Foot and ankle tendoscopies: current concepts review

Monteagudo, Manuel; Maceira, Ernesto; Albornoz, Pilar Martínez de

doi:10.1302/2058-5241.160028

Cited by 18 publications

(12 citation statements)

References 39 publications

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“…25 A reparação endoscópica dos peroneais parece igualmente vir a ser uma opção válida 26 , embora a reparação aberta permaneça ainda como a técnica de eleição. 13,23,27, 28 A reabilitação dos doentes submetidos a sutura da rotura longitudinal dos peroneais segue protocolos com uma fase inicial de imobilização rígida (2 a 6 semanas) em descarga, seguindo-se um período de carga gradual e treino de força. Pode adotar-se um protocolo mais dinâmico com o recurso a uma bota tipo walker e a carga gradual precoce a partir das duas semanas.…”

Section: Discussionunclassified

Instabilidade Crónica do Tornozelo Associada a Rotura do Tendão Curto Peroneal – A propósito de um Caso Clínico

Flora¹,

Pacheco²,

Diniz³

et al. 2021

Revdesp

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A rotura longitudinal no tendão do músculo curto peroneal associada a instabilidade crónica do tornozelo pode passar despercebida levando a estados de incapacidade prolongados. O diagnóstico atempado desta patologia é crucial porque possibilita opções cirúrgicas mais eficazes e menos invasivas. Os autores descrevem o caso de uma doente de 38 anos, desportista recreativa, com instabilidade crónica do tornozelo e dor retromaleolar que trataram cirurgicamente, discutindo as opções cirúrgicas possíveis.

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Section: Discussionunclassified

Instabilidade Crónica do Tornozelo Associada a Rotura do Tendão Curto Peroneal – A propósito de um Caso Clínico

Flora¹,

Pacheco²,

Diniz³

et al. 2021

Revdesp

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“…Monteagudo et al (15) state that tendoscopy is an apparently safe and reliable procedure for treating some foot and ankle disorders, and it can be used as an adjuvant procedure to other techniques. Level IV and V studies are predominantly found in the literature, and level I studies are not yet available.…”

Section: Discussionmentioning

confidence: 99%

Functional assessment of foot and ankle tendinopathies treated with tendoscopy

et al. 2021

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Objective: To assess postoperative clinical functional outcomes, based on the American Orthopaedic Foot & Ankle Society (AOFAS) score, of tendoscopies performed in the treatment of foot and ankle pathologies. Methods: Our comparative assessment used AOFAS scores obtained preoperatively and at early and late postoperative stages - 1 month and 6 to 12 months after surgery - of 14 patients with foot and ankle tendinopathies. These included peroneal tendon dislocation, peroneal tendonitis, and tearing of the peroneus longus or brevis, all treated with tendoscopy for peroneal reconstruction and tenorrhaphy. The AOFAS score was obtained by functional assessment during outpatient physical examination. We presented a descriptive analysis of cases, comparing scores over time through the Friedman test followed by Dunn’s test. The relationship between score variations and sex was assessed using the Mann-Whitney test; their comparison with age used Spearman’s linear correlation coefficient. Significance levels were 5%.Results: The AOFAS score showed important improvements such as preoperative scores of 56 and 67 followed by postoperative scores of 100 both in the early and late stages, supporting the efficacy and persistence of this treatment strategy. The p-value obtained after statistical analysis was <0.0001. Conclusion: We concluded that the treatment of foot and ankle comorbidities with tendoscopy, in addition to being less invasive, shows consistency and efficacy as demonstrated by the AOFAS score and functional assessment via postoperative physical examinations. AOFAS scores were increased and maintained at high levels in the postoperative period, demonstrating the efficacy of this procedure and the duration of treatment results. Level of Evidence IV; Case Series; Therapeutic Studies - Investigation of Treatment Results.

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“…retrotalar tunnel. [15][16][17][18][19] It not only addresses a local tendon problem but also restores the normal functional anatomy of the foot by drastically improving local and remote biomechanics. 5 The arthroscopically assisted section of the retrotalar pulley and the subsequent re-establishment of the tendon glide restore the subtalar mobility and allow the kinetic chain of the lower extremity to regain its natural dynamic balance, as we observed in our series.…”

Section: Discussionmentioning

confidence: 99%

“… 11 , 12 , 13 , 14 Furthermore, this technique provides a good alternative to the already existing open surgical approaches for FHL release and represents the first technique described to address the issue of FHL conflict during its passage through the retrotalar tunnel. 15 , 16 , 17 , 18 , 19 It not only addresses a local tendon problem but also restores the normal functional anatomy of the foot by drastically improving local and remote biomechanics. 5…”

Section: Discussionmentioning

confidence: 99%

Endoscopic Tenolysis of Flexor Hallucis Longus Tendon: Surgical Technique

Olden

Vallotton

2020

Arthroscopy Techniques

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Flexor hallucis longus tendon release for surgical treatment of functional hallux limituseassociated conditions is described. This release is obtained by arthroscopic correction of the tendon's blockage, which is located at the retrotalar pulley. The procedure restores the ability for dorsiflexion of the first toe in ankle dorsiflexion (positive stretch test result). Such movement was not possible before, causing a modified gait pattern and affecting the biomechanics of the foot and leg. This explains why the procedure creates favorable changes concerning foot dynamics by restoration not only of the normal tendon glide but also of the normal mobility of the subtalar joint.

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Foot and ankle tendoscopies: current concepts review

Cited by 18 publications

References 39 publications

Instabilidade Crónica do Tornozelo Associada a Rotura do Tendão Curto Peroneal – A propósito de um Caso Clínico

Instabilidade Crónica do Tornozelo Associada a Rotura do Tendão Curto Peroneal – A propósito de um Caso Clínico

Functional assessment of foot and ankle tendinopathies treated with tendoscopy

Endoscopic Tenolysis of Flexor Hallucis Longus Tendon: Surgical Technique

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