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Endoscopic management of recalcitrant retrofibular pain without peroneal tendon subluxation or dislocation

  • Arthroscopy and Sports Medicine
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Peroneal tendon pathology is not uncommonly encountered behind the lateral malleolus and presented as retrofibular pain. The three primary categories of peroneal tendon disorders include tendinitis and tenosynovitis, tendon subluxation and dislocation, and tendon tears and ruptures. We described an approach of endoscopic groove deepening and endoscopic assisted repair of longitudinal peroneal tendon tears in management of recalcitrant retrofibular pain without peroneal tendon subluxation or dislocation.

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References

  1. Heckman DS, Reddy S, Pedowitz D, Wapner KL, Parekh SG (2008) Current concepts review: operative treatment for peroneal tendon disorders. J Bone Joint Surg Am 90:404–418

    Article  PubMed  Google Scholar 

  2. Deutsch P, Schink W (1973) Transosseous tenosynovoplasty for the treatment of habitual dislocation of the peroneal tendons. Munch Med Wochenschr 115:237–240

    PubMed  CAS  Google Scholar 

  3. Mendicino RW, Orsini RC, Whitman SE, Catanzariti AR (2001) Fibular groove deepening for recurrent peroneal subluxation. J Foot Ankle Surg 40:252–263

    Article  PubMed  CAS  Google Scholar 

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

    Article  PubMed  Google Scholar 

  5. de Leeuw PAJ, van Dijk CN, Golanó P (2008) A 3-portal endoscopic groove deepening technique for recurrent peroneal tendon dislocation. Tech Foot Ankle Surg 7:250–256

    Article  Google Scholar 

  6. Bauer T, Deranlot J, Hardy P (2011) Endoscopic treatment of calcaneo-fibular impingement. Knee Surg Sports Traumatol Arthrosc 19:131–136

    Article  PubMed  CAS  Google Scholar 

  7. Lui TH (2007) Endoscopic lateral calcaneal ostectomy for calcaneofibular impingement. Arch Orthop Trauma Surg 127:265–267

    Article  PubMed  Google Scholar 

  8. 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

    PubMed  Google Scholar 

  9. Slater HK (2007) Acute peroneal tendon tears. Foot Ankle Clin 12:659–674

    Article  PubMed  CAS  Google Scholar 

  10. Dombek MF, Orsini R, Mendicino RW, Saltrick K (2001) Peroneus brevis tendon tears. Clin Podiatr Med Surg 18:409–427

    PubMed  CAS  Google Scholar 

  11. Petersen W, Bobka T, Stein V, Tillmann B (2000) Blood supply of the peroneal tendons: injection and immunohistochemical studies of cadaver tendons. Acta Orthop Scand 71:168–174

    Article  PubMed  CAS  Google Scholar 

  12. Ozbag D, Gumusalan Y, Uzel M, Cetinus E (2008) Morphometrical features of the human malleolar groove. Foot Ankle Int 29:77–81

    Article  PubMed  Google Scholar 

  13. Minoyama O, Uchiyama E, Iwaso H, Hiranuma K, Takeda Y (2002) Two cases of peroneus brevis tendon tear. Br J Sports Med 36:65–66

    Article  PubMed  CAS  Google Scholar 

  14. Sobel M, DiCarlo EF, Bohne WH, Collins L (1991) Longitudinal splitting of the peroneus brevis tendon: an anatomic and histologic study of cadaveric material. Foot Ankle 12:165–170

    PubMed  CAS  Google Scholar 

  15. Sobel M, Bohne WH, Levy ME (1990) Longitudinal attrition of the peroneus brevis tendon in the fibular groove: an anatomic study. Foot Ankle 11:124–128

    PubMed  CAS  Google Scholar 

  16. Bassett FH III, Speer KP (1993) Longitudinal rupture of the peroneal tendons. Am J Sports Med 21(3):354–357

    Article  PubMed  Google Scholar 

  17. DIGiovanni BF, Fraga CJ, Cohen BE, Shereff MJ (2000) Associated injuries found in chronic lateral ankle instability. Foot Ankle Int 21:809–815

    PubMed  CAS  Google Scholar 

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

    Article  PubMed  Google Scholar 

  19. Major NM, Helms CA, Fritz RC, Speer KP (2000) The MR imaging appearance of longitudinal split tears of the peroneus brevis tendon. Foot Ankle Int 21:514–519

    PubMed  CAS  Google Scholar 

  20. Squires N, Myerson MS, Gamba C (2007) Surgical treatment of peroneal tendon tears. Foot Ankle Clin 12:675–695

    Article  PubMed  Google Scholar 

  21. Scholten PE, van Dijk CN (2006) Tendoscopy of the peroneal tendons. Foot Ankle Clin 11:415–420

    Article  PubMed  Google Scholar 

  22. van Dijk CN, Kort N (1998) Tendoscopy of the peroneal tendons. Arthroscopy 14:471–478

    Article  PubMed  Google Scholar 

  23. Bonnin M, Tavernier T, Bouysset M (1997) Split lesions of the peroneus brevis tendon in chronic ankle laxity. Am J Sports Med 25(5):699–703

    Article  PubMed  CAS  Google Scholar 

  24. Redfern D, Myerson M (2004) The management of concomitant tears of the peroneus longus and brevis tendons. Foot Ankle Int 25:695–707

    PubMed  Google Scholar 

  25. Bare A, Ferkel RD (2009) Peroneal tendon tears: associated arthroscopic findings and results after repair. Arthroscopy 25:1288–1297

    Article  PubMed  Google Scholar 

  26. Khoury NJ, el-Khoury GY, Saltzman CL, Kathol MH (1996) Peroneus longus and brevis tendon tears: MR imaging evaluation. Radiology 200:833–841

    PubMed  CAS  Google Scholar 

  27. Adachi N, Fukuhara K, Kobayashi T, Nakasa T, Ochi M (2009) Morphologic variations of the fibular malleolar groove with recurrent dislocation of the peroneal tendons. Foot Ankle Int 30:540–544

    Article  PubMed  Google Scholar 

  28. Tan V, Lin SS, Okereke E (2003) Superior peroneal retinaculoplasty: a surgical technique for peroneal subluxation. Clin Orthop Relat Res 410:320–325

    Article  PubMed  Google Scholar 

  29. Ogawa BK, Thordarson DB, Zalavras C (2007) Peroneal tendon subluxation repair with an indirect fibular groove deepening technique. Foot Ankle Int 28:1194–1197

    Article  PubMed  Google Scholar 

  30. 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

    PubMed  Google Scholar 

  31. 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 

  32. Raikin SM, Elias I, Nazarian LN (2008) Intrasheath subluxation of the peroneal tendons. J Bone Joint Surg Am 90:992–999

    Article  PubMed  Google Scholar 

  33. Thomas JL, Lopez-Ben R, Maddox J (2009) A preliminary report on intra-sheath peroneal tendon subluxation: a prospective review of 7 patients with ultrasound verification. J Foot Ankle Surg 48:323–329

    Article  PubMed  Google Scholar 

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Correspondence to Tun Hing Lui.

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Lui, T.H. Endoscopic management of recalcitrant retrofibular pain without peroneal tendon subluxation or dislocation. Arch Orthop Trauma Surg 132, 357–361 (2012). https://doi.org/10.1007/s00402-011-1392-4

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  • DOI: https://doi.org/10.1007/s00402-011-1392-4

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