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A Mouse Model of Ankle-Subtalar Complex Joint Instability
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Lateral Ankle Instability and Peroneal Tendon Pathology.

Michael Isiah Sandlin1, Cyrus E Taghavi, Timothy P Charlton

  • 1Orthopaedic Surgery Foot and Ankle Fellow, Department of Orthopaedic Surgery, Cedars-Sinai Medical Center, Los Angeles, California.

Instructional Course Lectures
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Summary

This review covers lateral ankle instability and peroneal tendon injuries, detailing causes, treatments, and surgical techniques for optimal patient outcomes in sports medicine.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Anatomy

Background:

  • Lateral ankle instability and peroneal tendon injuries are common in athletes.
  • These conditions encompass a spectrum from tendinitis to tears and dislocations.
  • Understanding predisposing factors is crucial for effective management.

Purpose of the Study:

  • To provide surgeons with a comprehensive understanding of lateral ankle instability and peroneal tendon injuries.
  • To outline current treatment options and recommendations from a sports medicine perspective.
  • To review arthroscopic approaches and treatment algorithms for these injuries.

Main Methods:

  • Review of anatomic, vascular, and biomechanical factors.
  • Analysis of peroneal tendon pathologies (tendinitis, tears, subluxation).
  • Evaluation of surgical and non-surgical treatment strategies, including arthroscopy.

Main Results:

  • Detailed understanding of injury mechanisms and predisposing factors is essential.
  • A range of treatment options exists, tailored to injury severity and type.
  • Arthroscopic techniques and structured algorithms can guide surgical decision-making.

Conclusions:

  • Surgeons must integrate knowledge of anatomy, biomechanics, and injury types for effective treatment.
  • A systematic approach, including arthroscopic options, improves outcomes for lateral ankle instability and peroneal tendon injuries.
  • This review offers a framework for managing these complex foot and ankle conditions.