Chronic Recurrent Subluxation of the Peroneal Tendons in a Pediatric Patient. Surgical Recommendations

Forman, Edward S.; Micheli, Lyle J.; Backe, Lizanne M.

doi:10.1177/107110070002100109

Cited by 15 publications

(5 citation statements)

References 16 publications

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“…There are a few studies available on the treatment of peroneal tendon dislocation in the paediatric population. All authors reported cases operated on by an open approach and a calcaneofibular transfer [2, 4]. Stenquist et al thus concluded that there was a high risk of post‐operative stiffness that could be a limitation of the above‐mentioned procedure in children [19].…”

Section: Discussionmentioning

confidence: 99%

Endoscopic fibular groove deepening for stabilisation of recurrent peroneal tendons instability in a patient with open physes

Maqdes

Steltzlen

Pujol

2016

Knee Surg Sports Traumatol Arthrosc

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This is a report of a rare case of recurrent traumatic peroneal tendon dislocation in a patient with open physes. Through fibular tendon endoscopy, an intramuscular needle was introduced under direct visualisation and implanted inferiorly to the growth plate while reclining the tendons posteriorly. A fibular groove deepening was performed in order to stabilize the tendons. The patient was able to return to full activity after 3 months. MRI taken 12 months after surgery showed neither signs of recurrence of the lesion nor growth plate disturbance. This is a first case report of peroneal tendons stabilisation by tendoscopic retro-malleolar groove deepening in a child. Level of evidence Case report, Level IV.

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Section: Discussionmentioning

confidence: 99%

Endoscopic fibular groove deepening for stabilisation of recurrent peroneal tendons instability in a patient with open physes

Maqdes

Steltzlen

Pujol

2016

Knee Surg Sports Traumatol Arthrosc

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“…Hollis et al reported that inversioneversion subtalar motion was not significantly changed after augmented reconstruction [22]. Many studies have shown successful results with augmented ankle reconstruction procedures [3,14,19,23,28,30,34,35,[37][38][39][40].…”

Section: Discussionmentioning

confidence: 99%

Modified Chrisman–Snook repair for the treatment of chronic ankle ligamentous instability in children and adolescents

Yang

Morscher

Weiner

2010

Journal of Children's Orthopaedics

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“…The surgery may be complicated by the presence of open fibular growth plates; care must be taken to not interrupt these growth plates in pediatric patients [6]. Peroneal subluxation in pediatric patients with open physes is uncommon with the first case of surgical correction of this condition in a pediatric patient with open physes being reported in 2000 [7].…”

Section: Case Description Presentation and Imagingmentioning

confidence: 99%

Bilateral Peroneal Tendon Subluxation of an Adolescent Female with MRI Correlations

R¹,

L²,

G³

2021

Int J Foot Ankle

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Background: Peroneal subluxation is relatively rare and commonly misdiagnosed as an ankle sprain. Due to its rarity, the incidence of subluxation is unknown, but it has been seen most often in young adults. Peroneal subluxation in pediatric patients is very rare and bilateral subluxation is even rarer. We present a pediatric case of bilateral peroneal tendon subluxation caused by minimal trauma with no known risk factors. Based on a literature review, this is the first reported case of acquired bilateral peroneal tendon subluxation in a pediatric patient. We illustrate the patient presentation, MRI correlations, operative descriptions, and outcomes.Case description: A 14-year-old female competitive cheerleader and gymnast presented with bilateral ankle pain 17 days after a training injury. She had fallen off of a tightrope and both of her feet rotated inward, becoming caught in the rope. Since then, she noticed bilateral subluxation of her distal peroneus tendons. Bilateral ankle MRIs demonstrated a large amount of fluid signal intensity around the peroneal tendons consistent with tendinitis and subluxation. The patient did not improve after 6 weeks in walking casts and physical therapy and underwent bilateral operative superior retinacular repair. Four months post operation, she was able to return to gymnastics and cheerleading with minimal difficulty.Conclusions: Bilateral SPR repair was found to be effective in this very rare pediatric case of acquired bilateral peroneal tendon subluxation. In similar presentations we recommend consideration be given to this treatment course.

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Chronic Recurrent Subluxation of the Peroneal Tendons in a Pediatric Patient. Surgical Recommendations

Cited by 15 publications

References 16 publications

Endoscopic fibular groove deepening for stabilisation of recurrent peroneal tendons instability in a patient with open physes

Endoscopic fibular groove deepening for stabilisation of recurrent peroneal tendons instability in a patient with open physes

Modified Chrisman–Snook repair for the treatment of chronic ankle ligamentous instability in children and adolescents

Bilateral Peroneal Tendon Subluxation of an Adolescent Female with MRI Correlations

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