Treatment of Recurrent Peroneal Tendon Dislocation by Peroneal Retinaculum Reattachment without Fibular Groove Deepening
Category: Ankle; Sports; Trauma Introduction/Purpose: There are numerous studies recommending fibular groove deepening in the surgical treatment of peroneal tendon dislocation; however, there are some disadvantages to fibular groove deepening procedures. In this study, we evaluated the results of an...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2020-10-01
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| Series: | Foot & Ankle Orthopaedics |
| Online Access: | https://doi.org/10.1177/2473011420S00377 |
| _version_ | 1811295471501574144 |
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| author | Seung-Hwan Park Jaehyung Lee MD Young Rak Choi Jaehyeon Seo Ho-seong Lee MD |
| author_facet | Seung-Hwan Park Jaehyung Lee MD Young Rak Choi Jaehyeon Seo Ho-seong Lee MD |
| author_sort | Seung-Hwan Park |
| collection | DOAJ |
| description | Category: Ankle; Sports; Trauma Introduction/Purpose: There are numerous studies recommending fibular groove deepening in the surgical treatment of peroneal tendon dislocation; however, there are some disadvantages to fibular groove deepening procedures. In this study, we evaluated the results of anatomic reattachment of the peroneal retinaculum without fibular groove deepening as a treatment for traumatic peroneal tendon dislocation. Methods: Thirty six patients with recurrent peroneal tendon dislocation, who underwent retinaculum repair without a fibular groove deepening procedure performed by two surgeons between March 2004 and March 2017, were enrolled in this study. Resubluxation of tendon, pain on inversion and eversion power of the ankle were monitored. The range of motion of inversion and eversion were measured and then compared to that of the contralateral side. AOFAS, VAS, FFI scores were obtained for all patients preoperatively and at the final follow-up. Postoperative complications such as infection, sural nerve injury, and recurrence were monitored. Results: Thirty four patients fully recovered without resubluxation of tendon. Two patients were injured again while playing soccer 6 months after the surgery and fast running 20 months after the surgery respectively. One patient had sural nerve injury. But the symptom was relieved at 6 months after the surgery. None of the patients had weakness of evertor. None of the patients had limited ankle motion. Mean AOFAS, VAS, FFI score improved significantly. Conclusion: In conclusion, for the treatment of recurrent dislocation of the peroneal tendon reattachment of the superior retinaculum only without groove deepening followed by proper rehabilitation is sufficient. |
| first_indexed | 2024-04-13T05:33:05Z |
| format | Article |
| id | doaj.art-5df79314bd6e45e4bf92f3811fbcfb4d |
| institution | Directory Open Access Journal |
| issn | 2473-0114 |
| language | English |
| last_indexed | 2024-04-13T05:33:05Z |
| publishDate | 2020-10-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Foot & Ankle Orthopaedics |
| spelling | doaj.art-5df79314bd6e45e4bf92f3811fbcfb4d2022-12-22T03:00:22ZengSAGE PublishingFoot & Ankle Orthopaedics2473-01142020-10-01510.1177/2473011420S00377Treatment of Recurrent Peroneal Tendon Dislocation by Peroneal Retinaculum Reattachment without Fibular Groove DeepeningSeung-Hwan ParkJaehyung Lee MDYoung Rak ChoiJaehyeon SeoHo-seong Lee MDCategory: Ankle; Sports; Trauma Introduction/Purpose: There are numerous studies recommending fibular groove deepening in the surgical treatment of peroneal tendon dislocation; however, there are some disadvantages to fibular groove deepening procedures. In this study, we evaluated the results of anatomic reattachment of the peroneal retinaculum without fibular groove deepening as a treatment for traumatic peroneal tendon dislocation. Methods: Thirty six patients with recurrent peroneal tendon dislocation, who underwent retinaculum repair without a fibular groove deepening procedure performed by two surgeons between March 2004 and March 2017, were enrolled in this study. Resubluxation of tendon, pain on inversion and eversion power of the ankle were monitored. The range of motion of inversion and eversion were measured and then compared to that of the contralateral side. AOFAS, VAS, FFI scores were obtained for all patients preoperatively and at the final follow-up. Postoperative complications such as infection, sural nerve injury, and recurrence were monitored. Results: Thirty four patients fully recovered without resubluxation of tendon. Two patients were injured again while playing soccer 6 months after the surgery and fast running 20 months after the surgery respectively. One patient had sural nerve injury. But the symptom was relieved at 6 months after the surgery. None of the patients had weakness of evertor. None of the patients had limited ankle motion. Mean AOFAS, VAS, FFI score improved significantly. Conclusion: In conclusion, for the treatment of recurrent dislocation of the peroneal tendon reattachment of the superior retinaculum only without groove deepening followed by proper rehabilitation is sufficient.https://doi.org/10.1177/2473011420S00377 |
| spellingShingle | Seung-Hwan Park Jaehyung Lee MD Young Rak Choi Jaehyeon Seo Ho-seong Lee MD Treatment of Recurrent Peroneal Tendon Dislocation by Peroneal Retinaculum Reattachment without Fibular Groove Deepening Foot & Ankle Orthopaedics |
| title | Treatment of Recurrent Peroneal Tendon Dislocation by Peroneal Retinaculum Reattachment without Fibular Groove Deepening |
| title_full | Treatment of Recurrent Peroneal Tendon Dislocation by Peroneal Retinaculum Reattachment without Fibular Groove Deepening |
| title_fullStr | Treatment of Recurrent Peroneal Tendon Dislocation by Peroneal Retinaculum Reattachment without Fibular Groove Deepening |
| title_full_unstemmed | Treatment of Recurrent Peroneal Tendon Dislocation by Peroneal Retinaculum Reattachment without Fibular Groove Deepening |
| title_short | Treatment of Recurrent Peroneal Tendon Dislocation by Peroneal Retinaculum Reattachment without Fibular Groove Deepening |
| title_sort | treatment of recurrent peroneal tendon dislocation by peroneal retinaculum reattachment without fibular groove deepening |
| url | https://doi.org/10.1177/2473011420S00377 |
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