Peronealsehnenpathologien

Willegger, Madeleine; Hirtler, Lena; Schwarz, Gilbert M.; Windhager, R.; Chiari, Catharina

doi:10.1007/s00132-021-04116-6

Cited by 12 publications

(8 citation statements)

References 70 publications

(115 reference statements)

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“…In addition, the PLT is not a very regular tendon, and the thickness of each part is not consistent. Therefore, the CSA measured in some parts is related to the diameter of the 2PLT, while in some parts, it is not [32].…”

Section: Discussionmentioning

confidence: 99%

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Preoperative ultrasound can accurately predict the diameter of double-stranded peroneus longus tendon autografts

Luo

Rothrauff

et al. 2023

Knee Surg Sports Traumatol Arthrosc

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PurposeThis study aimed to determine the correlation between the intraoperative diameter of double‐stranded peroneus longus tendon (2PLT) and length of the PLT autograft and preoperative ultrasound (US) measurements, as well as radiographic and anthropometric measurements. The hypothesis was that US can accurately predict the diameter of 2PLT autografts during operation. MethodsTwenty‐six patients underwent ligament reconstruction with 2PLT autografts were included. Preoperative US was used to calculate the in situ PLT cross‐sectional area (CSA) at seven levels (0, 1, 2, 3, 4, 5, 10 cm proximal to the harvest start point). Femoral width, notch width, notch height, maximum patellar length, and patellar tendon length were determined on preoperative radiographs. Intraoperative measurements of PLT were made, including all fiber lengths of PLT and diameters of 2PLT using sizing tubes calibrated to 0.5 mm. ResultsCSA at 1 cm proximal to the harvest site had the highest correlation with the diameter of 2PLT (r = 0.84, P < 0.001). Calf length had the highest correlation with PLT length (r = 0.65, P < 0.001). The diameter of the 2PLT autografts could be predicted by the following formula: 4.6 + 0.2 × [sonographic CSA of PLT at 1 cm level]; the length of PLT could be predicted by the following formula: 5.6 + 0.5 × Calf length. ConclusionThe diameter of 2PLT and length of PLT autografts can be accurately predicted by preoperative US and calf length measurements, respectively. Accurate preoperative prediction of the diameter and length of autologous grafts can provide the most suitable and individualized graft for patients. Level of evidenceIV.

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Section: Discussionmentioning

confidence: 99%

“…The PLT can be used as a suitable autograft [8, 22]. As there are considerable differences in PLT length and diameter across individuals [20, 32], the ability to preoperatively predict the diameter and length of the intraoperative PLT autografts would be valuable.…”

Section: Introductionmentioning

confidence: 99%

Preoperative ultrasound can accurately predict the diameter of double-stranded peroneus longus tendon autografts

Luo

Rothrauff

et al. 2023

Knee Surg Sports Traumatol Arthrosc

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“…The peroneal tendon is an important component for maintaining ankle joint stability. Following dislocation, the peroneal tendon fails to adequately support the stability of the ankle joint, resulting in lateral ankle instability, tendon rupture, degeneration, tendon pathology, and the development of complications such as chronic pain 3 . These issues can negatively impact walking, running, and other daily activities.…”

Section: Introductionmentioning

confidence: 99%

“…Following dislocation, the peroneal tendon fails to adequately support the stability of the ankle joint, resulting in lateral ankle instability, tendon rupture, degeneration, tendon pathology, and the development of complications such as chronic pain. 3 These issues can negatively impact walking, running, and other daily activities. Additionally, misdiagnosis of acute PTD can lead to chronic cases as surgical specialists may focus more on treating fractures or sprains and overlook tendon‐related problems.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Clinical Efficacy between Arthroscopic and Open Surgery for Ogden Type 1–2 Peroneal Tendon Dislocation

Wang,

Zheng,

Yang

et al. 2024

Orthopaedic Surgery

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ObjectiveWhile the incidence of peroneal tendon dislocation (PTD) is relatively low, it is frequently underdiagnosed in clinical practice, and the misdiagnosis or improper treatment of this condition may lead to a decline in patients' quality of life. Currently, the surgical treatment options for PTD mainly include open and arthroscopic surgery. However, in order to evaluate the advantages and disadvantages of these two surgical approaches, further comparative research is needed. Therefore, the aim of this study is to investigate the early clinical outcomes of arthroscopic and open surgery in the treatment of Ogden type 1–2 PTD.MethodsWe conducted a comprehensive analysis of 46 patients diagnosed with PTD who underwent surgery at our institution between January 2017 and January 2023. The patients were divided into two groups: the open surgery group, consisting of 26 cases, and the arthroscopic surgery group, consisting of 20 cases. To compare the effectiveness of the surgical approach, we evaluated several parameters, including the integrity of the superior peroneal retinaculum on MRI images, functional scores, pain interference scores, and ankle eversion muscle strength. These assessments are conducted respectively before the surgery, 1 month after the surgery, 3 months after the surgery, and at the final follow‐up for each group of patients (at least 6 months post‐surgery). Demographics and intergroup comparisons of the two groups of data were analyzed by t‐test or the Mann–Whitney U test. Intragroup comparisons of the two groups of data were analyzed by one‐way analysis of variance (ANOVA) or the Kruskal–Wallis test, followed by post hoc multiple comparisons.ResultsIn the intragroup comparisons, both the arthroscopic surgery and the open surgery group demonstrated significant improvement in functional scores, pain interference scores, muscle strength, and MRI findings at the final follow‐up postoperatively (p < 0.01). However, the open surgery group exhibited significant improvements in these outcomes at the final follow‐up, while the arthroscopic surgery group showed significant improvement at 3 months postoperatively. In intergroup comparisons, the arthroscopic surgery group outperformed the open surgery group in functional scores, pain interference scores, and muscle strength 3 months after the surgery, with statistically significant differences (p < 0.01).ConclusionArthroscopic surgery offers advantages in early clinical outcomes, such as pain relief, function, and muscle strength improvement. However, over time, both approaches provide similar results regarding effectiveness.

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Leg, Ankle and Foot

Rekik,

D’Hooghe

2023

Sideline Management in Sports

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Peronealsehnenpathologien

Cited by 12 publications

References 70 publications

Preoperative ultrasound can accurately predict the diameter of double-stranded peroneus longus tendon autografts

Preoperative ultrasound can accurately predict the diameter of double-stranded peroneus longus tendon autografts

Comparison of Clinical Efficacy between Arthroscopic and Open Surgery for Ogden Type 1–2 Peroneal Tendon Dislocation

Leg, Ankle and Foot

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