Inferior peroneal retinaculum tear with isolated peroneus longus tendon dislocation: A case report of an extremely rare injury, with the proposal of an innovative repair technique
Peroneus longus tendon (PLT) dislocation associated with inferior peroneal retinaculum (IPR) tear is an extremely rare injury. Only 6 cases are described in English literature to date, and its diagnosis is always delayed from the initial trauma. Swelling at the lateral face of the heel and a snappin...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-01-01
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| Series: | Foot & Ankle Surgery: Techniques, Reports & Cases |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667396721000276 |
| _version_ | 1811330056640790528 |
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| author | Nicola Mondanelli, MD, PhD Giacomo Peri, MD Nicolò Nuvoli, MD Elisa Troiano, MD Pietro Aiuto, MD Carlo Cataldi, MD Michele Losco, MD, PhD Stefano Giannotti, MD |
| author_facet | Nicola Mondanelli, MD, PhD Giacomo Peri, MD Nicolò Nuvoli, MD Elisa Troiano, MD Pietro Aiuto, MD Carlo Cataldi, MD Michele Losco, MD, PhD Stefano Giannotti, MD |
| author_sort | Nicola Mondanelli, MD, PhD |
| collection | DOAJ |
| description | Peroneus longus tendon (PLT) dislocation associated with inferior peroneal retinaculum (IPR) tear is an extremely rare injury. Only 6 cases are described in English literature to date, and its diagnosis is always delayed from the initial trauma. Swelling at the lateral face of the heel and a snapping during the movement of the foot and ankle are typical signs that can induce the suspect of this injury. Operative treatment is required as it typically affects young adults with high functional demands and tendon instability causes pain and functional limitation; also, a neglected dislocated or instable PTL may eventually end up with a rupture. In the few cases reported in literature, different operative techniques have been described, all with excellent results. A case of an initially overlooked dynamic dislocation of the PLT due to IPR tear in a young professional soccer player is described. The lesion was treated with a not yet described operative technique that consists in groove deepening and subsequent IPR repair through transosseous sutures, instead of peroneal tubercle resection as mostly advocated. Final follow up at 15 months showed complete recovery, with a Foot and Ankle Outcome Score of 100%. |
| first_indexed | 2024-04-13T15:54:46Z |
| format | Article |
| id | doaj.art-ff71f5d1eecb4af9988ace099fb9504a |
| institution | Directory Open Access Journal |
| issn | 2667-3967 |
| language | English |
| last_indexed | 2024-04-13T15:54:46Z |
| publishDate | 2021-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Foot & Ankle Surgery: Techniques, Reports & Cases |
| spelling | doaj.art-ff71f5d1eecb4af9988ace099fb9504a2022-12-22T02:40:45ZengElsevierFoot & Ankle Surgery: Techniques, Reports & Cases2667-39672021-01-0112100027Inferior peroneal retinaculum tear with isolated peroneus longus tendon dislocation: A case report of an extremely rare injury, with the proposal of an innovative repair techniqueNicola Mondanelli, MD, PhD0Giacomo Peri, MD1Nicolò Nuvoli, MD2Elisa Troiano, MD3Pietro Aiuto, MD4Carlo Cataldi, MD5Michele Losco, MD, PhD6Stefano Giannotti, MD7Department of Medicine, Surgery and Neurosciences: Section of Orthopedics and Traumatology, University of Siena, Siena, Italy and Azienda Ospedaliera-Universitaria Senese, Siena, Italy; Address correspondence to: Ortopedia Universitaria, University of Siena and Azienda Ospedaliero-Universitaria Senese, Policlinico Santa Maria alle Scotte, Viale Mario Bracci 16, 53100 Siena, Italy.Department of Medicine, Surgery and Neurosciences: Section of Orthopedics and Traumatology, University of Siena, Siena, Italy and Azienda Ospedaliera-Universitaria Senese, Siena, ItalyDepartment of Medicine, Surgery and Neurosciences: Section of Orthopedics and Traumatology, University of Siena, Siena, Italy and Azienda Ospedaliera-Universitaria Senese, Siena, ItalyDepartment of Medicine, Surgery