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Related Experiment Videos

Fibular grooving for recurrent peroneal tendon subluxation

S L Kollias1, R D Ferkel

  • 1Southern California Orthopedic Institute, Van Nuys 91405, USA.

The American Journal of Sports Medicine
|May 1, 1997
PubMed
Summary

The fibular grooving procedure effectively treats recurrent peroneal tendon dislocations, restoring ankle function and eliminating pain. This surgical intervention allows patients to return to sports and daily activities with high satisfaction.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Anatomy

Background:

  • Recurrent peroneal tendon dislocation is an uncommon but debilitating ankle injury.
  • Nonoperative treatments like bracing and rehabilitation often fail for these patients.
  • Intraarticular pathology is frequently associated with peroneal tendon instability.

Purpose of the Study:

  • To evaluate the efficacy of the fibular grooving procedure for recurrent peroneal tendon dislocations.
  • To assess patient outcomes, including pain, range of motion, and return to activity.
  • To identify any complications associated with the surgical technique.

Main Methods:

  • A prospective study of 12 ankles in 11 patients with recurrent peroneal tendon dislocations.
  • Surgical intervention involved a fibular grooving procedure.

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  • Outcomes were assessed based on pain, range of motion, subluxation recurrence, and return to activity.

    • Main Results:

    • No cases of peroneal tendon resubluxation were observed postoperatively.
    • Eleven ankles were pain-free, and 10 achieved full, symmetric range of motion.
    • Ten patients returned to full, unrestricted activities, including sports, with excellent outcomes reported for 11 ankles.

    Conclusions:

    • The fibular grooving procedure is a reliable surgical option for recurrent peroneal tendon dislocations.
    • The technique effectively resolves subluxation, reduces pain, and preserves ankle motion.
    • Patients experience high satisfaction rates and a successful return to pre-injury activity levels.