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DOI: 10.1055/s-0044-1779310
Intrasheath Peroneal Tendon Subluxation: A Report of Three Cases with Technical Note[*]
Article in several languages: português | English Financial Support The present survey has not received any specific funding from public, commercial, or not-for-profit funding agencies.
Abstract
Peroneal intrasheath instability is a painful popping sensation and audible clicking of the lateral ankle. This condition is not commonly reported, and its exact incidence remains unknown. It consists of a transient retromalleolar subluxation of the peroneal tendons, with an abnormal motion of the peroneal tendons relative to each other, with the superior peroneal retinaculum intact. Diagnosis requires high clinical suspicion and dynamic ultrasound is the best imaging study to evaluate peroneal instability when the superior peroneal retinaculum is intact, for diagnosing peroneal intrasheath instability. The goal of the present study is to describe how to reach the diagnosis and to describe and evaluate the surgical technique for the treatment of this pathology. In the present report, we describe three cases of this pathology that received successful surgical treatment with peroneal groove-deepening procedure and retinaculoplasty of the superior retinaculum. This surgical technique provides good outcomes when conservative treatment fails.
Keywords
ankle injuries/diagnostic imaging - joint instability - tendons/diagnostic imaging - tendon injuries/diagnostic imaging - ultrasonography* Work developed at the Department of Orthopaedics and Traumatology, Centro Hospitalar Entre o Douro e Vouga, Santa Maria da Feira, Portugal.
Publication History
Received: 27 February 2023
Accepted: 29 May 2023
Article published online:
03 June 2024
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
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Referências
- 1 Maffulli N, Ferran NA, Oliva F, Testa V. Recurrent subluxation of the peroneal tendons. Am J Sports Med 2006; 34 (06) 986-992
- 2 Porter D, McCarroll J, Knapp E, Torma J. Peroneal tendon subluxation in athletes: fibular groove deepening and retinacular reconstruction. Foot Ankle Int 2005; 26 (06) 436-441
- 3 Roth JA, Taylor WC, Whalen J. Peroneal tendon subluxation: the other lateral ankle injury. Br J Sports Med 2010; 44 (14) 1047-1053
- 4 McConkey JP, Favero KJ. Subluxation of the peroneal tendons within the peroneal tendon sheath. A case report. Am J Sports Med 1987; 15 (05) 511-513
- 5 Guelfi M, Vega J, Malagelada F, Baduell A, Dalmau-Pastor M. Tendoscopic Treatment of peroneal intrasheath subluxation: A new subgroup with superior peroneal retinaculum injury. Foot Ankle Int 2018; 39 (05) 542-550
- 6 Raikin SM, Elias I, Nazarian LN. Intrasheath subluxation of the peroneal tendons. J Bone Joint Surg Am 2008; 90 (05) 992-999
- 7 Thomas JL, Lopez-Ben R, Maddox J. A preliminary report on intra-sheath peroneal tendon subluxation: a prospective review of 7 patients with ultrasound verification. J Foot Ankle Surg 2009; 48 (03) 323-329
- 8 Draghi F, Bortolotto C, Draghi AG, Gitto S. Intrasheath Instability of the Peroneal Tendons: Dynamic Ultrasound Imaging. J Ultrasound Med 2018; 37 (12) 2753-2758