Prevalence of Peroneal Tendon Instability in Calcaneus Fractures: A Systematic Review and Meta-Analysis

Mahmoud, Karim M.; Mekhaimar, Mohamed M.; Alhammoud, Abduljabbar

doi:10.1053/j.jfas.2017.11.032

Cited by 16 publications

(13 citation statements)

References 24 publications

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“…It also occurred more frequently in patients with more severe fractures (Hawkins types III and IV) than in patients with less severe fractures (Hawkins types I and II), although the difference did not reach statistical significance. Our findings are consistent with previous studies of talus fractures, as well as calcaneus fractures [4,9,11,15,16].…”

Section: Discussionsupporting

confidence: 94%

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Peroneal tendon dislocation in talus fracture and diagnostic value of fleck sign

Attia

Mahmoud

Taha

et al. 2020

International Orthopaedics (SICOT)

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Introduction Talus fractures are not uncommon and one of the serious fractures in the foot and ankle. Peroneal tendon dislocation is one of the commonly missed soft tissue injuries which may have significant impact on the outcomes including persistent pain and swelling. They have been reported to be associated with calcaneum as well as talus fractures. Aim To report the incidence of peroneal tendon dislocation in talus fracture and the significance of fleck sign in the diagnosis of peroneal tendon dislocation. Methods We retrospectively reviewed 93 consecutive talus fractures in the period between 1/1/2011 to 1/11/2018. Inclusion criteria were: The patient underwent open reduction and internal fixation, had pre-operative CT scan that is available for review and three view ankle plain radiographs. Two independent authors review the radiographs for peroneal tendon dislocation, fleck sign and fracture classification, if any. Any dispute was resolved by the senior author.Patient records were reviewed for laterality, age, sex,mode of injury, associated injuries and operative interventions. 50 ankles met the inclusion criteria. 49 were males, mean age was 32.5 year and the predominant mode of injury was a fall from height. Results Peroneal tendon dislocation was found in ten patients out of 50 (20%). Risk of dislocation increased with severity of the fracture and neck fractures. Most of the dislocations were missed by surgeons and radiologist, and no additional procedures were done to address such an injury. The Fleck sign had a statistically significant correlation with peroneal tendons dislocations (p=.005) Conclusion Peroneal tendons dislocation is associated with as high as 20% of talus fractures. The authors recommend carefully reviewing CT scans by surgeons and radiologists alike to avoid missing such injury and allow for appropriate surgical approach utilization. The Fleck sign is a highly specific radiographic sign that has a statistically significant correlation with PT dislocation and hence we recommend intra-operative assessment of peroneal tendons in patients with the fleck sign.

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Section: Discussionsupporting

confidence: 94%

“…Approximately one-quarter of the patients who underwent internal fixation for a fracture of the talus had evidence of peroneal tendon dislocation. This figure is comparable with that of dislocation associated with calcaneal fractures [15].…”

Section: Discussionsupporting

confidence: 78%

Peroneal tendon dislocation in talus fracture and diagnostic value of fleck sign

Attia

Mahmoud

Taha

et al. 2020

International Orthopaedics (SICOT)

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“…Since the peroneal tendons course along the lateral calcaneal wall, they are at risk for displacement with this injury 31 . A meta-analysis showed that peroneal tendon instability associated with calcaneal fractures had a prevalence of 29.3% 32 . Chen et al studied patients with isolated heel pain after a healed calcaneal fracture to observe the clinical importance of peroneal tendon dislocations occurring in conjunction 33 .…”

Section: Subluxation and Dislocationmentioning

confidence: 99%

Peroneus Longus and Peroneus Brevis

et al. 2022

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Peroneus longus (PL) and peroneus brevis (PB) pathologies involve a variety of etiologies and degrees of dysfunction, which complicates their diagnoses.» Patient presentation includes a spectrum of disease; however, despite advanced imaging, a misunderstanding of the pathology and diagnostic algorithms has contributed to continued misdiagnoses. » This article summarizes the anatomy and the pathophysiology of the PL and the PB; it also provides updated treatment options and their associated outcomes in order to illuminate an often-misunderstood topic.

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“…The prevalence of peroneal instability has been shown to be increased with increasing severity of calcaneal fractures as shown on Sanders’ grading. [ 14 ]…”

Section: What Surgeons Want To Know For Intra-articular Fracturesmentioning

confidence: 99%

Computed Tomography for Calcaneal Fractures: Adding Value to the Radiology Report

Kwok

Pan

2021

JCIS

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Computed tomography (CT) is nowadays the cornerstone for fracture pattern delineation in calcaneal fracture, and for operative planning. It is often challenging for radiologists in generating clinically oriented and meaningful CT reports to the orthopedic surgeon. The article aims to review the commonly encountered calcaneal injuries and highlight the key points in the description of these injuries and implications of the underlying classification system with respect to the surgeon’s perspective. A thorough understanding of the pathoanatomy and potential complications of calcaneal fractures also helps radiologists in tailoring the radiology report in contribution to overall patient’s management and prognostication. By doing so, we suggest ways in which the radiologists can add value to the radiology report.

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Prevalence of Peroneal Tendon Instability in Calcaneus Fractures: A Systematic Review and Meta-Analysis

Cited by 16 publications

References 24 publications

Peroneal tendon dislocation in talus fracture and diagnostic value of fleck sign

Peroneal tendon dislocation in talus fracture and diagnostic value of fleck sign

Peroneus Longus and Peroneus Brevis

Computed Tomography for Calcaneal Fractures: Adding Value to the Radiology Report

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