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04:03
Harvesting of Peroneus Longus Tendon Autograft
Published on: September 2, 2025
Peroneal tendons subluxation.
Francesco Oliva1, Dario Del Frate, Nicholas Antonio Ferran
1Department of Orthopaedics and Traumatology, University of Rome Tor Vergata School of Medicine, Viale Oxford, Rome, Italy.
Sports Medicine and Arthroscopy Review
|May 15, 2009
Summary
Peroneal tendon subluxation is rare but affects athletes in various sports. Surgical retinaculoplasty is recommended for high-demand individuals, offering a high return to sports with fewer complications.
Area of Science:
- Orthopedic surgery
- Sports medicine
- Podiatry
Background:
- Peroneal tendon subluxation is an uncommon injury, frequently seen in athletes participating in high-impact sports like skiing, soccer, and basketball.
- Recurrent subluxation of the peroneal tendons can significantly impact an athlete's career and quality of life.
Purpose of the Study:
- To provide an overview of peroneal tendon subluxation, including its classification.
- To evaluate current surgical management options for recurrent peroneal tendon subluxation.
- To identify the optimal surgical approach for high-demand individuals.
Main Methods:
- Review of existing literature on peroneal tendon subluxation.
- Analysis of commonly used injury classifications.
- Evaluation of described surgical techniques and their reported outcomes.
Main Results:
- Current evidence for surgical management of recurrent peroneal tendon subluxation is limited to Level IV/Grade C.
- Retinaculoplasty appears to be the preferred surgical option, associated with fewer complications.
- High rates of return to sports are reported following retinaculoplasty without compromising activity levels.
Conclusions:
- Randomized controlled trials are needed to establish definitive best practices for surgical management.
- Surgical intervention, particularly retinaculoplasty, is recommended for high-demand individuals with peroneal tendon subluxation.
- Retinaculoplasty offers a favorable outcome for athletes seeking to return to pre-injury levels of activity.
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