Calcaneofibular Ligament Transfer for Recurrent Peroneal Tendon Subluxation in Pediatric and Young Adult Patients

Stenquist, Derek S; Gonzalez, Tyler; Tepolt, Frances; Kramer, Dennis E.; Kocher, Mininder S.

doi:10.1097/bpo.0000000000000731

Cited by 11 publications

(10 citation statements)

References 28 publications

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“…Peroneal tendon subluxation is an uncommon cause of lateral ankle pain and instability [16]. The common causes include injury during contact sports like soccer, rugby, gymnastics etc [17].…”

Section: Discussionmentioning

confidence: 99%

Recurrent Peroneal Tendon Subluxation with Peroneus Quartus Muscle: A Case Report and Brief Review of Literatures

Zacharia¹

2018

JOJCS

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Section: Discussionmentioning

confidence: 99%

Recurrent Peroneal Tendon Subluxation with Peroneus Quartus Muscle: A Case Report and Brief Review of Literatures

Zacharia¹

2018

JOJCS

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“…Kao osnovni nedostatak metode preusmjeravanja peronealnih tetiva ispod kalkaneofi bularnog ligamenta valja istaknuti moguću pojavu smanjene pokretljivosti gležnja i stopala nakon zahvata zbog pojave adhezija oko tetiva i prenapučenosti u prostoru ispod kalkaneofibularnog ligamenta. 37 Tako su, primjerice, Stenquist i sur. 37 izvijestili da su čak u 4 od 18 (22,2%) operiranih bolesnika morali u drugom aktu načiniti adheziolizu tetiva radi poboljšanja opsega pokreta i smanjenja boli.…”

Section: Raspravaunclassified

“…37 Tako su, primjerice, Stenquist i sur. 37 izvijestili da su čak u 4 od 18 (22,2%) operiranih bolesnika morali u drugom aktu načiniti adheziolizu tetiva radi poboljšanja opsega pokreta i smanjenja boli.…”

Section: Raspravaunclassified

Recurrent Peroneal Tendon Dislocation: A Consecutive Case Series and Review of the Literature

2018

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Sažetak. Cilj je rada prikazati cjelovit pregled dostupne literature o kirurškom liječenju ponavljanih luksacija peronealnih tetiva (LPT) i rezultate kirurškog liječenja LPT-a u našoj uzastopnoj seriji od 7 bolesnika. Želimo kreirati strategiju kirurškog liječenja LPT-a koja bi rezultirala optimalnim funkcionalnim ishodom. Rezultati dosad provedenih istraživanja pokazuju da je metoda kojom se gornji peronealni retinakul ponovo učvrsti na svoje anatomsko mjesto na fi buli (tzv. singapurski postupak) izrazito učinkovita, s odličnim funkcionalnim rezultatima i tijekom višegodišnjeg praćenja. U prilog tim rezultatima govore i uspjesi kirurškog liječenja naših bolesnika. Velika prednost singapurskog postupka jest i mogućnost njegova kombiniranja s drugim metodama, primjerice, s produbljivanjem retromaleolarnog žlijeba na fi buli kada je on preplitak. Međutim, unatoč dokazanoj uspješnosti otvorenih kirurških metoda, a s obzirom na ubrzani razvoj tendoskopije peronealnih tetiva kao minimalno invazivne kirurške tehnike, vjeruje se da će se u bliskoj budućnosti kirurško liječenje ponavljanih luksacija peronealnih tetiva izvoditi potpuno tendoskopski.

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“…A high percentage (20-60%) of athletes are identified as having AI originating from team sports, such as soccer and basketball. Characterization of AI includes sensations of ankle pain, frequent episodes of ankle unsteadiness with prolonged symptoms, and recurrent ankle injuries (3)(4)(5)(6)(7)(8). Previous studies have highlighted that AI is a public health-care cost affecting not only athletic populations but also the general population (7).…”

Section: Introductionmentioning

confidence: 99%

“…Characterization of AI includes sensations of ankle pain, frequent episodes of ankle unsteadiness with prolonged symptoms, and recurrent ankle injuries (3)(4)(5)(6)(7)(8). Previous studies have highlighted that AI is a public health-care cost affecting not only athletic populations but also the general population (7). Thus, early diagnosis and management are important in the prevention of AI.…”

Section: Introductionmentioning

confidence: 99%

Prediction of suspicious ankle instability using the calcaneofibular ligament cross-sectional area

Park¹,

Han²,

Kim³

et al. 2021

Quant Imaging Med Surg

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Background: An injured calcaneofibular ligament (CFL) is a major cause of ankle instability (AI). Previous research has demonstrated that the thickness of the calcaneofibular ligament (CFLT) is correlated with higher-grade sprains and ankle instability. However, inflammatory hypertrophy is distinct from ligament thickness; accordingly, we considered that the calcaneofibular ligament cross-sectional area (CFLCSA) as a potential morphological parameter to analyze inflammatory CFL. We hypothesized that the CFLCSA was a key morphologic parameter in AI diagnosis. Methods:We gathered the CFL data of 26 AI patients and 25 control subjects who had undergone ankle magnetic resonance imaging (A-MRI), and it had revealed no evidence of AI. Ankle level T1-weighted coronal A-MRI images were acquired. Using our image analysis program (INFINITT PACS), we analyzed the CFLT and CFLCSA at the CFL on the A-MRI. The CFLCSA was measured as the whole ligament cross-sectional area of the CFL that was most hypertrophied in the transverse A-MR images. The CFLT was measured at the thickest level of CFL.Results: The mean CFLT was 3.49±0.82 mm in the control group, and 4.82±0.76 mm in the AI group.The mean CFLCSA was 33.31±7.02 mm 2 in the control group, and 65.33±20.91 mm 2 in the AI group.The AI patients had significantly greater CFLT (P<0.001) and CFLCSA (P<0.001) than the control group participants. A receiver operating characteristic (ROC) curve analysis in the evaluation of the diagnostic tests showed that the optimal cut-off score of the CFLT was 4.06 mm, with 76.9% sensitivity, 76.0% specificity, and an area under the curve (AUC) of 0.89 (95% CI, 0.79-0.99). The optimal cut-off threshold of the CFLCSA was 43.85 mm 2 , with 92.3% sensitivity, 92.0% specificity, and AUC of 0.94 (95% CI, 0.86-1.00).Conclusions: Even though the CFLT and CFLCSA were both significantly associated with AI, the CFLCSA was a more sensitive diagnostic test.

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Calcaneofibular Ligament Transfer for Recurrent Peroneal Tendon Subluxation in Pediatric and Young Adult Patients

Abstract: Level IV- retrospective case series.

Cited by 11 publications

References 28 publications

Recurrent Peroneal Tendon Subluxation with Peroneus Quartus Muscle: A Case Report and Brief Review of Literatures

Recurrent Peroneal Tendon Subluxation with Peroneus Quartus Muscle: A Case Report and Brief Review of Literatures

Recurrent Peroneal Tendon Dislocation: A Consecutive Case Series and Review of the Literature

Prediction of suspicious ankle instability using the calcaneofibular ligament cross-sectional area

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