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Ruptured peroneal tendon

Julia Evers, Dirk Wähnert, Niklas Grüneweller, Michael J Raschke, Sabine Ochman
A fracture of the os peroneum is a rare cause of ankle and foot pain and is often overlooked and not assumed. Only a few case reports have discussed the different etiologies, options for diagnosis, and therapeutic interventions for acute cases. We present a case of delayed diagnosis of an os peroneum fracture due to a distortion of the ankle that occurred during air sports. Initial diagnostic testing with magnetic resonance imaging demonstrated a rupture of the peroneus longus tendon with no pathologic abnormalities at the peroneus brevis tendon...
November 2016: Journal of the American Podiatric Medical Association
Aki Fukuda, Akinobu Nishimura, Shigeto Nakazora, Ko Kato, Akihiro Sudo
We describe entrapment of the common peroneal nerve by a suture after surgical repair of the distal biceps femoris tendon. Complete rupture of the distal biceps femoris tendon of a 16-year-old male athlete was surgically repaired. Postoperative common peroneal nerve palsy was evident, but conservative treatment did not cause any neurological improvement. Reexploration revealed that the common peroneal nerve was entrapped by the surgical suture. Complete removal of the suture and external neurolysis significantly improved the palsy...
2016: Case Reports in Orthopedics
Marwin Gutierrez, Carlos Pineda, Fausto Salaffi, Bernd Raffeiner, Tomas Cazenave, Gabriela A Martinez-Nava, Chiara Bertolazzi, Florentin Vreju, Nevsun Inanc, Eduardo Villaman, Andrea Delle Sedie, Fernando Dal Pra, Marcos Rosemffet
The aim of this study is to investigate the prevalence of subclinical ankle involvement by ultrasound in patients with rheumatoid arthritis (RA). The study was conducted on 216 patients with RA and 200 healthy sex- and age-matched controls. Patients with no history or clinical evidence of ankle involvement underwent US examination. For each ankle, tibio-talar (TT) joint, tibialis anterior (TA) tendon, extensor halux (EH) and extensor common (EC) tendons, tibialis posterior (TP) tendon, flexor common (FC) tendon and flexor hallux (FH) tendon, peroneous brevis (PB) and longus (PL) tendons, Achilles tendon (AT) and plantar fascia (PF) were assessed...
November 2016: Clinical Rheumatology
Pim A D van Dijk, Bart Lubberts, Claire Verheul, Christopher W DiGiovanni, Gino M M J Kerkhoffs
PURPOSE: The purpose of this study was to provide an overview of the available evidence on rehabilitation programmes after operatively treated patients with peroneal tendon tearsand ruptures. METHODS: A systematic review was performed, and PubMed and EMBASE were searched for relevant studies. Information regarding the rehabilitation programme after surgical management of peroneal tendon tears and ruptures was extracted from all included studies. RESULTS: In total, 49 studies were included...
April 2016: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Steven M Raikin, Faith A Schick, Homyar N Karanjia
Peroneal tendon pathology is a commonly reported cause of lateral ankle pain. The causes include cavovarus foot type, overuse, chronic tendinosis, peroneal subluxation or dislocation, acute traumatic split tears, and traumatic rupture. The purpose of the present report is to describe an alternative approach for surgical reconstruction of the peroneal tendons in patients when repair might no longer be effective. The use of a Hunter rod was originally described by Hunter in 1971 for 2-stage reconstruction of tendons in the hand...
January 2016: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
J Hamel
OBJECTIVE: Joint-preserving correction of mild and moderate hindfoot varus deformities by Z-shaped calcaneal osteotomy. INDICATIONS: Mild and moderate subtalar varus deformities in conditions like cavovarus or equinovarus foot deformity, peroneal tendon rupture, malpositioned tarsal fusion, after ankle arthroplasty. CONTRAINDICATIONS: Supramalleolar varus deformities, ankle instability with talar tilting, varus arthritis of the ankle joint, severe subtalar arthritis, and complete loss of peroneal muscle function that should be treated by fusions...
