Subluxation of peroneal tendons. Case treated by rerouting tendons under calcaneofibular ligament

Sarmiento, Alberto Martínez; Wolf, M.

doi:10.2106/00004623-197557010-00021

Cited by 108 publications

(35 citation statements)

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“…Acute injuries have approximately a 50% success rate when treated with cast immobilization in most studies, whereas chronic injuries are almost uniformly unsuccessful when treated in this manner. 10,21 Operative treatment is advocated by many authors for treatment of acute injuries. 10,16,18,19,24,28 They report excellent results with early surgical intervention and rapid recovery.…”

Section: ⅲ Indications and Contraindicationsmentioning

confidence: 99%

Indirect Groove Deepening in the Management of Chronic Peroneal Tendon Dislocation

Shawen

Anderson

2004

Techniques in Foot & Ankle Surgery

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Ⅲ ABSTRACTPeroneal subluxation and dislocation isa well-known condition due to injury of the lateral ankle. The acute injury is frequently misdiagnosed as a lateral ankle sprain. Difficulty in establishing the correct diagnosis or inadequate initial treatment may lead to recurrent subluxation or chronic dislocation of the tendons. Many surgical techniques have been described to treat this condition. These range from simple soft-tissue repairs to complicated dissection and groove-deepening procedures. We present a novel technique that deepens the groove with limited dissection of the soft tissues and periosteum.

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Section: ⅲ Indications and Contraindicationsmentioning

confidence: 99%

Indirect Groove Deepening in the Management of Chronic Peroneal Tendon Dislocation

Shawen

Anderson

2004

Techniques in Foot & Ankle Surgery

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“…4 Surgical reconstruction for recurrent dislocation of the peroneal tendons poses a challenge. Many types of operation have been described for repair, [5][6][7][8][9] Wolf's procedure but the mean follow-up was less than three years. Zoellner and Clancy 14 advocated groove-deepening procedures, but we did not find the groove to be shallow in any of our patients.…”

Section: Discussionmentioning

confidence: 99%

The Singapore operation for recurrent dislocation of peroneal tendons

Hui

Das

Balasubramaniam

1998

The Journal of Bone and Joint Surgery. British volume

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R ecurrent dislocation of peroneal tendons is uncommon and there are few reports of the long-term results after repair. The Singapore operation, first described in 1985, is an anatomical repair based on the Bankart-like lesion seen in the superior peroneal retinaculum.We reviewed 21 patients after a mean follow-up of 9.3 years, and found no recurrence. Eighteen had good functional results and had returned to their previous levels of vocational and sports activities. The three fair results were due to painful scars or neuromas.J Bone Joint Surg [Br] 1998;80-B:325-7. Received 19 August 1997; Accepted 3 October 1997 In 1985 we reported a new operation for the repair of recurrent dislocation of peroneal tendons, 1 describing the Bankart-like lesion in which the superior peroneal retinaculum is stripped from its fibular attachment. The persisting pouch allowed easy dislocation of the peroneal tendons, but reattachment through drill holes in the fibula can prevent redislocation. We now report the long-term results. Patients and MethodsBetween 1981 and 1991, a total of 22 patients had the Singapore operation, excluding those with associated foot and ankle fractures. One patient was lost to follow-up, leaving 21 for review. There were 18 men and three women, with a mean age at operation of 24 years (16 to 36). Ten were army personnel, five were students, and six sedentary workers. The common causes of dislocation were sports or combat-training injuries, and few patients had treatment for the initial injury. They all had pain and instability due to recurrent dislocation of the tendons, and were seen at a mean interval of eight months after injury. Clinical examination showed bow-stringing of the peroneal tendons on dorsiflexion and eversion of the foot and radiographs revealed no avulsion fractures involving the lateral malleolus.At operation, the lesion was confirmed and repaired by the same technique 1 using four sutures at 1 cm intervals to replace the anterior edge of the retinaculum (Fig. 1). A below-knee plaster cast in the neutral position was retained for six weeks after which physiotherapy was started. Mild to moderate sporting activities were allowed after another six weeks, but avoidance of contact sports was advised for a further period of six months. At review, we assessed recurrence, pain, stability, and function in vocational and sports activities, using a score modified from other systems 2,3 (Table I). Patients were examined for tenderness, scarring and neuroma formation and the range of movement of the ankle and subtalar joints was recorded.

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“…Früher wurde häufig die Ansicht vertreten, dass die akute Luxation vorerst konservativ zu behandeln sei. Die Autoren berichten über positive Ergebnisse nach sechswöchiger Ruhigstellung in leichter Spitzfußstellung im Unterschenkelgips oder nach Versorgung mittels stabilisierender Bandagen (4,26,27). Durch das Zurückhalten der dislozierten Sehnen in ihrer anatomischen Position und die für die Peronealsehnen entlastende Plantarflexion soll es zu einem narbigen Verheilen des superioren Retinaculums und einem Verkleben der Luxationstasche kommen.…”

Section: Therapieunclassified

Peronealsehnenluxation

Beyerlein¹,

Imhoff²

2003

Fuß & Sprunggelenk

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Subluxation of peroneal tendons. Case treated by rerouting tendons under calcaneofibular ligament

Cited by 108 publications

References 0 publications

Indirect Groove Deepening in the Management of Chronic Peroneal Tendon Dislocation

Indirect Groove Deepening in the Management of Chronic Peroneal Tendon Dislocation

The Singapore operation for recurrent dislocation of peroneal tendons

Peronealsehnenluxation

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