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La división del peroneo breve: una causa ignorada de la disfunción del tobillo.

Kumardev Arvind Rajamanya1, Rahul Shah2, Tushar Nayak3

  • 1Department of Orthopaedics, Aster Whitefield Hospital, Bengaluru, Karnataka, India.

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Resumen

Las rupturas del tendón peroneo brevis (PBT) y la insuficiencia del retináculo peroneal superior (SPR) causan dolor posterolateral en el tobillo. El diagnóstico temprano y la reparación quirúrgica conducen a una excelente recuperación y retorno al deporte.

Palabras clave:
El tendón del peroneo brevis es el tendóninestabilidad del tobillo.rehabilitación y rehabilitación.El retináculo peroneal superior superior es el retináculo peroneal superior.Reparación del tendón de la reparación del tendón.

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Área de la Ciencia:

  • Cirugía Ortopédica Cirugía Ortopédica.
  • Medicina del Deporte Medicina del Deporte es el deporte.
  • Anatomía La anatomía es la anatomía.

Sus antecedentes:

  • Las rupturas del tendón peroneo brevis (PBT), a menudo con insuficiencia del retináculo peroneal superior (SPR), son una causa común pero ignorada de dolor e inestabilidad del tobillo posterolateral.
  • Los atletas son particularmente susceptibles a estas lesiones, que pueden afectar significativamente el rendimiento y la calidad de vida.

Objetivo del estudio:

  • Para presentar un caso de un atleta de 28 años con desgarro PBT e insuficiencia SPR.
  • Para describir el proceso de diagnóstico y la gestión quirúrgica.
  • Para resaltar la importancia de abordar tanto la patología del tendón como la patología ligamentosa.

Principales métodos:

  • Se utilizó el examen clínico y la imagen dinámica para el diagnóstico.
  • La intervención quirúrgica incluyó desbridamiento de PBT, tubularización con reparación de lado a lado y reconstrucción de SPR.
  • La rehabilitación postoperatoria incluyó el soporte progresivo de pesas, ejercicios de rango de movimiento y fortalecimiento.

Principales resultados:

  • El paciente experimentó una excelente recuperación, logrando una puntuación de tobillo-pés trasero de la American Orthopaedic Foot and Ankle Society de 85 a los 3 meses.
  • Se informó de un retorno completo a los deportes sin dolor o inestabilidad.
  • El enfoque de gestión integral condujo a resultados funcionales óptimos.

Conclusiones:

  • El reconocimiento temprano y el diagnóstico de las lágrimas de PBT y la insuficiencia de SPR son cruciales.
  • Las estrategias quirúrgicas y de rehabilitación integradas son vitales para obtener resultados exitosos.
  • Abordar tanto la patología del tendón como la de la retinaculum asegura una recuperación completa para los atletas con lesiones posterolaterales del tobillo.