Peroneal Tendon Subluxation Repair With an Indirect Fibular Groove Deepening Technique

Ogawa, Brent K.; Thordarson, David B.; Zalavras, Charalampos G.

doi:10.3113/fai.2007.1194

Cited by 53 publications

(39 citation statements)

References 16 publications

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“…5 Both aspects promote a fast rehabilitation for the patient. 15 There seems to be a variety of factors influencing the outcome. Ogawa et al 15 reported inferior results with their technique in patients with additional peroneal tendon tears or in patients with workers' compensation claims.…”

Section: Discussionmentioning

confidence: 98%

Retromalleolar Groove Impaction for the Treatment of Unstable Peroneal Tendons

2008

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Section: Discussionmentioning

confidence: 98%

Retromalleolar Groove Impaction for the Treatment of Unstable Peroneal Tendons

2008

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“…More recently, other authors have advocated an indirect groove-deepening technique by burring the cancellous bone from under the cortex, starting at the tip of the fibula, followed by direct impaction of the cortex. 2,7,10,13,14,18 Shawen and Anderson 14 described cannulating the fibula using a biotenodesis system followed by tamping the posterior cortex down without making an osteotomy in the posterior fibula. Without osteotomizing of the fibula, however, additional force is needed to tamp down the posterior cortex.…”

Section: Discussionmentioning

confidence: 99%

Retromalleolar Groove Deepening in Recurrent Peroneal Tendon Dislocation: Technique Tip

Dijk

Vopat

Guss

et al. 2017

Orthopaedic Journal of Sports Medicine

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Peroneal tendon dislocations are most prevalent in the active and athletic population, so accurate diagnosis and management are essential for optimal return of function. Although many nonoperative and surgical management options have been described, the optimal treatment method continues to be debated. In this technique article, a modified retromalleolar groove–deepening technique is described for addressing all anatomic variations of the posterior distal fibula and retromalleolar groove without unduly disturbing the important anatomic facets meant for retention in this region. This technique is indicated for chronic dislocated peroneal tendons, recurrent dislocating peroneal tendons, and dislocation of the tendons after acute injury with a shallow fibular peroneal groove. Although it remains unclear what effect a cortically abraded fibular gliding surface or forceful cortical impaction on the fibrocartilage gliding surface might have on peroneal tendon integrity and function long term, it would seem preferable to avoid such techniques if reliable alternatives are available.

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“…This preserves the floor of the groove, which is tamped down into the drilled tunnel, thus deepening it. 40,41 …”

Section: Pathological Conditionsmentioning

confidence: 99%

Peroneal tendon disorders

et al. 2017

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Pathological abnormality of the peroneal tendons is an under-appreciated source of lateral hindfoot pain and dysfunction that can be difficult to distinguish from lateral ankle ligament injuries.Enclosed within the lateral compartment of the leg, the peroneal tendons are the primary evertors of the foot and function as lateral ankle stabilisers.Pathology of the tendons falls into three broad categories: tendinitis and tenosynovitis, tendon subluxation and dislocation, and tendon splits and tears. These can be associated with ankle instability, hindfoot deformity and anomalous anatomy such as a low lying peroneus brevis or peroneus quartus.A thorough clinical examination should include an assessment of foot type (cavus or planovalgus), palpation of the peronei in the retromalleolar groove on resisted ankle dorsiflexion and eversion as well as testing of lateral ankle ligaments.Imaging including radiographs, ultrasound and MRI will help determine the diagnosis. Treatment recommendations for these disorders are primarily based on case series and expert opinion.The aim of this review is to summarise the current understanding of the anatomy and diagnostic evaluation of the peroneal tendons, and to present both conservative and operative management options of peroneal tendon lesions.Cite this article: EFORT Open Rev 2017;2:281-292. DOI: 10.1302/2058-5241.2.160047

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Peroneal Tendon Subluxation Repair With an Indirect Fibular Groove Deepening Technique

Abstract: An indirect groove deepening technique is an effective way of treating peroneal tendon dislocation with good results. Patients with Worker's Compensation claims or other associated pathology have poorer outcomes.

Cited by 53 publications

References 16 publications

Retromalleolar Groove Impaction for the Treatment of Unstable Peroneal Tendons

Retromalleolar Groove Impaction for the Treatment of Unstable Peroneal Tendons

Retromalleolar Groove Deepening in Recurrent Peroneal Tendon Dislocation: Technique Tip

Peroneal tendon disorders

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