and Neurosciences: Section of Orthopedics and Traumatology, University of Siena, Siena, Italy and Azienda Ospedaliera-Universitaria Senese, Siena, ItalyDepartment of Medicine, Surgery and Neurosciences: Section of Orthopedics and Traumatology, University of Siena, Siena, Italy and Azienda Ospedaliera-Universitaria Senese, Siena, ItalyDepartment of Medicine, Surgery and Neurosciences: Section of Orthopedics and Traumatology, University of Siena, Siena, Italy and Azienda Ospedaliera-Universitaria Senese, Siena, ItalyTraumatology and General Orthopaedics, Azienda Ospedaliero Universitaria Careggi, Firenze, ItalyDepartment of Medicine, Surgery and Neurosciences: Section of Orthopedics and Traumatology, University of Siena, Siena, Italy and Azienda Ospedaliera-Universitaria Senese, Siena, ItalyPeroneus longus tendon (PLT) dislocation associated with inferior peroneal retinaculum (IPR) tear is an extremely rare injury. Only 6 cases are described in English literature to date, and its diagnosis is always delayed from the initial trauma. Swelling at the lateral face of the heel and a snapping during the movement of the foot and ankle are typical signs that can induce the suspect of this injury. Operative treatment is required as it typically affects young adults with high functional demands and tendon instability causes pain and functional limitation; also, a neglected dislocated or instable PTL may eventually end up with a rupture. In the few cases reported in literature, different operative techniques have been described, all with excellent results. A case of an initially overlooked dynamic dislocation of the PLT due to IPR tear in a young professional soccer player is described. The lesion was treated with a not yet described operative technique that consists in groove deepening and subsequent IPR repair through transosseous sutures, instead of peroneal tubercle resection as mostly advocated. Final follow up at 15 months showed complete recovery, with a Foot and Ankle Outcome Score of 100%.http://www.sciencedirect.com/science/article/pii/S26673967210002764Keywords:Ankle sprainGroove deepeningPeroneal retinaculum reconstructionPeroneal tubercle |
| spellingShingle | Nicola Mondanelli, MD, PhD Giacomo Peri, MD Nicolò Nuvoli, MD Elisa Troiano, MD Pietro Aiuto, MD Carlo Cataldi, MD Michele Losco, MD, PhD Stefano Giannotti, MD Inferior peroneal retinaculum tear with isolated peroneus longus tendon dislocation: A case report of an extremely rare injury, with the proposal of an innovative repair technique Foot & Ankle Surgery: Techniques, Reports & Cases 4 Keywords: Ankle sprain Groove deepening Peroneal retinaculum reconstruction Peroneal tubercle |
| title | Inferior peroneal retinaculum tear with isolated peroneus longus tendon dislocation: A case report of an extremely rare injury, with the proposal of an innovative repair technique |
| title_full | Inferior peroneal retinaculum tear with isolated peroneus longus tendon dislocation: A case report of an extremely rare injury, with the proposal of an innovative repair technique |
| title_fullStr | Inferior peroneal retinaculum tear with isolated peroneus longus tendon dislocation: A case report of an extremely rare injury, with the proposal of an innovative repair technique |
| title_full_unstemmed | Inferior peroneal retinaculum tear with isolated peroneus longus tendon dislocation: A case report of an extremely rare injury, with the proposal of an innovative repair technique |
| title_short | Inferior peroneal retinaculum tear with isolated peroneus longus tendon dislocation: A case report of an extremely rare injury, with the proposal of an innovative repair technique |
| title_sort | inferior peroneal retinaculum tear with isolated peroneus longus tendon dislocation a case report of an extremely rare injury with the proposal of an innovative repair technique |
| topic | 4 Keywords: Ankle sprain Groove deepening Peroneal retinaculum reconstruction Peroneal tubercle |
| url | http://www.sciencedirect.com/science/article/pii/S2667396721000276 |
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