Results of Peroneal Tendoscopy With a Technical Modification
Mustafa Urguden1, Ismail Ayder Gulten2, Osman Civan3
11 School of Medicine, Department of Orthopaedics and Traumatology, Akdeniz University, Antalya, Turkey.
Foot & Ankle International
|November 24, 2018
Summary
Tendoscopy is effective for diagnosing and treating peroneal tendon (PT) pathologies. This minimally invasive technique improved patient outcomes and ankle function scores in this study.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Foot and Ankle Surgery
Background:
- Peroneal tendon (PT) pathologies cause retrofibular pain.
- Diagnosis often relies on physical examination, X-ray, or MRI.
- Surgical intervention may be required for persistent symptoms.
Purpose of the Study:
- To evaluate tendoscopy for diagnosing and treating peroneal tendon pathologies.
- To assess the outcomes of a modified tendoscopy technique.
Main Methods:
- Retrospective case series of 20 ankles in 18 patients.
- Peroneal tendoscopy used for diagnosis in patients with suspected PT pathology.
- Treatment performed via tendoscopy or open surgery based on diagnosis.
Main Results:
- Peroneal tenosynovitis (13 ankles), PT tear (7 ankles), and vincula thickening (1 ankle) were identified.
- Concomitant ankle pathology present in 13 of 20 ankles.
- American Orthopaedic Foot & Ankle Society (AOFAS) scores improved from 76 preoperatively to 96 at 2-year follow-up.
Conclusions:
- Tendoscopy is a valuable diagnostic and therapeutic tool for peroneal tendon pathologies.
- The modified technique demonstrated successful treatment outcomes.
- Improved functional scores suggest efficacy in managing PT conditions.
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