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Non-operative treatment of peroneal tendon dislocations: A systematic review
Daniel Bakker1, Jan B Schulte1, Duncan E Meuffels1
1Department of Orthopaedic Surgery, Erasmus MC Rotterdam, University Medical Center Rotterdam, Dr. Molewaterplein 40, 3015GD Rotterdam, the Netherlands.
Purpose:
This study evaluated the clinical outcome of non-operative treatment of peroneal tendon dislocations.
Methods:
A systematic review of literature was performed.
Results:
Six studies were included. Redislocation rates differed between treatments: taping ≥ 3 weeks; 18/30 (60%) patients. Plaster cast ≥ 4 weeks; 5/13 (32%) plaster cast ≥ 6 weeks; 1/6 (17%). Strapping or taping treatment indicated a higher rate of pain and instability and a lower rate of ability to return to former activity.
Conclusions:
A non-weight bearing cast ≥ 6 weeks was successful in 5/6 patients. A non-weight bearing cast might be a good alternative for surgical intervention.Level of Clinical Evidence: Level IV, systematic review of level IV studies.
