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Peroneal tendon

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https://www.readbyqxmd.com/read/29672895/intrasheath-instability-of-the-peroneal-tendons-dynamic-ultrasound-imaging
#1
REVIEW
Ferdinando Draghi, Chandra Bortolotto, Anna Guja Draghi, Salvatore Gitto
Peroneal intrasheath instability is a painful snapping condition of the lateral ankle. It consists of a transient retromalleolar subluxation of the peroneal tendons without disruption of the superior peroneal retinaculum or evidence of a previous definite trauma. In type A intrasheath instability, the peroneus longus and brevis tendons are intact, and there is an intertendinous intrasheath switch. In type B intrasheath instability, the peroneus brevis tendon has a longitudinal split tear through which the peroneus longus subluxates...
April 19, 2018: Journal of Ultrasound in Medicine: Official Journal of the American Institute of Ultrasound in Medicine
https://www.readbyqxmd.com/read/29661081/measuring-visualized-tendon-length-in-peroneal-tendoscopy
#2
Michael Hull, John T Campbell, Clifford L Jeng, R Frank Henn, Rebecca A Cerrato
BACKGROUND: Despite multiple studies outlining peroneal tendoscopy, no study exists to evaluate how effective tendoscopy is at visualizing the peroneal tendons without missing a lesion. We sought to measure the length of the peroneal tendons that could be visualized using tendoscopy. METHODS: Ten fresh cadaveric specimens were evaluated using standard peroneal tendoscopy techniques. Peroneus longus and brevis tendons were pierced percutaneously with Kirschner wires at the edge of what could be seen through the camera...
April 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29656809/lateral-knee-compartment-portals-a-cadaveric-study-defining-a-posterolateral-viewing-safety-zone
#3
Brian Dilworth, Victor Fehrenbacher, John Nyland, Jamie Clark, Joseph W Greene
PURPOSE: This study attempted to define a reproducible "safe zone" based on extra- and intra-articular knee anatomy for placing one or 2 accessory portals in the lateral tibiofemoral compartment for posterolateral region viewing. METHODS: Standard portals were created in 10 cadaveric knees to enable posterolateral region arthroscopic lateral tibiofemoral joint compartment viewing. After identifying the lateral knee surface tissue "soft spot," an accessory posterolateral portal (A) was created using an 18-gauge spinal needle and 4-mm cannula under direct visualization of a 70° arthroscope through the anteromedial portal...
April 12, 2018: Arthroscopy: the Journal of Arthroscopic & related Surgery
https://www.readbyqxmd.com/read/29625184/clinical-results-of-peroneal-tendon-repair-in-a-retrospective-series-of-30-patients
#4
C Bourgault, C Pougès, C Szymanski, C Lalanne, A Thioun, K Soudy, C Maynou
INTRODUCTION: Peroneal tendinopathy is an under-diagnosed pathology, mainly triggered by ankle sprain. Failure of medical treatment often leads to surgery, with modalities adapted to the lesion type. The present study aimed to assess clinical and functional results of tendon repair and to analyze the influence of hindfoot alignment on quality of outcome. The study hypothesis was that hindfoot varus impairs medium-term results. MATERIAL AND METHODS: A retrospective series of 30 patients undergoing peroneal tendon repair or tenodesis was analyzed at a mean 20 months' follow-up...
April 3, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29595062/tendoscopic-treatment-of-peroneal-intrasheath-subluxation-a-new-subgroup-with-superior-peroneal-retinaculum-injury
#5
Matteo Guelfi, Jordi Vega, Francesc Malagelada, Albert Baduell, Miki Dalmau-Pastor
BACKGROUND: Snapping peroneal tendons is a rare cause of lateral ankle pain. Two subgroups have been described: chronic subluxation with superior peroneal retinaculum (SPR) injury and intrasheath subluxation with SPR intact. The aim of the study was to report the tendoscopic findings and results in patients affected by snapping peroneal tendons without evident dislocation. METHODS: Between 2010 and 2015, a total of 18 patients with a retromalleolar "click" sensation and no clinical signs of peroneal tendon dislocation underwent tendoscopy...
March 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29580239/is-double-approach-surgery-and-tenodesis-without-a-gastrocnemius-flap-better-for-dealing-with-proximal-fibular-osteosarcoma
#6
Jun Wan, Can Zhang, Hong-Bo He
BACKGROUND: Resection of proximal fibular osteosarcoma involving the posteromedial aspect of the fibula is challenging. Reconstruction using a gastrocnemius flap may result in significant lateral instability and abnormal knee movement. Furthermore, postoperative gait may be disturbed by foot drop resulting from scarification of the common peroneal nerve. METHODS: Between January 2011 and December 2013, five patients with proximal fibular osteosarcoma were treated via the double-approach procedure using en bloc resection without a gastrocnemius flap...
