Peroneal tendon subluxation: the other lateral ankle injury

2011 ◽  
Vol 2011 ◽  
pp. 230-231
Author(s):  
B.F. Morrey
Keyword(s):  
Ankle Injury ◽  
The Other ◽  
Peroneal Tendon ◽  
Lateral Ankle

Peroneal tendon subluxation: the other lateral ankle injury

2009 ◽  
Vol 44 (14) ◽  
pp. 1047-1053 ◽  
Author(s):  
J. A. Roth ◽  
W. C. Taylor ◽  
J. Whalen
Keyword(s):  
Ankle Injury ◽  
The Other ◽  
Peroneal Tendon ◽  
Lateral Ankle

scholarly journals Predisposing factors to lateral ankle injury in male comrades marathon runners

2009 ◽  
Vol 65 (1) ◽  
Author(s):  
J. Hiemstra ◽  
N. Naidoo
Keyword(s):  
Correlation Coefficient ◽  
Undergraduate Research ◽  
The United States ◽  
Ankle Injury ◽  
Ankle Injuries ◽  
Distance Runners ◽  
Marathon Runners ◽  
Lateral Ankle ◽  
Ankle Ligament ◽  
Lateral Ankle Ligament

Introduction: More than two million people experience ankle ligament traumaeach year in the United States. Half of these are severe ligament sprains, however verylittle is known about the factors that predispose individuals to these injuries. The purpose of this study, (which was conducted as an undergraduate research project),was to find a correlation between the characteristics of height, weight and limbdominance and lateral ankle ligament injuries. Method: A  retrospective study was conducted on 114 ultra distance runners whoparticipated in the 2006 Comrades Marathon. During race registration, the runners’ height and weight were measuredafter answering a questionnaire regarding their training. Results: 114 runners responded to the questionnaire. From this cohort, 38 (33.3%) had sustained previous lateral ankle injuries. Of these 38 injuries, 47.4% of the injuries occurred on the runner’s dominant limb and 36.8% occurred on thenon-dominant side. 15.8% of the runners sustained previous ankle injuries to both ankles. There was a low negative correlation coefficient of 0.24 with regards to weight as a risk factor. This indicated that the power of the correlationwas 5.93%. The study demonstrates that there is no correlation between an increase in weight and an increase in theincidence of ankle injury. The correlation coefficient indicated a low correlation between an increase in height and the incidence of ankle injury. However, the power of the correlation at 18.37% makes inaccurate any attempt to predict the height at which a runner would be at most risk for lateral ankle injury. Conclusion: Height and weight are not risk factors predisposing subjects to lateral ankle injury. In addition, the studyillustrated that there was no effect of limb dominance on the incidence of lateral ankle injury.

Lateral Ankle Instability as a Cause of Superior Peroneal Retinacular Laxity: An Anatomic and Biomechanical Study of Cadaveric Feet

Foot & Ankle ◽  
1993 ◽  
Vol 14 (6) ◽  
pp. 330-334 ◽  
Author(s):  
Mark J. Geppert ◽  
Mark Sobel ◽  
Walther H.O. Bohne
Keyword(s):  
Ankle Instability ◽  
Biomechanical Study ◽  
Peroneal Tendon ◽  
Collateral Ligaments ◽  
Calcaneofibular Ligament ◽  
Lateral Ankle ◽  
Ankle Inversion ◽  
Tendon Reflex ◽  
Lateral Ankle Instability ◽  
Lateral Collateral Ligaments

The role of the competent superior peroneal retinaculum (SPR) as a primary restraint to peroneal tendon subluxation and mechanical attritional wear is clear. Injury to the SPR has classically been described as a dorsiflexion aversion movement of the ankle coupled with a forceful peroneal tendon reflex contraction. This mechanism, however, does not cause injury to the lateral collateral ligaments of the ankle and does not explain the coexistent findings of lateral ankle instability, laxity of the SPR, and concurrent peroneal tendon pathology. Anatomic studies reveal a parallel alignment of the calcaneal band of the SPR and the calcaneofibular ligament. A cadaveric model of ankle instability created by serial sectioning of the lateral collateral ligaments revealed increasing visual strain on the SPR with increasing degrees of ankle instability. These findings suggest the SPR serves as a secondary restraint to ankle inversion stress and that the force or forces that result in chronic ankle instability can also injure and attenuate the superior peroneal retinaculum.

