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Endoscopic fibular groove deepening for stabilisation of recurrent peroneal tendons instability in a patient with open physes

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

Abstract

This is a report of a rare case of recurrent traumatic peroneal tendon dislocation in a patient with open physes. Through fibular tendon endoscopy, an intramuscular needle was introduced under direct visualisation and implanted inferiorly to the growth plate while reclining the tendons posteriorly. A fibular groove deepening was performed in order to stabilize the tendons. The patient was able to return to full activity after 3 months. MRI taken 12 months after surgery showed neither signs of recurrence of the lesion nor growth plate disturbance. This is a first case report of peroneal tendons stabilisation by tendoscopic retro-malleolar groove deepening in a child.

Level of evidence Case report, Level IV.

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References

  1. Adachi N, Fukuhara K, Tanaka H, Nakasa T, Ochi M (2006) Superior retinaculoplasty for recurrent dislocation of peroneal tendons. Foot Ankle Int 27:1074–1078

    Article  PubMed  Google Scholar 

  2. Boykin RE, Ogunseinde B, McFeely ED, Nasreddine A, Kocher MS (2010) Preliminary results of calcaneofibular ligament transfer for recurrent peroneal subluxation in children and adolescents. J Pediatr Orthop 30:899–903

    Article  PubMed  Google Scholar 

  3. Ferran NA, Oliva F, Maffulli N (2006) Recurrent subluxation of the peroneal tendons. Sports Med 36:839–846

    Article  PubMed  Google Scholar 

  4. Forman ES, Micheli LJ, Backe LM (2000) Chronic recurrent subluxation of the peroneal tendons in a pediatric patient. Surgical recommendations. Foot Ankle Int 21:51–53

    Article  CAS  PubMed  Google Scholar 

  5. Gaulke R, Hildebrand F, Panzica M, Hufner T, Krettek C (2010) Modified rerouting procedure for failed peroneal tendon dislocation surgery. Clin Orthop Relat Res 468:1018–1024

    Article  CAS  PubMed  Google Scholar 

  6. Guillo S, Calder JD (2013) Treatment of recurring peroneal tendon subluxation in athletes: endoscopic repair of the retinaculum. Foot Ankle Clin 18:293–300

    Article  PubMed  Google Scholar 

  7. Karlsson J, Eriksson BI, Sward L (1996) Recurrent dislocation of the peroneal tendons. Scand J Med Sci Sports 6:242–246

    Article  CAS  PubMed  Google Scholar 

  8. Kollias SL, Ferkel RD (1997) Fibular grooving for recurrent peroneal tendon subluxation. Am J Sports Med 25:329–335

    Article  CAS  PubMed  Google Scholar 

  9. Kumai T, Benjamin M (2003) The histological structure of the malleolar groove of the fibula in man: its direct bearing on the displacement of peroneal tendons and their surgical repair. J Anat 203:257–262

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Larsen E, Flink-Olsen M, Seerup K (1984) Surgery for recurrent dislocation of the peroneal tendons. Acta Orthop Scand 55:554–555

    Article  CAS  PubMed  Google Scholar 

  11. Lui TH (2006) Endoscopic peroneal retinaculum reconstruction. Knee Surg Sports Traumatol Arthrosc 14:478–481

    Article  PubMed  Google Scholar 

  12. Mason RB, Henderson JP (1996) Traumatic peroneal tendon instability. Am J Sports Med 24:652–658

    Article  CAS  PubMed  Google Scholar 

  13. McLennan JG (1980) Treatment of acute and chronic luxations of the peroneal tendons. Am J Sports Med 8:432–436

    Article  CAS  PubMed  Google Scholar 

  14. Oden RR (1987) Tendon injuries about the ankle resulting from skiing. Clin Orthop Relat Res 216:63–69

    Google Scholar 

  15. Porter D, McCarroll J, Knapp E, Torma J (2005) Peroneal tendon subluxation in athletes: fibular groove deepening and retinacular reconstruction. Foot Ankle Int 26:436–441

    Article  PubMed  Google Scholar 

  16. Selmani E, Gjata V, Gjika E (2006) Current concepts review: peroneal tendon disorders. Foot Ankle Int 27:221–228

    Article  PubMed  Google Scholar 

  17. Smith SE, Camasta CA, Cass AD (2009) A simplified technique for repair of recurrent peroneal tendon subluxation. J Foot Ankle Surg 48:277–280

    Article  PubMed  Google Scholar 

  18. Stenquist DS, Gonzalez TA, Tepolt FA, Kramer DE, Kocher MS (2016) Calcaneofibular ligament transfer for recurrent peroneal tendon subluxation in pediatric and young adult patients. J Pediatr Orthop. doi:10.1097/BPO.0000000000000731

    PubMed  Google Scholar 

  19. Title CI, Jung HG, Parks BG, Schon LC (2005) The peroneal groove deepening procedure: a biomechanical study of pressure reduction. Foot Ankle Int 26:442–448

    Article  PubMed  Google Scholar 

  20. van Dijk PA, Gianakos AL, Kerkhoffs GM, Kennedy JG (2016) Return to sports and clinical outcomes in patients treated for peroneal tendon dislocation: a systematic review. Knee Surg Sports Traumatol Arthrosc 24:1155–1164

    Article  PubMed  Google Scholar 

  21. Walther M, Morrison R, Mayer B (2009) Retromalleolar groove impaction for the treatment of unstable peroneal tendons. Am J Sports Med 37:191–194

    Article  PubMed  Google Scholar 

  22. Wang CC, Wang SJ, Lien SB, Lin LC (2009) A new peroneal tendon rerouting method to treat recurrent dislocation of peroneal tendons. Am J Sports Med 37:552–557

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Nicolas Pujol.

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Maqdes, A., Steltzlen, C. & Pujol, N. Endoscopic fibular groove deepening for stabilisation of recurrent peroneal tendons instability in a patient with open physes. Knee Surg Sports Traumatol Arthrosc 25, 1925–1928 (2017). https://doi.org/10.1007/s00167-016-4210-2

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