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Operative treatment for peroneal tendon disorders
Daniel S Heckman1, Sudheer Reddy, David Pedowitz
1Department of Orthopaedic Surgery, University of North Carolina at Chapel Hill, 3135 Bioinformatics Building, CB #7055, Chapel Hill, NC 27599-7055, USA.
The Journal of Bone and Joint Surgery. American Volume
|February 5, 2008
Summary
Peroneal tendon disorders, though rare, cause lateral ankle pain. Diagnosis relies on clinical exams, with imaging for confirmation. Treatment varies from conservative for tenosynovitis to surgical for subluxation and tears.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Radiology
Background:
- Peroneal tendon disorders are uncommon causes of lateral ankle pain.
- These conditions are often overlooked, leading to delayed diagnosis and treatment.
- Magnetic resonance imaging (MRI) is the standard for radiographic evaluation.
Purpose of the Study:
- To review the diagnosis and management of peroneal tendon disorders.
- To outline treatment strategies for peroneal tenosynovitis, subluxation, and tears.
- To emphasize the role of clinical examination in diagnosis.
Main Methods:
- Review of current literature on peroneal tendon pathology.
- Correlation of diagnostic imaging findings with clinical presentation.
- Analysis of treatment outcomes for conservative and operative interventions.
Main Results:
- Peroneal tenosynovitis generally responds well to conservative management.
- Operative intervention is often necessary for peroneal tendon subluxation, involving retinaculum repair or groove deepening.
- Tendon tear treatment depends on severity: primary repair for <50% involvement, tenodesis for >50%.
Conclusions:
- Accurate diagnosis of peroneal tendon disorders hinges on clinical assessment, supplemented by MRI.
- Conservative therapy is the mainstay for tenosynovitis.
- Surgical techniques for subluxation and tears are tailored to the specific pathology and extent of tendon damage.