March 27, 2018: World Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29552468/endoscopic-superior-peroneal-retinaculum-reconstruction
#7
Wilson Wai Shun Hau, Tun Hing Lui, Wai Kit Ngai
Post-traumatic peroneal tendon subluxation or dislocation is most commonly due to injury to the superior peroneal retinaculum. Acute repair of the retinaculum is an option for active athletes who desire quick return of sport activity. In general, conventional open surgeries require extensive exposure of the injured superficial peroneal retinaculum and have potential risks of scar formation, sural nerve injury, limited range of movement, peroneal tendon re-subluxation, and tendon irritation. The purpose of this Technical Note is to describe the details of endoscopic superior peroneal retinaculum reconstruction...
January 2018: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29548632/prevalence-of-peroneal-tendon-instability-in-calcaneus-fractures-a-systematic-review-and-meta-analysis
#8
REVIEW
Karim Mahmoud, Mohamed Maged Mekhaimar, Abduljabbar Alhammoud
Peroneal tendon instability associated with an intraarticular calcaneal fracture is a common injury that still often passes undiscovered by both radiologists and orthopedic surgeons. Timely identification of this injury will guide the choice of surgical technique used and treatment of patients. Using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, several databases were searched through June 2017 for any observational or experimental studies that reported the prevalence/incidence of peroneal tendon subluxation/dislocation with a calcaneus fracture with regard to fracture classifications and the significance of the fleck sign...
March 14, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29519147/biomechanical-cadaveric-evaluation-of-partial-acute-peroneal-tendon-tears
#9
Emilio Wagner, Pablo Wagner, Cristian Ortiz, Ruben Radkievich, Felipe Palma, Rodrigo Guzmán-Venegas
BACKGROUND: No clear guideline or solid evidence exists for peroneal tendon tears to determine when to repair, resect, or perform a tenodesis on the damaged tendon. The objective of this study was to analyze the mechanical behavior of cadaveric peroneal tendons artificially damaged and tested in a cyclic and failure mode. The hypothesis was that no failure would be observed in the cyclic phase. METHODS: Eight cadaveric long leg specimens were tested on a specially designed frame...
March 1, 2018: Foot & Ankle International
https://www.readbyqxmd.com/read/29487659/progressive-retraction-of-a-fractured-os-peroneum-suggesting-repetitive-injury-to-the-peroneus-longus-tendon
#10
Jennifer L Favinger, Michael L Richardson, Felix S Chew
The os peroneum is an accessory ossicle within the peroneus longus tendon. Prior reports have discussed fracture of the os peroneum with associated tears of the peroneus longus tendon. When the ossicle fractures, there can be varying degrees of retraction of the tendon, which can be diagnosed by malposition of the ossicle or the ossicle fragments. We report a case of a man with recurrent eversion ankle injuries with progressive retraction of a fractured os peroneum, implying injuries to the superior and inferior peroneal retinacula and the peroneus longus tendon...
February 2018: Radiology Case Reports
https://www.readbyqxmd.com/read/29417158/operative-treatment-algorithm-for-foot-deformities-in-charcot-marie-tooth-disease
#11
REVIEW
J W K Louwerens
The present article presents a short summary concerning the pathomechanisms and clinical presentation of foot deformities in Charcot-Marie-Tooth syndrome. Furthermore, a classification system is introduced and based on a recently performed review of the literature an operative treatment algorithm is provided. The operative technique of the following surgical procedures is described in more detail: 1. dorsiflexion osteotomy at the base of the 1st metatarsus, 2. dorsiflexion osteotomy at the base of a lesser metatarsal bone, 3...
February 7, 2018: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/29409273/tendoscopy-of-achilles-peroneal-and-tibialis-posterior-tendons-an-evidence-based-update
#12
REVIEW
Alessio Bernasconi, Francesco Sadile, Francesco Smeraglia, Nazim Mehdi, Julien Laborde, François Lintz
BACKGROUND: Tendoscopy has been proposed in treating several conditions affecting tendons around the ankle. We reviewed literature to investigate the efficacy of Achilles, peroneal and tibialis posterior tendoscopy. METHODS: Following the PRISMA checklist, the Medline, Scopus and EMBASE databases were searched, including studies reporting patients affected by disorders of Achilles, peroneal and tibialis posterior tendons and treated by tendoscopy (or tendoscopic-assisted procedures)...
June 21, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409248/the-lateral-malleolar-bony-fleck-classified-by-size-and-pathoanatomy-the-iofas-classification
#13
John Wong-Chung, Adam Tucker, Matthew Lynch-Wong, Desmond Gibson, Diarmaid S O'Longain
BACKGROUND: This study analyzes position of the peroneal tendons and status of the superior peroneal retinaculum (SPR) whenever a lateral malleolar bony flake fracture occurs. METHODS: Twenty-four patients had a lateral malleolar bony fleck on anteroposterior ankle radiographs, either in isolation or associated with other hindfoot injuries. We studied size of the bony flecks, presence or absence of peroneal tendon dislocation and pathoanatomy on CT scans. RESULTS: In 11 patients, a small bony fleck lies within the superior peroneal retinaculum and contiguous periosteum, which are stripped off the lateral fibula (Class II lesions)...
