title: Peroneal tendon abnormalities. A review of 40 surgical cases.
abstract: The authors reviewed data from 40 peroneal tendon surgeries performed on 39 patients (25 males and 14 females) between 1991 and 1999. Patients underwent tendon repair, subluxation repair, and/or accessory ossicle and muscle excisions. Some patients underwent more than one procedure, including eight undergoing ankle stabilizations. Preoperatively and postoperatively, the American Orthopaedic Foot and Ankle Society ankle-hindfoot score was assessed. Average preoperative and postoperative ankle-hindfoot scores were 61.6 (range, 19 to 72) and 91.4 (range, 63 to 100), respectively. Mean group return-to-activity time, defined as initiation of regular activity, including sports, was 3.2 months (range, 1 to 6 months). There were 17 athletes and 22 active patients; no patients were sedentary. Magnetic resonance imaging was used to evaluate peroneal tendon pathology in 29 patients. Sensitivity was 82.7%; specificity, 50%; and positive predictive value, 100%. Overall results were excellent in 25 cases, good in 12, fair in 1, and poor in 2. A paired t-test showed that patients with previous steroid injections had statistically poorer results. Patients with symptoms for more than 12 months also had poorer outcomes.
authors.affiliation: Department of Sports Medicine, Palo Alto Medical Foundation, Palo Alto, CA 94301, USA.
authors.forename: Amol
authors.initials: A
authors.lastname: Saxena
authors.forename: Steven K
authors.initials: SK
authors.lastname: Wolf
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000842:Ankle; D002648:Child; D005260:Female; D005528:Foot; D006801:Humans; D007267:Injections; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011446:Prospective Studies; D012189:Retrospective Studies; D012421:Rupture; D013256:Steroids / Q000008:administration & dosage / Q000009:adverse effects; D013708:Tendon Injuries / Q000534:rehabilitation / Q000601:surgery*; D013710:Tendons / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery
chemical_list: D013256:Steroids