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The ESSKA-AFAS international consensus statement on peroneal tendon pathologies
Pim A van Dijk1,2,3, David Miller4, James Calder4
1Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands. p.a.vandijk@amc.uva.nl.
Summary
This consensus statement provides an international guideline for managing peroneal tendon pathologies. It aims to establish optimal treatment strategies for these common lateral ankle injuries in active individuals.
Area of Science:
- Orthopedics
- Sports Medicine
- Ankle Surgery
Background:
- Peroneal tendon injuries are a common cause of lateral ankle pain in active individuals.
- Chronic peroneal tendinopathy can lead to long-term disability if not managed effectively.
- Current literature lacks a definitive consensus on the optimal management of peroneal tendon pathologies.
Framework:
- This guideline was developed through an international, multidisciplinary consensus process.
- The European Society of Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA) - Arthroscopy and Football Associated Ankle Society (AFAS) convened a panel of 16 specialists from 9 countries.
- The Nominal Group Technique was employed, incorporating systematic literature review and expert discussion to reach agreement.
Implementation:
- Key questions regarding peroneal tendon pathology management were identified and supported by a systematic literature search.
- Panel members presented evidence, followed by open discussion and vetting of supporting data.
- Consensus statements were refined based on discussions and voted upon using a 0-10 Likert scale, requiring a mean score of at least 7.5 for agreement.
Implications:
- This consensus statement offers an agreed-upon guideline for the optimal management of peroneal tendon pathologies.
- It provides a framework for clinicians to diagnose and treat these injuries, potentially reducing long-term sequelae.
- The multidisciplinary and international nature of the consensus enhances its applicability and relevance in clinical practice.
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