Peroneal Tendons Subluxation

Oliva, Francesco; Frate, Dario Del; Ferran, Nicholas Antonio; Maffulli, Nicola

doi:10.1097/jsa.0b013e3181a5c9f7

Cited by 32 publications

(14 citation statements)

References 73 publications

(74 reference statements)

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“…To our knowledge, no previous systematic review has been published addressing the surgical treatment of peroneal tendon dislocation. A review from Oliva et al [ 26 ] demonstrated that reattachment of the SPR is the most appropriate technique when utilizing an anatomic approach. This study, however, was not based on systematic analysis of collected studies and did not provide sufficient data to substructure their conclusions.…”

Section: Discussionmentioning

confidence: 99%

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Return to sports and clinical outcomes in patients treated for peroneal tendon dislocation: a systematic review

Dijk

Gianakos

Kerkhoffs

et al. 2015

Knee Surg Sports Traumatol Arthrosc

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Purpose The aim of this study was to determine the outcome following different surgical treatment techniques in the treatment of peroneal tendon dislocation and to establish whether return to sports was achieved universally following the procedures.MethodsA systematic review and best-evidence synthesis was performed. PubMed and EMBASE were searched for eligible studies. The last search was done in March 2015. Quality assessment of pooled data was performed using a modified Macleod scale and a best-evidence synthesis was performed. In total, 14 studies were included.ResultsSurgical treatment provides improvement in the post-operative AOFAS score (p < 0.0001) and high satisfaction rates. The redislocation rate is less than 1.5 % at long-term follow-up. Patients treated with both groove deepening and SPR repair have higher rates of return to sports than patients treated with SPR repair alone (p = 0.022).ConclusionsSurgical treatment of peroneal tendon dislocation provides good outcomes, high satisfaction and a quick return to sports. Rates in return to sports are significantly higher in patients treated with both groove deepening and SPR repair. To optimize treatment, the surgical management should involve increasing the superior peroneal tunnel volume by groove deepening and stabilizing the tendons by SPR repair.Level of evidenceLevel IV, systematic review of level IV studies.

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Section: Discussionmentioning

confidence: 99%

“…To provide early return to sports (RTS), optimal treatment is critical. Although many treatment options are described in the literature, consensus on the best treatment algorithm has yet to be established [ 26 ].…”

Section: Introductionmentioning

confidence: 99%

Return to sports and clinical outcomes in patients treated for peroneal tendon dislocation: a systematic review

Dijk

Gianakos

Kerkhoffs

et al. 2015

Knee Surg Sports Traumatol Arthrosc

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“…We reported for the first time in literature the formation of a pseudoaneurysm of the peroneal artery after an anterior ankle arthroscopy. The peroneal artery origins from the posterior tibial artery, 2-3 cm under the tendinous arch of the soleus running medially to the fibula until the tibio-tarsal joint 12,13 . Five cases of pseudoaneurysm of peroneal branches are described in literature after an ankle sprain 7 .…”

Section: Discussionmentioning

confidence: 99%

Pseudoaneurysm of peroneal artery after ankle arthroscopy

Battisti

Oliva

Tarantino

et al. 2019

Muscle Ligaments and Tendons J

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Background: ankle arthroscopy increased its role in the diagnosis and treatment of pathology of the ankle since 1970s. Although the benefits are well established, ankle arthroscopy is associated with a definite risk of complications, especially neurological. The incidence rate of vascular complication after anterior ankle arthroscopy has been reported. Methods: we review the literature on vascular complications after anterior ankle arthroscopy especially pseudoaneurysm and a case report of a peronal artery pseudoaneurysm was reported. Conclusion: vascular complications after an anterior ankle arthroscopy are extremely rare but orthopaedic surgeons should be wary of this chance. Among vascular complications after an anterior ankle arthroscopy, peroneal artery pseudoaneurysm to our knowledge never has been described until now.

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“…However, Oliva et al has challenged that these new subtypes are actually grade 1 injuries. Oliva et al 9 proposes that the SPR cannot remain intact during such a forceful anatomic shift.…”

Section: Mechanism Of Injurymentioning

confidence: 99%

Peroneal tendon subluxation: the other lateral ankle injury

2009

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Ankle injuries are a frequent cause of patient visits to the emergency department and orthopaedic and primary care offices. Although lateral ligament sprains are the most common pathologic conditions, peroneal tendon subluxations occur with a similar inversion mechanism. Multiple grades of subluxation have been described with a recent addition of intrasheath subluxation. Magnetic resonance imaging is the best imaging modality to view the peroneal tendons at the retrofibular groove. Currently, point-of-care ultrasound is gaining clinical ground, especially for the dynamic viewing capability to capture an episodic subluxation. Although conservative treatment may be attempted for an acute injury, it has a low rate of success for the prevention of recurrent subluxation. Surgical procedures of various techniques have resulted in excellent recovery rates and faster return to play. The aim of this paper was to give a complete review of the current literature on peroneal tendon subluxation and to propose a clinical algorithm to help guide diagnosis and treatment. The goal of this study was to heighten clinical awareness to improve earlier detection and treatment of this sometimes elusive diagnosis.

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Peroneal Tendons Subluxation

Cited by 32 publications

References 73 publications

Return to sports and clinical outcomes in patients treated for peroneal tendon dislocation: a systematic review

Return to sports and clinical outcomes in patients treated for peroneal tendon dislocation: a systematic review

Pseudoaneurysm of peroneal artery after ankle arthroscopy

Peroneal tendon subluxation: the other lateral ankle injury

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