Open Peroneal Tendon Stabilization With Fibular Groove Deepening

Hwang, Inga M.; Sol, Shane Rayos Del; Jenkins, Sarah M.; Bryant, Stewart A.; Gardner, Brandon; McGahan, Patrick J.; Chen, James L.

doi:10.1016/j.eats.2021.10.028

Cited by 4 publications

(4 citation statements)

References 30 publications

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“…To date, although the literature has not yet established the best surgical approach [15], different operative techniques have been described such as bone block procedures and the reattachment of the SPR with or without groove deepening [13]. While all these surgical techniques are performed under direct vision, some tendoscopic surgical techniques have been also described.…”

Section: Discussionmentioning

confidence: 99%

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Peroneal Tendon Dislocation: A Report of Two Cases

Maroc¹,

Khatab²,

Moueqqit³

et al. 2023

Cureus

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Ankle injuries are a very common cause of patient visits to the primary care units and emergency departments. Although the most frequent ones are lateral ligament sprains, peroneal tendon subluxations have the same inversion mechanism and are described as one of the main causes of lateral ankle pain and instability. They are often missed during the acute phases as they are misdiagnosed as ankle sprains since both injuries share similar mechanisms and often occur in athletes and patients with high sports activity.We present two different cases of peroneal tendon dislocation that illustrate how this pathological condition may be present under different circumstances. We aim, through these cases, to provide clinical awareness and help improve earlier diagnosis of this condition; we also demonstrate the effectiveness of surgical reattachment of the upper retinaculum that two of our patients underwent.

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Section: Discussionmentioning

confidence: 99%

“…The different surgical techniques seem to be validated according to the literature regarding clinical and functional outcomes [11,13,[14][15][16]. However, the authors are more focused on comparing the time to return to sports after the surgery between the different available techniques [4,13,16,17].…”

Section: Discussionmentioning

confidence: 99%

Peroneal Tendon Dislocation: A Report of Two Cases

Maroc¹,

Khatab²,

Moueqqit³

et al. 2023

Cureus

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“…Our data suggests that this should be considered only for patients without significant IG dysplasia, as those with IG dysplasia may have a higher risk of recurrence. Our data suggests a surgical deepening of the IG, analogous to the fibular groove deepening for peroneal tendon instability which is commonly performed, may potentially be of benefit for LHBT stabilisation in shoulders where the IG is dysplastic [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

A shallow morphology of the intertubercular groove is associated with medial and bilateral but not lateral pulley lesions

Kleim

Carbonel

Hinz

et al. 2023

Knee Surg Sports Traumatol Arthrosc

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Purpose To investigate the influence of intertubercular groove (IG) morphology on the development of different types of biceps reflection pulley (BRP) injuries. Methods A consecutive cohort of 221 patients with ventral shoulder pain and a preoperative diagnosis suspecting BRP injury, who underwent arthroscopy, was retrospectively reviewed. The presence or absence as well as type of pulley injury (medial, lateral or bilateral) was confirmed arthroscopically. The intertubercular groove was evaluated on MRIs after triplanar reconstruction of the axial plane. IG depth, width, medial wall angle (MWA), lateral wall angle (LWA) and total opening angle (TOA) were measured. IG depth and width were expressed in relation to the humeral head diameter. Measurements were performed by two clinicians independently and averaged. Results Of 166 included patients 43 had bilateral, 65 medial and 38 lateral BRP lesions. 20 patients had intact BRPs and represented the control group. The intra-class correlation coefficient of measurements was 0.843–0.955. Patients with a medial or bilateral BRP injury had a flatter MWA (38.8° or 40.0° vs. 47.9°, p < 0.001), wider TOA (96.1° or 96.6° vs. 82.6°, p < 0.001), greater width (12.5 or 12.3 vs. 10.8 mm, p = 0.013) and shallower depth (5.5 or 5.4 vs. 6.2 mm, p < 0.001) than the control group. Conversely, the IG morphology of those with lateral BRP injuries did not differ significantly from the control group. The odds ratio for a medial or bilateral BRP injury when the TOA exceeded 95° was 6.8 (95% confidence interval 3.04–15.2). Conclusion A dysplastic type of IG morphology with a wide TOA, flat MWA, decreased depth and increased width is associated with the presence of medial and bilateral BRP injuries. A TOA of > 95° increases the likelihood of a medial or bilateral BRP injury 6.8-fold. Lateral BRP injuries are not associated with dysplastic IG morphology. Concomitant LHBT surgery may, therefore, not always be necessary during isolated supraspinatus tendon repair. Level of evidence Level III.

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“…The surgical technique used in this study preserves the natural fibrocartilage within the malleolar groove, facilitating smoother peroneal tendon gliding and lowering the risk of tendon shearing [35]. However, some authors have expressed concerns about this technique, citing worries about the increased force needed to compress the posterior cortex of the fibula, which could potentially harm the fibrocartilage or even result in a fibula fracture [36].…”

Section: Discussionmentioning

confidence: 99%

Retromalleolar Groove Deepening in Recurrent Peroneal Tendon dislocation: Short- and Medium-Term Functional Outcomes

Samaila,

Auregli,

Maluta

et al. 2023

Applied Sciences

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Recurrent peroneal tendon dislocation is a rare and often underrecognized condition. It may result from acute injuries, more commonly seen in athletes, or from untreated ankle sprains leading to chronic ankle instability. The aim of this study is to retrospectively evaluate short- and medium-term functional outcomes of the surgical technique involving deepening of the retromalleolar groove for the management of recurrent peroneal tendon dislocation. Nine patients, one of whom had bilateral dislocation, were enrolled in this study. The study group consisted of six males and three females, with a mean age of 31.2 years. CT scans were used to measure the depth of the neo-grooves, while the EFAS score (European Foot and Ankle Society Score) and AOFAS score (American Orthopedic Foot and Ankle Score) were used to assess functional results. The medium follow-up period was 4.8 years. CT scan data revealed a mean increase of 4.69 mm in the depth of the neo-retromalleolar groove. AOFAS scores improved from a mean preoperative value of 74.4 to 86.9 after surgery, and EFAS scores increased from a mean preoperative score of 19.7 to 31. Statistical analysis of clinical scores yielded significant results with a p-value < 0.005. All patients returned to their previous sports activities within an average time of 7.7 months, reporting no pain or limitations. There were no recurrences observed. The retromalleolar groove deepening technique demonstrated excellent results in the treatment of recurrent peroneal tendon dislocation, evidenced by significant improvements in clinical scores, functional recovery, successful return to sports, and high patient satisfaction.

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Open Peroneal Tendon Stabilization With Fibular Groove Deepening

Cited by 4 publications

References 30 publications

Peroneal Tendon Dislocation: A Report of Two Cases

Peroneal Tendon Dislocation: A Report of Two Cases

A shallow morphology of the intertubercular groove is associated with medial and bilateral but not lateral pulley lesions

Retromalleolar Groove Deepening in Recurrent Peroneal Tendon dislocation: Short- and Medium-Term Functional Outcomes

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