In-Office Needle Tendoscopy of the Peroneal Tendons

Abstract

In-office needle tendoscopy (IONT) can be used for the diagnosis and treatment of several peroneal tendon pathologies including peroneal tendon tendinopathy, tears, and instability. Benefits of IONT for peroneal tendon disorders include the ability to dynamically evaluate peroneal tendon stability, quicker patient recovery, reduced cost, and improved patient satisfaction. Several studies have suggested that tendoscopic treatment may avoid several complications related to open treatment of peroneal tendon pathologies, including scar formation and groove stenosis. The purpose of the present report is to describe the technique for performing IONT for common peroneal tendon pathologies. This Technical Note describes the techniques for obtaining adequate anesthesia and performing IONT, indications, and advantages of performing these procedures in the office rather than in the operating room.

Cartilage Biopsy for Autologous Cell–Based Repair of the Knee in the Wide-Awake Setting Using Needle Arthroscopy

“…Needle arthroscopy has also been described in the wide-awake office setting for diagnostic knee arthroscopy using both 1- and 2-portal techniques, as well as numerous foot and ankle procedures. 8 , 9 , 10 , 11 , 12 , 13 , 14 , 15 In a cohort of 31 patients undergoing in-office needle arthroscopy debridement for anterior ankle impingement, Colasanti et al. 16 reported significant improvement in patient-reported outcome scores, a low complication rate, and faster recovery compared with traditional arthroscopic debridement.…”

In-Office Needle Arthroscopy of the Knee With Lateral Parapatellar Retinacular Release

“…In wide-awake local anesthesia and no tourniquet foot and ankle surgery, IONA has been applied from posterior hindfoot to peroneal tendoscopy and debridement. 14 , 15 , 16 , 17 , 18 Colasanti et al. 15 , 16 reported that in 31 patients, nearly 16 months postoperative from IONA for anterior ankle impingement, 91% (n = 29) noted they would undergo the same procedure.…”

In-Office Needle Arthroscopy With Cartilage Allograft Extracellular Matrix Application for Cartilage Lesions of the Knee

“… 10 , 11 Several techniques for IONA have been described in foot and ankle surgery literature using wide-awake local anesthesia no tourniquet (WALANT), ranging from posterior hindfoot debridement to peroneal tendoscopy and debridement. 12 , 13 , 14 …”