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Behandlung akuter und chronischer Verletzungen der Peronäalsehnen

Treatment of acute and chronic peroneal tendon disorders

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Zusammenfassung

Verletzungen der Peronäalsehnen sind eine häufig verpasste Ursache für anhaltende Beschwerden am lateralen Rückfuß. Neben isolierten Schäden an den Sehnen treten diese auch bei insuffizientem lateralen Bandapparat am oberen Sprunggelenk (OSG) oder bei Kavovarusfüßen auf. Ursächlich liegen meist repetitive Überlastungen oder ein akutes Inversionstrauma am OSG zugrunde. Die Veränderungen werden in 3 Gruppen zusammengefasst: 1. Tendinitis und Tenosynovitis, 2. Sub-/Luxationen, 3. Risse, Rupturen. Viele dieser Verletzungen können konservativ behandelt werden. Bei therapierefraktären Beschwerden und anatomischer/biomechanischer Disposition ist jedoch häufig die operative Versorgung für ein gutes funktionelles Resultat nicht umgänglich.

Abstract

Peroneal tendon injuries are recognized with increasing frequency to be the cause of persistent lateral ankle symptoms. The lesions are frequently found in patients with concomitant anatomical or biomechanical abnormalities, such as chronic lateral instability or cavovarus deformity. The most common mechanism involves a sudden inversion injury or repetitive activities. Three categories of injuries can be distinguished: (1) tendinitis and tenosynovitis, (2) tendon subluxation and dislocation and (3) tendon tears and ruptures. Many of these conditions respond to conservative therapy. However, when left untreated, the disorders can lead to persistent lateral ankle pain and substantial functional deficits. This is particularly true in patients with an underlying anatomical predisposition to lesions.

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Interessenkonflikt

Der korrespondierende Autor gibt an, dass kein Interessenkonflikt besteht.

Danksagung

Die Autoren danken Fr. Lilianna Bolliger, MSc, für die Hilfe bei der Zusammenstellung des Manuskriptes.

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Authors and Affiliations

  1. Orthopädie, Kantonsspital Liestal, Rheinstraße 26, CH-4410, Liestal, Schweiz

    M. Knupp & B. Hintermann

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  1. M. Knupp
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  2. B. Hintermann
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Correspondence to M. Knupp.

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Knupp, M., Hintermann, B. Behandlung akuter und chronischer Verletzungen der Peronäalsehnen. Orthopäde 39, 1158–1162 (2010). https://doi.org/10.1007/s00132-010-1695-0

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  • DOI: https://doi.org/10.1007/s00132-010-1695-0

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