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Peroneal tendons

Julie Desimpel, Magdalena Posadzy, Filip Vanhoenacker
Objective: The aim of this article is to review the clinical and imaging features of symptomatic hypertrophic (TP) in a cohort of symptomatic patients. Materials and Methods: Twenty-three patients with chronic lateral ankle pain were retrospectively included in our study group. Patients underwent ultrasound (US), (cone beam) computed tomography (CB)CT or magnetic resonance (MR) examination or a combination of these examinations with a standardized protocol. Patients with an underlying fracture were excluded...
December 16, 2017: Journal of the Belgian Society of Radiology
Pimpimol Dangintawat, Jirun Apinun, Thanasil Huanmanop, Sithiporn Agthong, Vilai Chentanez
The aims of this study are to investigate the inferior peroneal retinaculum (IPR) regarding morphometric parameters, and contents in the inferior peroneal tunnel (IP tunnel). One hundred and nine embalmed cadaveric legs were dissected in prone position. The extension band of the IPR was found in 31.19% of cases. The mean of length, width at the origin, width at the middle part, width at the insertion, and thickness of the IPR were 23.42 ± 3.54 (17.05-33.68), 13.29 ± 2.56 (5.83-20.92), 14.50 ± 2.37 (6.68-21...
November 28, 2018: Folia Morphologica (Warsz)
Mustafa Urguden, Ismail Ayder Gulten, Osman Civan, Hakan Bilbasar, Cagri Kaptan, Ali Cavit
BACKGROUND: The aim of this study was to evaluate the role of tendoscopy in the diagnosis and treatment of peroneal tendon (PT) pathologies, and to evaluate the results of our technical modification. METHODS: Twenty ankles of 18 patients with retrofibular pain, operated on between 2006 and 2012, were included in this study. Peroneal tendoscopy was performed diagnostically for the patients who were diagnosed as having "peroneal tendinopathy" with physical examination, x-ray, or magnetic resonance imaging (MRI)...
November 22, 2018: Foot & Ankle International
George R Matcuk, Dakshesh B Patel, Steven Cen, K Soraya Heidari, Eric W Tan
PURPOSE: Fibular (peroneal) groove morphology may influence fibularis tendon pathology, including tendinosis, tears, and luxation. The study goal was to evaluate the inter-reader agreement of morphologic characterization and measures of the fibular groove at two different levels on MRI and correlation with fibularis tendon pathology. MATERIALS AND METHODS: 47 ankle MRIs in patients without lateral ankle pain were reviewed by two musculoskeletal radiologists. Fibular groove morphology and various measurements were assessed at both the level of the tibial plafond and 1 cm proximal to the tip of the lateral malleolus...
November 8, 2018: Surgical and Radiologic Anatomy: SRA
Medhat Zekry, Shafiq Arif Shahban, Tarek El Gamal, Simon Platt
INTRODUCTION: There is a wealth of studies reporting the complications of anterior and posterior ankle arthroscopy. The aim of this study is to summarise and review the complication rate(s) associated with both anterior and posterior ankle arthroscopy, as described in the literature. MATERIAL AND METHODS: The authors carried out a comprehensive review of the literature up until March 2018. An extensive search of the MEDLINE, Cochrane library and EMBASE databases was undertaken using the following keywords: complications of ankle arthroscopy, anterior ankle arthroscopy, and posterior ankle arthroscopy...
July 18, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
Maribel da Rocha Gomes, André Pereira Pinto, Alírio Arnoldo Fabián, Tiago José Mota Gomes, Alfons Navarro, Xavier Martin Oliva
BACKGROUND: Peroneal Tendon (PT) complex is formed by the Peroneus Longus Tendon (PLT) and Peroneus Brevis Tendon (PBT), their synovial sheath, the superior and inferior retinaculum, and the Os Peroneum (OP). Their insertion is associated with some anatomic variability. Knowing these variants helps to understand the PT pathology and it may support the decision-making concerning the operative approach. The purpose of this study was to assess anatomical variability in PT insertion. METHODS: Twenty fresh-frozen cadaveric feet were used...
July 23, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
Tomasz L Nosewicz, Siem A Dingemans, Manouk Backes, Jan S K Luitse, J Carel Goslings, Tim Schepers
BACKGROUND: The optimal surgical approach for displaced intra-articular calcaneal fractures (DIACF) is subject of debate. The primary aim of this systematic review and meta-analysis was to assess wound-healing complications following the sinus tarsi approach (STA) compared to the extended lateral approach (ELA). Secondary aims were to assess time to surgery, operative time, calcaneal anatomy restoration, functional outcome, implant removal and injury to the peroneal tendons and sural nerve...
