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LEVELS OF EVIDENCE: Level IV: Case Series.
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BACKGROUND:: The aim of this study was to evaluate the role of tendoscopy in the diagnosis and treatment of peroneal tendon (PT) pathologies, and to evaluate the results of our technical modification. METHODS:: Twenty ankles of 18 patients with retrofibular pain, operated on between 2006 and 2012, were included in this study. Peroneal tendoscopy was performed diagnostically for the patients who were diagnosed as having "peroneal tendinopathy" with physical examination, x-ray, or magnetic resonance imaging (MRI). After being diagnosed by peroneal tendoscopy, patients were definitively treated with either tendoscopy or open surgery. RESULTS:: Thirteen of 20 ankles had accompanying ankle pathology with PT pathology, and the other 7 ankles had no concomitant pathology. We detected peroneal tenosynovitis (PTS) in 13 patients, PT tear in 7 patients, and vincula thickening in 1 patient. The American Orthopaedic Foot & Ankle Society (AOFAS) score was 76 preoperatively, and after 2 years' follow-up the AOFAS score was 96. CONCLUSION:: Tendoscopy is a useful method for the diagnosis and treatment of PT pathologies. The patients with clinical suspicion of PT pathology were treated or diagnosed by peroneal tendoscopy with our technical modification. LEVEL OF EVIDENCE:: Level IV, retrospective case series.
Asunto(s)
Articulación del Tobillo/patología , Articulación del Tobillo/cirugía , Endoscopía/métodos , Tendinopatía/diagnóstico , Tendinopatía/cirugía , Adulto , Anciano , Femenino , Humanos , Imagen por Resonancia Magnética , Masculino , Persona de Mediana Edad , Estudios Retrospectivos , Encuestas y CuestionariosRESUMEN
Peroneal tendon pathology is often found in patients complaining of lateral ankle pain and instability. Conditions encountered include tendinosis; tendinopathy; tenosynovitis; tears of the peroneus brevis, peroneus longus, and both tendons; subluxation and dislocation; and painful os peroneum syndrome. Injuries can be acute as a result of trauma or present as chronic problems, often in patients with predisposing structural components such as hindfoot varus, lateral ligamentous instability, an enlarged peroneal tubercle, and a symptomatic os peroneum. Treatment begins with nonoperative care, but when surgery is required, reported results and return to sport are in general very good.
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Traumatismos del Tobillo/cirugía , Traumatismos en Atletas/cirugía , Traumatismos de los Tendones/cirugía , Traumatismos del Tobillo/fisiopatología , Artralgia/etiología , Artroscopía , Traumatismos en Atletas/fisiopatología , Desbridamiento , Humanos , Inestabilidad de la Articulación/etiología , Cuidados Posoperatorios , Volver al Deporte , Traumatismos de los Tendones/fisiopatología , Tendones/anatomía & histologíaRESUMEN
Peroneal tendoscopy is indicated for peroneal tenosynovitis, subluxation or dislocation, snapping, partial tears requiring debridement, and postoperative adhesions and scarring. Peroneal tendoscopy was also found to be valuable as a diagnostic tool in some instances. It is generally reported to have good to excellent outcomes in most patients with a relatively low occurrence of complications.
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Traumatismos del Tobillo/cirugía , Endoscopía/métodos , Pie/cirugía , Luxaciones Articulares/cirugía , Tendinopatía/cirugía , Artroscopía/métodos , Humanos , Rotura , Traumatismos de los Tendones/cirugíaRESUMEN
INTRODUCTION: Eckert and Davis grade 3 superior peroneal retinaculum injury is rare and the optimal treatment is not yet determined. CASE REPORT: A 57 year-old lady sprained her left ankle resulting in grade 3 injury of the superior peroneal retinaculum and was treated by endoscopic retinaculum reconstruction. The fracture healed and the peroneal tendons were stabilized. However, it was complicated by protusion of the suture anchors into the posterolateral ankle gutter. The implants were successfully removed endoscopically. CONCLUSION: Proper selection of the size and dimension of the suture anchor and preoperative planning with computed tomogram is important for usage of suture anchors in the lateral malleolus.