Traumatic Peroneal Tendon Instability
| Autor: | Ian J. P. Henderson, Rhett B. Mason |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Male
Peroneal tendon subluxation 02 engineering and technology Tendons 0302 clinical medicine Recurrence Medicine Orthopedics and Sports Medicine Ankle Injuries Middle Aged musculoskeletal system Osteotomy Tendon Treatment Outcome medicine.anatomical_structure Acute Disease Female Sports Adult Joint Instability Reoperation musculoskeletal diseases medicine.medical_specialty Adolescent Rotation 0206 medical engineering Physical Therapy Sports Therapy and Rehabilitation Peroneal tendon Cicatrix 03 medical and health sciences Tendon Injuries Osteoarthritis Humans Surgical Wound Infection Recurrent instability Fibula Rupture Subluxation business.industry Tenosynovitis 030229 sport sciences medicine.disease 020601 biomedical engineering Surgery Chronic Disease Ankle business Complication Ankle Joint Follow-Up Studies |
| Zdroj: | The American Journal of Sports Medicine. 24:652-658 |
| ISSN: | 1552-3365 0363-5465 |
| Popis: | To investigate the causes of, pathologic changes as sociated with, and treatment results after traumatic peroneal tendon subluxation or dislocation, we re viewed 11 cases in 10 patients at a mean followup of 29 months. We also describe a technique of superior peroneal retinacular repair combined with fibular rota tional osteotomy. Excellent clinical and functional re sults were achieved in 9 of the 11 cases, enabling the patients to return to previous competitive sports by 3 months. There was one persisting subluxation that required further surgery. Another ankle, with chronic sepsis from previous surgery and documented degen eration of the ankle joint, had a recurrence of the infection and sequestration of the osteotomized frag ment. The peroneal tendons, however, remained sta bilized by the resultant scar tissue. We conclude that superior peroneal retinacular repair, with or without fibular rotational osteotomy, is a successful technique in treating both acute and recurrent instability of the peroneal tendons. It can be combined with a Bröstrom repair when there is concurrent peroneal tendon and anterolateral ankle instability. Peroneal tenosynovitis and tendon splitting were commonly found at opera tion, especially in cases of recurrent instability. The degree of pathologic change in the tendon did not affect the clinical result. |
| Databáze: | OpenAIRE |
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