scholarly journals Effects of 8 Weeks of Proprioceptive Training with and Without Taping on Recurrence of Lateral Ankle Sprain in Judokas

2018 ◽  
Vol 15 (3) ◽  
pp. 549-553 ◽  
Author(s):  
Farzad Najafipour ◽  
Farideh Babakhani ◽  
Ramin Balochi
Keyword(s):  
Recurrence Rate ◽  
Ankle Sprain ◽  
Standard Procedure ◽  
The Other ◽  
Lateral Ankle Sprain ◽  
Lateral Ankle ◽  
Significant Difference ◽  
Proprioceptive Training ◽  
Significant Linkage

Taping and proprioceptive training are widely reported beneficial in for treatment of nkle sprains. Several studies reported that the proprioceptive sense training is a potential therapy for improving impaired neuromuscular function.The intention of this article was to evaluate Taping followed by proprioceptive training versus proprioceptive training without taping for Ankle Sprain ecurrence rate. All sprained judokas with acute ankle sprain were advised for standard procedure (ice, rest, elevation, and compression with a compressive bandage). Initially 30 sprained judokas were categorized randomly into two groups and then underwent studies for 8 weeks: one group was treated with tape and proprioceptive training and the other only with proprioceptive training. Both groups were followed up for duration of six month. The study indicated that there is not significant difference between taping and without taping groups. Recurrence rate of acute ankle sprain shows no significant linkage between employment of taping or its absence. Further studies with greater number of participants are suggested.

scholarly journals Reconstruction of Chronic Peroneal Tendon Tears

2014 ◽  
Vol 1 (2) ◽  
pp. 60-64
Author(s):  
Selene G Parekh ◽  
Christopher E Gross ◽  
Beau J Kildow
Keyword(s):  
Surgical Repair ◽  
Full Range ◽  
Asia Pacific ◽  
Peroneal Tendon ◽  
Ankle Pain ◽  
Cross Sectional ◽  
Lateral Ankle ◽  
Repair Technique ◽  
Tendon Allograft ◽  
Tendon Tears

ABSTRACT Peroneal tendon tears are one of many causes of chronic lateral ankle pain. The goal of surgery is to restore function and provide dynamic stabilization. Surgical repair is indicated for tears comprising of less than 50% of the cross-sectional area of the tendon. If the peroneal tear is greater than 50% and the tissue bed remains mobile, an allograft reconstruction may be performed. In this case report, reconstruction using a peroneal tendon allograft was performed on a 21-year-old female with chronic lateral ankle pain and weakness after retearing her peroneal brevis 10 weeks status postprimary repair. Technique involved excising the portion of diseased tendon and anastomosing the proximal and distal ends to a peroneal tendon allograft. Six weeks postoperation, patient regained full range of motion and strength with minimal pain. How to cite this article Gross CE, Kildow BJ, Parekh SG. Reconstruction of Chronic Peroneal Tendon Tears. J Foot Ankle Surg (Asia-Pacific) 2014;1(2):60-64.

scholarly journals Modified Putti Procedure for the Surgical Management of Patients with Adult Acquired Cavo-Varus Resulting from Peroneal Tendon Rupture

2021 ◽  
pp. 15
Author(s):  
Keyword(s):  
Weight Bearing ◽  
Peroneal Tendon ◽  
Loss Of Function ◽  
Lateral Ankle ◽  
Post Operative Pain ◽  
Lower Extremity Reconstruction ◽  
Great Patient Satisfaction ◽  
Extremity Reconstruction ◽  
The Mean ◽  
Gait Abnormalities

Background: Peroneal pathology, including trauma, can result in Cavovarus-Drop Foot type deformity, precluding patients from functioning in or attempting bracing. Lateral ankle stabilization and other associated procedures sometimes are not enough to address the resultant deformity, thus many CavoVarus-Dropfoot patients still have gait abnormalities, function minimally in a brace and still have secondary ambulatory pain and loss of function even when braced. We review the results of 9 patients meeting this criteria and electing for a Modified Putti Procedure and lower extremity reconstruction. Materials and Methods: The charts of 9 patients with adult-acquired CavoVarus deformity foot type after peroneal rupture were reviewed, all but 1 had failed previous AFO/bracing. These patients underwent surgical correction all consisting of the Modified Putti procedure, along with other ancillary procedures and the results and outcomes were collected. Additionally, surgical technique was documented. Results: The mean VAS score improved from 9.1 to 2.4 pre- and post-operatively, respectively. The average time to weight bearing was 7.2 weeks. Four of 9 (44.44%) patients experienced some form of complication. Eight of 9 (88.88%) patients relayed the surgery was a success and would opt to undergo it again, given the choice. Conclusion: The Modified Putti Procedure showed promising results, great patient satisfaction and marked improvement in pre-operative and post-operative pain rating. This technique, utilized after severe peroneal trauma and resultant deformity is present, is a considerable option to have in the foot and ankle surgeon’s armament.