August 2015: Operative Orthopädie und Traumatologie
Takeshi Oshima, Junsuke Nakase, Hitoaki Numata, Yasushi Takata, Hiroyuki Tsuchiya
A multiple-ligament knee injury that includes posterolateral corner (PLC) disruption often causes palsy of the common peroneal nerve (CPN), which occurs in 44% of cases with PLC injury and biceps femoris tendon rupture or avulsion of the fibular head. Approximately half of these cases do not show functional recovery. This case report aims to present a criteria-based approach to the operation and postoperative management of CPN palsy that resulted from a multiple-ligament knee injury in a 22-year-old man that occurred during judo...
2015: Case Reports in Orthopedics
Jeannie Huh, Deanna M Boyette, Selene G Parekh, James A Nunley
BACKGROUND: Chronic ruptures of the tibialis anterior tendon are often associated with tendon retraction and poor-quality tissue, resulting in large segmental defects that make end-to-end repair impossible. Interpositional allograft reconstruction has previously been described as an operative option in these cases; however, there are no reports of the clinical outcomes of this technique in the literature. METHODS: Eleven patients with chronic tibialis anterior tendon ruptures underwent intercalary allograft recon-struction between 2006 and 2013...
October 2015: Foot & Ankle International
Dick B Bruin, Harry von Piekartz
OBJECTIVE: The purpose of this case report is to describe the use of mobilization and eccentric exercise training for a patient with ankle pain and a history of chronic ankle sprains and discuss the course of diagnostic decision making when the patient did not respond to care. CLINICAL FEATURES: A 48-year-old police officer who had sustained multiple ankle sprains throughout his life presented with pain and restriction in his ability to walk, run, and work. The Global Rating of Change Scale score was - 6, the Numeric Pain Rating Scale score was 7/10, and the Lower Extremity Functional Scale score was - 33...
September 2014: Journal of Chiropractic Medicine
Li-Ning Zhang
OBJECTIVE: To investigate the clinical therapeutic effects of anchors, peroneus brevis tendon augmentation and plantaris muscle tendon covering on the reconstruction of achilles tendon rupture caused by corticosteroids injection. METHODS: From March 2005 to April 2010, the clinical data of 10 patients with acute achilles tendon rupture repaired with suture anchors, peroneus brevis tendon augmentation and plantaris muscle tendon covering were retrospectively analyzed...
February 2014: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Frank W Roemer, Nabil Jomaah, Jingbo Niu, Emad Almusa, Bernard Roger, Pieter D'Hooghe, Celeste Geertsema, Johannes L Tol, Karim Khan, Ali Guermazi
BACKGROUND: Ankle joint injuries are extremely common sports injuries, with the anterior talofibular ligament involved in the majority of ankle sprains. There have been only a few large magnetic resonance imaging (MRI) studies on associated structural injuries after ankle sprains. PURPOSE: To describe the injury pattern in athletes who were referred to MRI for the assessment of an acute ankle sprain and to assess the risk of associated traumatic tissue damage including lateral and syndesmotic ligament involvement...
July 2014: American Journal of Sports Medicine
Emmanouil D Stamatis, Georgios C Karaoglanis
Reports have demonstrated that peroneal tendon tears can be successfully treated by direct repair or debridement and tubularization, based on the extent and nature of the pathology. Irreparable peroneal tendon tears or completely unsalvageable tendons after failure of previously attempted repairs are rare, and as a result there is a lack of high-level evidence to guide the management of these complex injuries. When irreparable tears are encountered the salvage options include tenodesis, bridging of the defect using allografts or autografts, and tendon transfers...
March 2014: Foot and Ankle Clinics
Sarah M Yu, Marcella Dardani, Joseph S Yu
OBJECTIVE: Isolated cuboid stress fractures are rare. The purpose of this study was to evaluate the MRI appearance of this condition. MATERIALS AND METHODS: A retrospective search for patients with the diagnosis of a cuboid stress fracture was performed for a 19-year period. All patients underwent an initial three-view radiographic foot series for pain. MRI was performed because symptoms persisted beyond 4 weeks. RESULTS: Ten patients, nine of whom were women, were diagnosed with isolated cuboid stress fractures...
