Outcome of Lateral Transfer of the FHL or FDL for Concomitant Peroneal Tendon Tears

Seybold, Jeffrey D.; Campbell, John T.; Jeng, Clifford L.; Pt, Kelly Short; Myerson, Mark S.

doi:10.1177/1071100716634762

Cited by 40 publications

(37 citation statements)

References 21 publications

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“…In cases where performing tenodesis is indicated, therefore, it seems that PL to PB transfer would be the better option and transfer of the PB to the PL should be avoided. The panel does not recommend a tendon transfer using the flexor digitorum longus or flexor hallucis longus, because the procedure has several biomechanical limitations and is associated with significant deficits in strength and balance on the longer term [ 33 ].…”

Section: Resultsmentioning

confidence: 99%

“…In cases when this is not possible, the panel recommended the same treatment algorithm agreed for peroneal tendon tears. If grafting or tenodesis remains insufficient, a tendon transfer may be considered [ 33 ]. It should be recognised that elite athletes may not return to their pre-operative level of sports after surgical treatment for peroneal tendon rupture.…”

Section: Resultsmentioning

confidence: 99%

“…Improved knowledge based on contemporary studies has ensured that peroneal tendon disorders are a serious cause of posterolateral ankle symptoms following lateral ankle sprains (acute or chronic), despite previously being considered rare entities. Pathology may range from tendinopathy to ruptures, tears, and instability of the tendons [ 8 , 17 , 27 , 33 ]. Since chronic peroneal tendinopathy is associated with long-term sequelae, accurate diagnosis and prompt treatment in an early stage is important.…”

Section: Introductionmentioning

confidence: 99%

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The ESSKA-AFAS international consensus statement on peroneal tendon pathologies

Dijk

Miller

Calder

et al. 2018

Knee Surg Sports Traumatol Arthrosc

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IntroductionPeroneal tendon injuries are a significant cause of lateral ankle symptoms in the active population. Accurate diagnosis and prompt treatment is important for minimizing the risk of long-term sequelae associated with chronic peroneal tendinopathy. Although several studies have been published on diagnostic strategies and treatment outcomes, there is no consensus on the optimal management of peroneal tendon pathologies.PurposeThe purpose of this ESSKA-AFAS consensus statement was to conduct an international and multidisciplinary agreed guideline on management of patients with peroneal tendon pathologies.MethodsUsing the Nominal Group Technique, a panel comprised of sixteen specialists spanning nine countries was convened by the ESSKA-AFAS board. In preparation for the meeting, relevant questions were identified and supported by a systematic literature search. During the meeting, the panel members gave presentations on each question, and the evidence supporting each subject was then vetted by open discussion. Statements were thereafter adjusted on the basis of the discussion and voted upon to determine consensus using a 0–10 range Likert scale. Agreement was confirmed when a mean score of at least 7.5 was reached.ConclusionThis ESSKA-AFAS consensus statement on the optimal management of peroneal tendon pathologies is the result of international and multidisciplinary agreement combined with a systematic review of the literature.Level of evidenceV.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The ESSKA-AFAS international consensus statement on peroneal tendon pathologies

Dijk

Miller

Calder

et al. 2018

Knee Surg Sports Traumatol Arthrosc

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“…Another study of 9 patients found loss of approximately 25% of eversion strength and range of motion in patients after FHL or FDL transfer for concomitant tears. 45 Anatomic studies have shown FHL tendon length to be preferable to FDL for transfer. 44 Jeng et al 19 assessed the relative muscle strength and found FHL volume to be greater than FDL.…”

Section: Unreconstructable Tears Of Both Peroneus Brevis and Peroneusmentioning

confidence: 99%

“…Some authors express concern regarding adhesion of reconstructed peroneal tendons to concomitant calcaneal osteotomy. 2,3,24,39,45 Other pathologies, such as lateral ankle instability, peroneal tubercle hypertrophy, osteochondral lesions of the ankle, and soft tissue ankle impingement, 6,22,41,47,50,52 may warrant operative repair at the time of peroneal reconstruction.…”

Section: Concomitant Procedures For Associated Pathologiesmentioning

confidence: 99%

Diagnosis and Operative Treatment of Peroneal Tendon Tears

Danna

Brodsky

2020

Foot & Ankle Orthopaedics

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Peroneal tendon tears are a common but under-recognized source of ankle pain and dysfunction. Recognition of the characteristic symptoms, physical findings, and imaging results of peroneal tendon tears is essential for accurate diagnosis and appropriate treatment. Acute, limited tears of a single peroneal tendon may be debrided and repaired. However, by the time operative treatment is undertaken, many tears of a single tendon are sufficiently advanced that the surgeon may need to consider excision of the nonviable segment and tenodesis of the damged tendon to the to the adjacent peroneal tendon. Irreparable tearing of both peroneal tendons may be treated with flexor tendon transfer and/or allograft reconstruction. This review article focuses on diagnosis and operative treatment of peroneal tendon tears, including the treatment algorithms, operative technique, and published outcomes.

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