Endoscopic Resection of Peroneal Tubercle

Area of Science:

• Orthopedic Surgery
• Foot and Ankle Surgery
• Sports Medicine

Background:

• Hypertrophy of the peroneal tubercle can cause significant pain, clicking, and ambulation issues.
• Conservative treatments may fail, necessitating surgical intervention.
• Peroneal tendon pathology and hindfoot deformities often accompany tubercle hypertrophy.

Purpose of the Study:

• To describe the technique for tendoscopic resection of a hypertrophied peroneal tubercle.
• To detail the procedure performed via zone 2 peroneus longus tendoscopy.
• To highlight the importance of addressing concomitant hindfoot deformities and peroneal tendon pathology.

Main Methods:

• A technical note detailing a minimally invasive surgical approach.
• Zone 2 peroneus longus tendoscopy was utilized for tubercle resection.
• Simultaneous management of associated foot and ankle pathologies was performed.

Main Results:

• The described tendoscopic technique allows for effective resection of hypertrophied peroneal tubercle.
• This approach facilitates the simultaneous treatment of related hindfoot and peroneal tendon issues.
• Successful outcomes are anticipated for patients with recalcitrant symptoms.

Conclusions:

• Tendoscopic resection is a viable surgical option for symptomatic peroneal tubercle hypertrophy.
• This technique offers a minimally invasive solution for pain and functional limitation.
• Comprehensive management including associated pathologies is crucial for optimal patient outcomes.