August 28, 2018: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
Norachart Sirisreetreerux, Paphon Sa-Ngasoongsong, Noratep Kulachote, Theerachai Apivatthakakul
BACKGROUND: The extensile lateral calcaneal approach is a standard method for accessing a joint depression calcaneal fracture. However, the operative wound complication rate is high. Previous studies showed a calcaneal branch of the peroneal artery contributing to the calcaneal flap blood supply. This study focuses on the location of the vertical limb in this approach correlating to the aforementioned artery and flap perfusion. METHODS: Ten pairs of fresh-frozen cadaveric lower extremities were used...
October 13, 2018: Foot & Ankle International
Joseph Tracey, Tyler J Vovos, Danny Arora, Samuel Adams, Selene G Parekh
BACKGROUND: Lateral malleolus (LM) fixation is necessary for unstable ankle fractures. Traditional fixation relies on the use of plates through a lateral incision, wound healing can be an issue for such incisions. A novel intramedullary (IM) fixation device has been developed that can be placed through a minimal incision. The purpose of this study was to demonstrate the clinical efficacy of this device. METHODS: A retrospective analysis was performed on patients who received IM fixation for isolated fibula, bimalleolar (BM), and trimalleolar (TM) fractures...
October 1, 2018: Foot & Ankle Specialist
J Benjamin Jackson, Christopher H Chu, Kevin A Williams, Paul H Bornemann
Tendinopathy of the foot and ankle is common and can lead to pain or functional limitations. The most frequently affected tendons in the foot and ankle are the posterior tibial, peroneal, and Achilles. We used ultrasound to determine normal values for these tendons. From 2015 to 2016, a prospective, standardized bilateral lower extremity ultrasound examination protocol was performed by a musculoskeletal ultrasonographer of the 4 tendons and above and below the malleoli as appropriate. A total of 199 patients with 398 extremities were identified, consented, and participated in the study...
September 28, 2018: Foot & Ankle Specialist
S Jandová, J Pazour
PURPOSE OF THE STUDY Currently, operative treatment is preferred in dislocated calcaneal fractures. Most frequently used is the extended lateral approach, the disadvantage of which is the risk of early complications. Therefore, less invasive operative techniques are sought that would reduce the risk of such complications. The presented study aimed to compare the two different surgical approaches with respect to the restoration of gait stereotype using the objective pedobarography. We assume that the limited operative approach in osteosynthesis of intra-articular calcaneal fractures results in comparable or earlier restoration of gait stereotype with regard to temporal and dynamic parameters compared to the extended lateral approach...
2018: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
Eric Newman, Hilary Umans, Elisabeth Elsinger, Keith S Tobin
OBJECTIVE: The purpose of this article is to report MRI findings of insertional lateral cord plantar fasciopathy and review the presenting symptoms of the condition and suspected diagnoses. CONCLUSION: Lateral cord plantar fasciopathy presents with pain and swelling at the lateral midfoot, which are typically clinically suspected to be caused by fifth metatarsal (MT) base stress fracture of peroneal tendon abnormalities. The MRI findings are identical to those seen in association with the more commonly occurring central cord plantar fasciopathy, which has a calcaneal origin, but the findings affect the insertion of the lateral cord onto the plantar lateral base of the fifth MT...
November 2018: AJR. American Journal of Roentgenology
Purushotham Lingaiah, Kameshwaran Jaykumar, Sumit Sural, Anil Dhal
AIM: Early tendon transfer has shown good outcomes in peripheral nerve injuries of upper limb. However, there is lack of knowledge on early tendon transfer for peripheral nerve palsy in lower limb. This study has been designed to study the functional outcomes of early tendon transfer in the lower limb, particularly for foot drop. PATIENTS AND METHODS: We enrolled 30 cases of foot drop due to traumatic sciatic/common peroneal nerve (CPN) palsy between September 2012 and March 2016...
May 2018: Journal of Orthopaedic Surgery
Jochem M Hoogendoorn
Fixation of the posterior fragment in trimalleolar fractures remains a matter of debate. Recent studies have shown that a persistent step-off in the tibiotalar joint is the most important factor in the development of osteoarthritis and therefore the functional outcome. The disadvantages of the regularly performed indirect reduction by ligamentotaxis or percutaneous reduction followed by percutaneous screw fixation of the posterior fragment in an anterior-to-posterior direction are that an anatomical reduction is more difficult to achieve because of the interposition of soft tissue or loose osseous fragments, it is hard to assess reduction satisfactorily using an image intensifier, and fixation of small or comminuted fragments is technically difficult...