scholarly journals Arthroscopic Evaluation of the Subtalar Joint: a Review and Survey of Pathology

2019 ◽  
pp. 0000-0000
Author(s):  
James H Whelan ◽  
Caroline Kiser ◽  
John P Lazoritz ◽  
Patrick Nelson ◽  
Jordan Sikes ◽  
...  
Keyword(s):  
Subtalar Joint ◽  
Joint Instability ◽  
Tendon Repair ◽  
Descriptive Statistics ◽  
Peroneal Tendon ◽  
Lateral Ankle ◽  
Operative Note ◽  
Arthroscopic Findings ◽  
Arthroscopic Examination ◽  
Low Incidence

BACKGROUND: A survey of pathology present in the subtalar joint by means of subtalar arthroscopy with anterolateral and middle portals has not been extensively explored in current literature. The focus of our study was to identify pathology in the subtalar joint at the time of subtalar joint arthroscopy using this approach. We also compare our arthroscopic findings to those reported in the literature. METHODS: We performed a retrospective review of 49 consecutive patients that had undergone subtalar arthroscopy. Data were obtained from intraoperative arthroscopic findings that were documented in the operative note or with arthroscopic photography. Additional procedures including ankle arthroscopy, lateral ankle stabilization and peroneal tendon repair were recorded. Descriptive statistics were calculated and reported. RESULTS: Subtalar arthroscopic examination revealed that all cases (100%) had intra-articular synovitis or adhesions present. Twenty-two cases (42%) demonstrated subtalar joint instability, seven cases (13%) had chondromalacia and 1 case (2%) had an exostosis present. These observations are consistent with other reported findings in the literature. CONCLUSIONS: This study found that the subtalar joint was most often affected by synovitis, adhesions and instability in patients with symptomatic pathologies requiring subtalar arthroscopy. There was a relatively low incidence of chondromalacia or exostosis formation in our survey.

Outcomes Following Modified Broström for Chronic Lateral Ankle Instability With and Without Peroneal Tendon Exploration

2021 ◽  
pp. 193864002110552
Author(s):  
Bryan G. Adams ◽  
Brian P. Milam ◽  
Nicholas J. Drayer ◽  
Ama Winland ◽  
Debra Hood ◽  
...  
Keyword(s):  
Ankle Instability ◽  
Peroneal Tendon ◽  
Retrospective Case ◽  
Lateral Ankle ◽  
Lateral Ankle Instability ◽  
Significant Difference ◽  
Military Retention ◽  
Return To Duty ◽  
Control Study

Background: It is not known how peroneal tendon exploration influences results after modified Broström for lateral ankle instability. We propose peroneal exploration at the time of modified Broström will have similar outcomes as no peroneal exploration. Methods: A retrospective analysis was performed of patients undergoing modified Broström with and without peroneal exploration. Foot and Ankle Outcome scores and data regarding military retention were gathered and compared. Results: Seventeen patients were identified in the modified Broström only cohort and 24 in the peroneal exploration cohort. Patients had mean follow-up of 5 years in both cohorts. The mean FAOS in the modified Broström only cohort was 68 and 72 in the cohort with peroneal exploration (P = .541). When each FAOS subcategory was analyzed, no difference was identified in any subcategory. Eight of 17 patients (47%) in the modified Broström only cohort remained active duty compared with 8 of 24 patients (33%) in the modified Broström with peroneal exploration cohort (P = .518). One patient medically discharged in the modified Broström only cohort versus 6 in peroneal exploration cohort (P = .109). Overall satisfaction with the procedure was 12 of 17 (71%) in the modified Broström only cohort and 19 of 24 (79%) in the peroneal exploration cohort (P = .529). Conclusions: No significant difference was identified between patients undergoing modified Broström alone or modified Broström with peroneal exploration. There was no significant difference in return to duty, medical discharge or patient satisfaction. Levels of Evidence: Level III: retrospective case-control study with prospectively collected data

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