications

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“…Nerve injuries resulting from peroneal tendoscopy are mainly of the sural nerve or its communicating branch with the superficial peroneal nerve in the distal portal [22] or even of the superficial peroneal nerve in the proximal portal, all of which are iatrogenic. In addition, the risk of injury to the sural nerve due to the extravasation of saline solution outside the peroneal sheath has been reported [11,23,24]. In our series, using the endoscopic approach, we haven't found any nerve complications.…”

Section: Discussionmentioning

confidence: 54%

Minimally Invasive Peroneal Tenodesis Assisted by Peroneal Tendoscopy: Technique and Preliminary Results

Castilho,

Magalhães,

Veríssimo

et al. 2024

Medicina

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Introduction: Peroneal disorders are a common cause of ankle pain and lateral instability and have been described in as much as 77% of patients with lateral ankle instability. Clicking, swelling, pain, and tenderness in the peroneal tendons track are frequent symptoms, but they can be confused with other causes of lateral ankle pain. The management of peroneal disorders can be conservative or surgical. When the conservative treatment fails, surgery is indicated, and open or tendoscopic synovectomy, tubularization, tenodesis or tendon transfers can be performed. The authors present a surgical technique of tendoscopy associated to minimally invasive tenodesis for the treatment of peroneal tendon tears, as well as the preliminary results of patients submitted to this procedure. Methods: Four patients with chronic lateral ankle pain who were diagnosed with peroneal brevis pathology were treated between 2020 and 2022 with tendoscopic-assisted minimally invasive synovectomy and tenodesis. Using a 2.7 mm 30° arthroscope and a 3.0 mm shaver blade, the entire length of the peroneus brevis tendon and most parts of the peroneus longus tendon can be assessed within Sammarco’s zones 1 and 2. After the inspection and synovectomy, a minimally invasive tenodesis is performed. Results: All patients were evaluated at least six months after surgery. All of them reported improvement in daily activities and in the Foot Function Index (FFI) questionnaire (pre-surgery mean FFI = 23.86%; post-surgery mean FFI = 6.15%), with no soft tissue complications or sural nerve complaints. Conclusion: The tendoscopy of the peroneal tendons allows the surgeon to assess their integrity, confirm the extent of the lesion, perform synovectomy, prepare the tendon for tenodesis, and perform it in a safe and minimally invasive way, reducing the risks inherent to the open procedure.

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Section: Discussionmentioning

confidence: 54%

Minimally Invasive Peroneal Tenodesis Assisted by Peroneal Tendoscopy: Technique and Preliminary Results

Castilho,

Magalhães,

Veríssimo

et al. 2024

Medicina

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“…Use of peroneal tendoscopy as a diagnostic and therapeutic tool has increased since its first description in the late 1990s. 17 It has since been described in the treatment of peroneal tendon tears, 2,5,17 tenosynovitis, 2,5 adhesions, 17 tendon subluxation, 19 prominent peroneal tubercle, 6 low-lying peroneus brevis muscle belly, 7 os peroneum fracture, 3 and peroneus tertius pain. 1,13 Many of these studies comment on the ease of visualization of the tendons.…”

Section: Introductionmentioning

confidence: 99%

“…1,13 Many of these studies comment on the ease of visualization of the tendons. 1,4-8,10-13,16-20 However, no study exists to quantify the extent of the peroneal tendons that can be seen, as has been studied with other tendons. 9 The goal of this study was to quantify the extent of the peroneal tendons that can be visualized using routine peroneal tendoscopy methods.…”

Section: Introductionmentioning

confidence: 99%

Measuring Visualized Tendon Length in Peroneal Tendoscopy

et al. 2018

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“…[1][2][3][4] The tendon sheath of the peroneus longus tendon (PLT) in the sole is difficult to approach surgically. Extensive dissection is needed during open exploration of this part of the PLT.…”

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confidence: 99%