December 28, 2017: JBJS Essential Surgical Techniques
Michael M Hadeed, Michelle Post, Brian C Werner
Snapping biceps femoris is a rare phenomenon in which the biceps femoris tendon subluxates over the fibular head when the leg is brought into deep flexion. Two primary pathologies have been identified: biceps insertion tears/anatomic variants and/or an enlarged fibular head. Often, it can be treated nonoperatively; however, if symptoms are severe enough and refractory to conservative treatments, the underlying pathology can be corrected surgically to alleviate symptoms. The diagnosis is made clinically; the subluxation should be reproducible with deep flexion and should abate with manual compression of the biceps muscle and internal rotation of the tibia...
August 2018: Arthroscopy Techniques
Konstantinos Anagnostakos, Andreas Thiery, Christof Meyer, Octavian Tapos
We present a case of a 70-year-old male patient with an untypical gout infiltration of the peroneal tendons mimicking synovial sarcoma. The patient had a negative history of gout at initial presentation in our department. Magnetic resonance imaging of the region revealed a finding highly suspicious for synovial sarcoma of the peroneal tendons. Open biopsy was performed. Histopathological examination of the tissue samples demonstrated the presence of gout with no signs of malignancy. The gout infiltration was excised in a subsequent surgery...
2018: Case Reports in Orthopedics
Lodewijk C S Res, Tonya Dixon, Bart Lubberts, Joao R T Vicentini, Pim A van Dijk, Ali Hosseini, Daniel Guss, Christopher W DiGiovanni
INTRODUCTION: The purpose of this study was to determine whether tears of the peroneus brevis (PB) tendon correlate with increased fatty infiltration of the PB muscle on MRI compared with musculature without clinical evidence of peroneal pathology. METHODS: Ankle MRI scans of patients with PB tendon tearing (tear group) were compared with those of patients without clinical evidence of peroneal pathology (control group). Two reviewers graded the PB muscle belly according to the Goutallier classification...
August 22, 2018: Journal of the American Academy of Orthopaedic Surgeons
Sung Ro Lee, Davis Stibolt, Harshadkumar Patel, Eldar Abyar, Andrew Moon, Sameer Naranje, Ashish Shah
BACKGROUND: Talonavicular (TN) fusion using screws dorsomedially and dorsolaterally can cause neurovascular injury. The purpose of our cadaveric study was to evaluate the safety of percutaneous screw insertion in relation to dorsal neurovascular structures. METHODS: Ten fresh-frozen cadaver legs were used for this study. Percutaneous cannulated screws were inserted to perform isolated TN arthrodesis. The screws were inserted at 3 consistent sites: a "medial screw" at the dorsomedial navicular where it intersected at the medial plane of the first cuneiform, a "central screw" at the edge of the dorsal navicular between the medial and intermediate cuneiforms, and a "lateral screw" at the edge of the dorsal navicular between the intermediate and lateral cuneiforms...
August 22, 2018: Foot & Ankle International
Wan-An Xiao, Wen-Liang Cao, Feng Tian, Li-Jie Tian
Repairing soft tissue loss in feet's anterior and middle parts has become a problem, especially for children. We observed the feasibility and clinical effects of superficial peroneal fasciocutaneous flap pedicled with terminal perforating branches of peroneal artery for repairing children's feet.Between January 2015 and December 2016, soft tissue loss in anterior and middle regions of feet were repaired using superficial peroneal fasciocutaneous flap pedicled with terminal perforating branches of peroneal artery in 8 children with a median age of 6...
August 2018: Medicine (Baltimore)
Min-Yung Chang, Sung Hwan Hong, Hye Jin Yoo, Ja-Young Choi, Hee-Dong Chae, Sun Jeong Moon
OBJECTIVE: The aim of this study was to describe cuboid pulley lesions and associated abnormalities on the basis of clinical findings and the results of MRI examinations of the ankle. MATERIALS AND METHODS: A retrospective search was performed to identify patients who had a cuboid pulley lesion during a 10-year period. A cuboid pulley lesion was defined as bone marrow edema in the lateroplantar ridge of the cuboid that was shown to be wrapped by the peroneus longus tendon on MRI of the ankle...
October 2018: AJR. American Journal of Roentgenology
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