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Functional outcomes after peroneal tendoscopy in the treatment of peroneal tendon disorders

  • Ankle
  • Published:
Knee Surgery, Sports Traumatology, Arthroscopy Aims and scope

Abstract

Purpose

The primary purpose of this study was to evaluate clinical outcomes following peroneal tendoscopy for the treatment of peroneal pathology. Correlation between pre-operative magnetic resonance imaging (MRI) and peroneal tendoscopic diagnostic findings was also assessed.

Methods

Twenty-three patients with a mean age of 34 ± 8.8 years undergoing peroneal tendoscopy were pre- and post-operatively assessed with the foot and ankle outcome score (FAOS) and the Short Form-12 (SF-12) outcome questionnaires. Follow-up was over 24 months in all patients. The sensitivity and specificity of MRI were calculated in comparison with peroneal tendoscopy, including the positive predictive value (PPV).

Results

Both the FAOS and the SF-12 improved significantly (p < 0.05) at a mean follow-up of 33 ± 7.3 months significantly. MRI showed an overall sensitivity of 0.90 (95 % confidence interval (CI) = 0.82–0.95) and specificity of 0.72 (95 % CI 0.62–0.80). The PPV for MRI diagnosis of peroneal tendon pathology was 0.76 (95 % CI 0.68–0.83).

Conclusions

The current study found good clinical outcomes in patients with peroneal tendon disorders, treated with peroneal tendoscopy. Although a relatively small number of patients were included, the study suggests good correlation between tendoscopic findings and pre-operative MRI findings of peroneal tendon pathology, supporting the use of MRI as a useful diagnostic modality for suspected peroneal tendon disorders.

Level of evidence

Level IV, retrospective case series.

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Authors and Affiliations

  1. Hospital for Special Surgery, New York, NY, USA

    John G. Kennedy, Pim A. D. van Dijk, Hunter Newman & Youichi Yasui

  2. Department of Orthopedic Surgery, Academic Medical Center, Amsterdam, The Netherlands

    Pim A. D. van Dijk

  3. Academic Center for Evidence Based Sports Medicine (ACES), Amsterdam Collaboration for Health and Safety in Sports (ACHSS), Amsterdam, The Netherlands

    Pim A. D. van Dijk

  4. East River Medical Imaging, New York, NY, USA

    Gavin Duke

  5. University of Pittsburgh School of Medicine, Pittsburgh, PA, USA

    Christopher D. Murawski

  6. Department of Orthopaedic Surgery, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA

    Christopher W. DiGiovanni

  7. Department of Orthopaedic Surgery, Teikyo University School of Medicine, Tokyo, Japan

    Youichi Yasui

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  1. John G. Kennedy
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  2. Pim A. D. van Dijk
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  3. Christopher D. Murawski
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  4. Gavin Duke
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  5. Hunter Newman
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  6. Christopher W. DiGiovanni
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  7. Youichi Yasui
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Correspondence to John G. Kennedy.

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Kennedy, J.G., van Dijk, P.A.D., Murawski, C.D. et al. Functional outcomes after peroneal tendoscopy in the treatment of peroneal tendon disorders. Knee Surg Sports Traumatol Arthrosc 24, 1148–1154 (2016). https://doi.org/10.1007/s00167-016-4012-6

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  • DOI: https://doi.org/10.1007/s00167-016-4012-6

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