March 16, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29354463/endoscopic-resection-of-peroneal-tubercle
#14
Tun Hing Lui
Symptomatic hypertrophy of the peroneal tubercle can result in pain, clicking sensation, and limitation of ambulation. Surgical resection is indicated for symptomatic hypertrophied tubercle that is recalcitrant to conservative treatment. The purpose of this Technical Note is to report the details of tendoscopic resection of the hypertrophied peroneal tubercle. This is performed through zone 2 peroneus longus tendoscopy. Any associated hindfoot deformity and peroneal tendon pathology should also be addressed...
October 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29354443/endoscopic-curettage-of-bone-cyst-of-the-fibular-head
#15
Tun Hing Lui
Open resection of cystic or other benign intramedullary lesions of the fibular head and neck requires dissection and mobilization of the common peroneal nerve. The purpose of this Technical Note is to describe a minimally invasive approach of fibular head bone endoscopy for resection of a bone cyst or other benign intramedullary lesions of the fibular head and neck. The common peroneal nerve, biceps femoris tendon, and lateral collateral ligament are preserved.
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29276600/atraumatic-bilateral-rupture-of-the-peroneus-brevis-tendon-in-recreational-sport-a-case-report
#16
Patric Scheidegger, Lukas Weisskopf, Anja Hirschmüller
Issue: Lower extremity tendon injuries often occur in physically active individuals. Most ruptures not involving great force are diagnosed in patients presenting underlying tendon degenerations. This also applies to patients taking medications because of a disease. We have observed several cases of bilateral Achilles tendon ruptures in patients who have been taking cortisone for a long period. We treated a healthy colleague (neurologist) in our clinic who sustained ruptures of the Achilles tendon on the left side (2012) and the peroneus brevis tendon on left side (2015) and right side (2016) after minimal traumata...
2017: SAGE Open Medical Case Reports
https://www.readbyqxmd.com/read/29205488/single-stage-functional-reconstruction-of-both-peroneal-tendons-and-overlying-skin-with-an-anterolateral-thigh-flap-and-vascularized-fascia-lata-a-case-report
#17
Efstathios G Lykoudis, Ioannis Dalianoudis, Konstantinos Seretis, George E Lykoudis, Marios G Lykissas
Reconstruction of complex soft tissue defects in the distal lower leg remains challenging, since anatomical constraints limit the local options available in this area. In this report, we present a case of single stage functional reconstruction of both peroneal tendons and overlying skin with an anterolateral thigh flap and vascularized fascia lata. A 55-year-old patient underwent wide excision of a synovial sarcoma in the distal lower leg, which resulted in a complex defect including the peroneus longus and brevis tendons (10 cm), and the overlying skin (14 × 8 cm)...
December 3, 2017: Microsurgery
https://www.readbyqxmd.com/read/29108884/peritendinous-injection-of-platelet-rich-plasma-to-treat-tendinopathy-a-retrospective-review
#18
Mehmet Can Unlu, Aybars Kivrak, Mahmut Enes Kayaalp, Olgar Birsel, Isık Akgun
OBJECTIVE: The aim of this study was to determine factors associated with the likelihood of a better clinical outcome after the peritendinous injection of PRP for the treatment of chronic tendinopathy and identify whether PRP represents an effective treatment option for chronic tendinopathies. METHODS: The study included 214 patients (86 males and 128 females; mean age: 39.3 (18-75) years) who received PRP injections for tendinopathy refractory to conventional treatments...
December 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/29079243/lateral-ligament-reconstruction-for-ball-and-socket-ankle-accompanying-lateral-ankle-instability-a-case-report-and-literature-review
#19
Onur Kocadal, Arzu Ozsoy, Hakan Ozsoy
The ball-and-socket ankle joint is a rare deformity characterized by the loss of concavity in the trochlear surface of the talus with rounding of the articular surfaces of the distal fibula and tibia. Frequently, tarsal coalitions, fibular hypoplasia, and shortening of the limb accompany this deformity. To date, no data have been reported on surgical treatment of lateral ankle joint instability and peroneal tendon dislocation concomitant with a ball-and-socket ankle joint. In the present study, we report the case of a 43-year-old male patient with right lateral ankle joint instability and peroneal tendon dislocation in a ball-and-socket ankle joint, with accompanying tarsal coalition...
November 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29079242/fibulocalcaneal-impingement-in-a-growing-child-with-otherwise-asymptomatic-talocalcaneal-coalition
#20
G Ulrich Exner, Hilaire A C Jacob, Gerardo J Maquieira
Subfibular impingement has been described in patients with flatfoot. It possibly occurs with valgus deformity associated with talocalcaneal coalition. We observed symptomatic unilateral fibular impingement initially on the left foot of an 11-year-old female with an otherwise asymptomatic bilateral talocalcaneal coalition. From the age of 8 years, she had complained of pain around the left fibular tip. Magnetic resonance imaging showed a partial talocalcaneal coalition. At 10 years of age, it was questioned whether the pain was related to the coalition...
November 2017: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
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