December 2013: AJR. American Journal of Roentgenology
Jeffrey R Jockel, James W Brodsky
BACKGROUND: Although peroneal tendon injuries are a common cause of lateral ankle pain, there is a paucity of literature specifically addressing the treatment of severe concomitant peroneus longus and brevis tears. The purpose of this study was to evaluate patient outcomes following a single-stage flexor tendon transfer for the treatment of severe concomitant tears of both peroneal tendons. METHODS: Eight patients were treated with a single-stage flexor tendon transfer for severe concomitant peroneus longus and brevis tears over a 15-year period...
May 2013: Foot & Ankle International
William R Mook, Selene G Parekh, James A Nunley
BACKGROUND: Irreparable peroneal tendon tears are uncommon and require complex surgical decision making. Intercalary segment allograft reconstruction has been previously described as a treatment option; however, there are no reports of the outcomes of this technique in the literature. We describe our technique and present our results using this method. METHODS: A retrospective chart review was conducted to identify all patients who underwent intercalary allograft reconstruction of the peroneal tendons...
September 2013: Foot & Ankle International
Douglas E Lucas, Christopher F Hyer, Gregory C Berlet, Joel A Shockley
No abstract text is available yet for this article.
April 2013: Foot & Ankle International
Sophia Anagnostopoulou, Ioannis Mavridis
In Greek mythology, Achilles was a hero of the Trojan War, the central character and greatest warrior of Homer's Iliad. As Achilles died because of a small wound on his heel, the term "Achilles' heel" has come to mean a person's principal weakness. But is the human heel a really vulnerable part of our body? Could a non-poisonous arrow have caused Achilles' death? Should an arrow be necessarily poisonous in order to cause a lethal heel would? The purpose of this effort is to explain, from an anatomic point of view, how Achilles heel wounding could have led to his death...
March 2013: Journal of Trauma and Acute Care Surgery
Georgios Tzoanos, Nikolaos Manidakis, Nikolaos Tsavalas, Pavlos Katonis
Peroneal split syndrome refers to longitudinal tearing of the peroneus brevis tendon at the level of the retrofibular groove. It is an increasingly recognized, albeit frequently overlooked, cause of lateral ankle pain. Several surgical options have been documented for managing this entity, however there are no reports emphasizing the role of conservative treatment. A 48-year-old male patient presented to our department with persistent lateral ankle and hindfoot pain over the past 9 months, following an inversion injury to his right ankle...
December 2012: Acta Orthopaedica Belgica
Predrag Grubor, Milan Grubor
BACKGROUND/AIM: Today there are controversies about searching for the ideal surgical method (conservatively with plaster cast, with open and percutaneous tenorrhaphy) for repairing a ruptured Achilles tendon. The aim of this study study was to examine the results of treating Achilles tendon ruptures in patients by using the following methods: percutaneous suturing, open surgery technique and non-surgical treatment by plaster cast immobilisation. METHODS: Forty two patients treated at our facility in the period August 2003 - September 2010 for Achilles tendon ruptures were included in the study...
August 2012: Vojnosanitetski Pregled. Military-medical and Pharmaceutical Review
Jinzhong Zhao, Xiaoqiao Huangfu
BACKGROUND: The shortage of autogenous grafts has often times been a problem in knee ligament reconstruction. There are little data concerning the use of the anterior half of the peroneus longus tendon (AHPLT) as an autograft. HYPOTHESIS: The AHPLT is a suitable graft with respect to its strength, safety, and donor site morbidity. STUDY DESIGN: Descriptive laboratory study and case series; Level of evidence, 4. METHODS: The safety and efficacy of using the AHPLT as an autograft source were evaluated...
March 2012: American Journal of Sports Medicine
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