Technique tip: Distal fibula rotational osteotomy for subluxating peroneal tendons

Abstract

Subluxation of the peroneal tendons is a relatively uncommon problem, and is often complicated by a delay in diagnosis. The authors present a brief review of the anatomy contributing to this pathologic problem, as well as the classification and treatment options of peroneal tendon subluxation. The authors then present their favored operative technique for the treatment of this problem, involving a distal fibular rotational osteotomy to prevent recurrent peroneal tendon subluxation.

Intratendinous ganglion cyst of peroneus brevis tendon and its reconstruction with semitendinosus graft

“…Peroneal tendon pathology is common but rarely mentioned in the literature. Reports found in the literature are all from a distant history, no new cases have been described [1][2][3][4][5][6][7][8][9][10][11][12] . Therefore we presented a case where we reconstructed a retinaculum as well as the defect of peroneus brevis tendon after excision of the ganglion cyst with semitendinosus graft.…”

“…Possibilities for surgical repair and reconstruction of peroneal tendon tears are with or without the fibular osteotomy, by transposition of the tendon, by anchor sutures of the tendon or with the use of a graft, as used in our case 7,[9][10][11] . The method of fibular osteotomy is the application of the retinaculum and augmentation with the calcaneofibular ligament, deepening on the depth of peroneal sulcus, which is shallow in most of the reported cases [9][10][11] . The shallow peroneal sulcus is the second most common cause of peroneal subluxation, right after the ankle sprain 8,9 .…”