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Related Experiment Videos

Recurrent dislocation of the peroneal tendons

J Karlsson1, B I Eriksson, L Swärd

  • 1Department of Orthopaedics, Ostra University Hospital, Göteborg, Sweden.

Scandinavian Journal of Medicine & Science in Sports
|August 1, 1996
PubMed
Summary

Recurrent peroneal tendon dislocations in athletes can be effectively treated with surgical retinaculum reconstruction and groove deepening. This procedure offers a high success rate, restoring ankle function and eliminating instability.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine

Background:

  • Peroneal tendon dislocations are common in sports like skiing and soccer.
  • Recurrent dislocations lead to persistent instability and pain, often necessitating surgical intervention.

Purpose of the Study:

  • To evaluate the outcomes of a specific surgical technique for treating post-traumatic recurrent peroneal tendon dislocations.
  • To assess the efficacy of soft-tissue reconstruction of the superior peroneal retinaculum combined with retrofibular groove deepening.

Main Methods:

  • A cohort of 15 patients with recurrent peroneal tendon dislocations underwent surgery.
  • The surgical procedure involved reattachment and reinforcement of the superior peroneal retinaculum and deepening of the retrofibular groove.
  • Patients were followed up for an average of 3.5 years post-surgery.

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Main Results:

  • No cases of redislocation or neurovascular injury were reported.
  • 87% (13/15) of patients achieved satisfactory functional results, including full ankle range of motion and absence of pain.
  • Two patients experienced unsatisfactory outcomes with restricted ankle motion and pain during exertion.

Conclusions:

  • Soft-tissue reconstruction of the superior peroneal retinaculum with retrofibular groove deepening is a safe and effective treatment for recurrent peroneal tendon dislocations.
  • This technique provides a favorable alternative to more complex surgical options.
  • Conservative management is generally insufficient for recurrent peroneal tendon dislocations due to persistent instability.