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Updated: Mar 30, 2026

Harvesting of Peroneus Longus Tendon Autograft
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Peroneal tendon dislocation.

N Espinosa1, M A Maurer2

  • 1Institute for Foot and Ankle Reconstruction Zurich, Kappelistrasse 7, 8002, Zurich, Switzerland. espinosa@fussinstitut.ch.

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
|November 14, 2015
PubMed
Summary
This summary is machine-generated.

Peroneal tendon instability is often missed in acute ankle sprains. Surgical repair offers excellent outcomes for chronic cases, while nonoperative treatments have high failure rates.

Keywords:
DislocationInstabilityPeronealSubluxationTendon

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Area of Science:

  • Orthopedics
  • Sports Medicine
  • Podiatry

Background:

  • Peroneal tendon instability frequently goes misdiagnosed in acute ankle sprains.
  • This condition requires accurate diagnosis for effective management.

Purpose of the Study:

  • To provide a concise overview of peroneal tendon instability.
  • To discuss diagnostic methods and treatment outcomes.

Main Methods:

  • Clinical assessment and patient history are crucial for diagnosis.
  • Imaging modalities including radiography, ultrasound, MRI, and CT aid in identifying the injury pattern.

Main Results:

  • Nonoperative treatment in the acute setting has high failure rates (up to 50%).
  • Surgical treatment is often necessary for chronic peroneal instability, aiming to restore structural stabilization.
  • Reconstruction and repair of tendons and retinacular structures yield excellent results, with groove-deepening procedures considered for specific abnormalities.

Conclusions:

  • Surgical intervention is generally recommended for chronic peroneal tendon instability due to poor outcomes with nonoperative management.
  • Restorative surgical techniques provide good-to-excellent results for stabilizing the peroneal tendons and associated structures.