Complete rupture of the peroneus longus tendon secondary to injection

Borland, Steve; Jung, Stanisław; Hugh, Ivan Anthony

doi:10.1016/j.foot.2009.07.001

Cited by 16 publications

(8 citation statements)

References 6 publications

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“…No studies were found with the primary focus on rehabilitation of surgically treated peroneal tendon tears or ruptures. Included studies described their rehabilitation method after one or more of the following surgical treatment methods: group A: primary repair with or without tubularization of the tendon, [ 1 , 2 , 6 , 7 , 12 – 14 , 19 , 23 – 28 , 31 , 36 , 39 , 43 , 47 – 50 , 53 , 56 , 61 , 62 , 65 , 69 ] group B: tenodesis, [ 1 , 2 , 4 , 5 , 10 , 14 , 16 , 25 , 30 , 40 , 43 , 44 , 46 , 47 , 49 , 50 , 61 , 62 , 67 , 69 ] group C: grafting [ 8 , 10 , 21 , 29 , 34 , 37 , 38 , 42 , 43 , 45 , 46 , 49 , 50 , 61 , 69 ] and group D: end-to-end suturing [ 1 , 29 , 41 , 43 , 47 , 66 , 68 ]. Fourteen studies reported two or more surgical treatment methods [ 10 , 25 , 29 , 43 , 4...…”

Section: Resultsmentioning

confidence: 99%

Rehabilitation after surgical treatment of peroneal tendon tears and ruptures

Dijk

Lubberts

Verheul

et al. 2016

Knee Surg Sports Traumatol Arthrosc

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PurposeThe purpose of this study was to provide an overview of the available evidence on rehabilitation programmes after operatively treated patients with peroneal tendon tearsand ruptures.MethodsA systematic review was performed, and PubMed and EMBASE were searched for relevant studies. Information regarding the rehabilitation programme after surgical management of peroneal tendon tears and ruptures was extracted from all included studies.ResultsIn total, 49 studies were included. No studies were found with the primary purpose to report on rehabilitation of surgically treated peroneal tendon tears or ruptures. The median duration of the total immobilization period after primary repair was 6.0 weeks (range 0–12), 7.0 weeks (range 3.0–13) after tenodesis, 6.3 weeks (range 3.0–13) after grafting, and 8.0 weeks (range 6.0–11) after end-to-end suturing. Forty one percent of the studies that reported on the start of range of motion exercises initiated range of motion within 4 weeks after surgery. No difference was found in duration of immobilization or start of range of motion between different types of surgical treatment options.ConclusionAppropriate directed rehabilitation appears to be an important factor in the clinical success of surgically treated peroneal tendon tears and ruptures. There seems to be a trend towards shorter immobilization time and early range of motion, although there is no consensus in the literature on best practice recommendations for optimizing rehabilitation after surgical repair of peroneal tendon tears or ruptures. It is important to adjust the rehabilitation protocol to every specific patient for an optimal rehabilitation.Level of evidence Systematic Review, Level IV.

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Section: Resultsmentioning

confidence: 99%

Rehabilitation after surgical treatment of peroneal tendon tears and ruptures

Dijk

Lubberts

Verheul

et al. 2016

Knee Surg Sports Traumatol Arthrosc

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“…A thorough history detailing the initial injury, exacerbating symptoms, evidence of instability or clicking should be elicited. Associated conditions such as rheumatoid arthritis, neuropathies, gout, local steroid injections and known ankle pathologies ( e.g ., enlarged peroneal tubercle) can predispose peroneal tendinopathy[14-18].…”

Section: Discussionmentioning

confidence: 99%

Peroneus longus tendon rupture: A case report

Koh

Liow

Cheah

et al. 2019

WJO

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BACKGROUNDPeroneal tendinopathies are an under-diagnosed and potentially under-treated pathology. If left untreated it can be a cause of chronic lateral hindfoot pain. Its diagnosis is challenging owing to its low incidence and vague clinical presentation.CASE SUMMARYWe share a case of a patient who experienced a chronic lateral ankle pain exacerbated after alighting from a bus. This patient came to our attention only after failing conservative management on two separate occasions. Plain radiographs and magnetic resonance imaging revealed rupture of the peroneus longus tendon (PLT). Findings were confirmed intra-operatively and tenodesis of the PLT to the peroneus brevis was performed. Patient was kept non-weight-bear with his foot everted and in plantarflexion before being converted to an off-loading boot at two weeks. Patient was started on a progressive rehabilitation programme at six weeks and was able to return to work shortly after with excellent outcomes.CONCLUSIONWe aim to share our experience in managing this patient and propose some pointers guided by available literature to avoid missing this commonly overlooked pathology.

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“…Brandes and Smith [6] reported that only 9 of 22 patients with primary peroneus longus tendinopathy recalled an inciting event, and that the event occurred an average of 4.3 months before presentation. Spontaneous ruptures have been associated with rheumatoid arthritis, diabetic neuropathy, and local steroid injections [9,10]. Peroneal tendon ruptures most commonly involve the peroneus brevis alone or are combined peroneus brevis and longus tears.…”

Section: Discussionmentioning

confidence: 99%