Endoscopic fibular groove deepening for stabilisation of recurrent peroneal tendons instability in a patient with open physes.
This is a report of a rare case of recurrent traumatic peroneal tendon dislocation in a patient with open physes. Through fibular tendon endoscopy, an intramuscular needle was introduced under direct visualisation and implanted inferiorly to the growth plate while reclining the tendons posteriorly. A fibular groove deepening was performed in order to stabilize the tendons. The patient was able to return to full activity after 3 months. MRI taken 12 months after surgery showed neither signs of recurrence of the lesion nor growth plate disturbance. This is a first case report of peroneal tendons stabilisation by tendoscopic retro-malleolar groove deepening in a child. Level of evidence Case report, Level IV.
Orthopedic Department, Centre Hospitalier de Versailles, 177, rue de Versailles, 78157, Le Chesnay, France.
Ali
A
Maqdes
Orthopedic Department, Centre Hospitalier de Versailles, 177, rue de Versailles, 78157, Le Chesnay, France.
Camille
C
Steltzlen
Orthopedic Department, Centre Hospitalier de Versailles, 177, rue de Versailles, 78157, Le Chesnay, France. npujol@ch-versailles.fr.
Nicolas
http://orcid.org/0000-0002-2013-8926
N
Pujol
D000293:Adolescent; D016512:Ankle Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D000843:Ankle Joint / Q000000981:diagnostic imaging / Q000601:surgery*; D004724:Endoscopy; D005360:Fibula / Q000000981:diagnostic imaging / Q000601:surgery*; D006132:Growth Plate / Q000000981:diagnostic imaging / Q000502:physiology; D006801:Humans; D004204:Joint Dislocations / Q000000981:diagnostic imaging / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D012008:Recurrence; D013710:Tendons / Q000000981:diagnostic imaging / Q000601:surgery*
Fibular endoscopy; Groove deepening; Open physes; Peroneal tendon instability