Management of recurrent subluxation of the peroneal tendons.
Recurrent peroneal subluxation occurs when an acute injury is misdiagnosed or not adequately managed. The primary pathology is failure of the SPR, the principal restraint to the peroneal tendons. Several surgical techniques have been described. Determining the most effective technique from the small case series and reports in the literature is impossible. If an anatomic approach to treating the pathology is used, reattachment of the SPR, as we have described, seems a most appropriate technique. Rarely, the retinaculum in recurrent cases may not be robust enough to withstand repair, and a different approach to the problem may be required. In the future, there may be an emerging role for minimally invasive SPR repair with the use of endoscopic techniques.
Ferran
Nicholas Antonio
NA
Department of Trauma and Orthopaedic Surgery, Keele University School of Medicine, Hartshill, Thornburrow Drive, Stoke-on-Trent, Staffordshire, United Kingdom ST4 7QB.
Maffulli
Nicola
N
Oliva
Francesco
F
D000842:Ankle / Q000601:surgery; D016512:Ankle Injuries / Q000601:surgery*; D006801:Humans; D012008:Recurrence; D013708:Tendon Injuries / Q000601:surgery*; D013710:Tendons / Q000601:surgery*