scholarly journals Diagnosis and Operative Treatment of Peroneal Tendon Tears

2020 ◽  
Vol 5 (2) ◽  
pp. 247301142091040
Author(s):  
Natalie R. Danna ◽  
James W. Brodsky
Keyword(s):  
Operative Treatment ◽  
Flexor Tendon ◽  
Review Article ◽  
Peroneal Tendon ◽  
Ankle Pain ◽  
Treatment Algorithms ◽  
Appropriate Treatment ◽  
Imaging Results ◽  
Tendon Tears ◽  
Physical Findings

Peroneal tendon tears are a common but under-recognized source of ankle pain and dysfunction. Recognition of the characteristic symptoms, physical findings, and imaging results of peroneal tendon tears is essential for accurate diagnosis and appropriate treatment. Acute, limited tears of a single peroneal tendon may be debrided and repaired. However, by the time operative treatment is undertaken, many tears of a single tendon are sufficiently advanced that the surgeon may need to consider excision of the nonviable segment and tenodesis of the damged tendon to the to the adjacent peroneal tendon. Irreparable tearing of both peroneal tendons may be treated with flexor tendon transfer and/or allograft reconstruction. This review article focuses on diagnosis and operative treatment of peroneal tendon tears, including the treatment algorithms, operative technique, and published outcomes.

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.

Peroneal Tendon Tears: Return to Sports after Operative Treatment

2007 ◽  
Vol 28 (1) ◽  
pp. 49-54 ◽  
Author(s):  
Maxwell W. Steel ◽  
James K. DeOrio
Keyword(s):  
Operative Treatment ◽  
Return To Sports ◽  
Peroneal Tendon ◽  
Tendon Tears

scholarly journals Diagnosis and treatment of calcific tendinitis of the shoulder

2020 ◽  
Vol 23 (4) ◽  
pp. 203-209
Author(s):  
Min-Su Kim ◽  
In-Woo Kim ◽  
Sanghyeon Lee ◽  
Sang-Jin Shin
Keyword(s):  
Conservative Treatment ◽  
Shoulder Pain ◽  
Treatment Options ◽  
Review Article ◽  
Calcific Tendinitis ◽  
Diagnosis And Treatment ◽  
Appropriate Treatment ◽  
Acute Calcific Tendinitis ◽  
Calcific Deposits ◽  
Pain Patients

Calcific tendinitis is the leading cause of shoulder pain. Among patients with calcific tendinitis, 2.7%–20% are asymptomatic, and 35%–45% of patients whose calcific deposits are inadvertently discovered develop shoulder pain. If symptoms are present, complications such as decreased range of motion of the shoulder joint should be minimized while managing pain. Patients with acute calcific tendinitis respond well to conservative treatment and rarely require surgery. In contrast, patients with chronic calcific tendinitis often do not respond to conservative treatment and do require surgery. Clinical improvement takes time, even after surgical treatment. This review article summarizes the processes related to the diagnosis and treatment of calcific tendinitis with the aim of helping clinicians choose appropriate treatment options for their patients.

Clinical Outcomes of Peroneal Tendon Tears: A Systematic Review

2021 ◽  
Author(s):  
Nathaniel P. Mercer ◽  
Arianna L. Gianakos ◽  
Angela M. Mercurio ◽  
John G. Kennedy
Keyword(s):  
Systematic Review ◽  
Clinical Outcomes ◽  
Peroneal Tendon ◽  
Tendon Tears

scholarly journals Non-operative treatment of peroneal tendon dislocations: A systematic review

2020 ◽  
Vol 18 ◽  
pp. 255-260
Author(s):  
Daniel Bakker ◽  
Jan B. Schulte ◽  
Duncan E. Meuffels ◽  
Tom M. Piscaer
Keyword(s):  
Systematic Review ◽  
Operative Treatment ◽  
Peroneal Tendon

scholarly journals Scalp Pruritus: Review of the Pathogenesis, Diagnosis, and Management

2019 ◽  
Vol 2019 ◽  
pp. 1-11
Author(s):  
Ploysyne Rattanakaemakorn ◽  
Poonkiat Suchonwanit
Keyword(s):  
Therapeutic Strategy ◽  
Skin Diseases ◽  
Underlying Disease ◽  
Review Article ◽  
Skin Changes ◽  
Underlying Condition ◽  
Appropriate Treatment ◽  
Underlying Diseases ◽  
Frequent Problem

Scalp pruritus is a frequent problem encountered in dermatological practice. This disorder is caused by various underlying diseases and is a diagnostic and therapeutic challenge. Scalp pruritus may be localized to the scalp or extended to other body areas. It is sometimes not only associated with skin diseases or specific skin changes, but also associated with lesions secondary to rubbing or scratching. Moreover, scalp pruritus may be difficult to diagnose and manage and may have a great impact on the quality of life of patients. It can be classified as dermatologic, neuropathic, systemic, and psychogenic scalp pruritus based on the potential underlying disease. A thorough evaluation of patients presenting with scalp pruritus is important. Taking history and performing physical examination and further investigations are essential for diagnosis. Therapeutic strategy comprises removal of the aggravating factors and appropriate treatment of the underlying condition. All treatments should be performed considering an individual approach. This review article focuses on the understanding of the pathophysiology and the diagnostic and therapeutic management of scalp pruritus.

Peroneal Tendon Subluxation in Athletes: Fibular Groove Deepening and Retinacular Reconstruction

2005 ◽  
Vol 26 (6) ◽  
pp. 436-441 ◽  
Author(s):  
David Porter ◽  
John McCarroll ◽  
Erin Knapp ◽  
Jennifer Torma
Keyword(s):  
Range Of Motion ◽  
Operative Treatment ◽  
Clinical Evidence ◽  
Sports Participation ◽  
Bone Flap ◽  
Return To Sports ◽  
Peroneal Tendon ◽  
Male Athletes ◽  
Instability Range ◽  
Accelerated Rehabilitation

Background: The purpose of this study was to evaluate the results of operative treatment of recurrent peroneal tendon dislocations followed by accelerated rehabilitation incorporating early range of motion and intermittent immobilization. Methods: Four female and nine male athletes with an average age of 24 years had objective clinical evidence of peroneal tendon dislocation (14 ankles). Operative treatment involved removing a bone flap from the distal posterior fibula, deepening the posterior fibular groove, and reattaching the bone flap within the deepened groove. The superior peroneal retinaculum also was reconstructed. Postoperatively, a removable boot was worn for approximately 4 weeks, when it was replaced with a stirrup brace. Results: At an average followup of 35 months, no recurrent subluxation or dislocation of the peroneal tendons had occurred. All patients were able to return to sports by 3 months after surgery. Nine of the 14 ankles regained normal range of motion, and the remaining five were within 5 degrees of the opposite side. Four patients were completely pain free, and nine patients had mild occasional pain that did not limit their activities. Eight patients returned to preinjury sports participation, and five patients elected to participate in sports at a level lower than they had before surgery for reasons not related to their ankle injury. Conclusions: This procedure was reliable for preventing recurrent peroneal tendon instability. Range of motion was nearly normal, immobilization time was minimal, and all patients returned to daily activities and sports within 3 months of surgery.

scholarly journals Treatment of Pectoralis Major Tendon Tears: A Systematic Review and Meta-Analysis of Operative and Nonoperative Treatment

2020 ◽  
Vol 8 (7_suppl6) ◽  
pp. 2325967120S0041
Author(s):  
Blake Bodendorfer ◽  
Brian McCormick ◽  
David Wang ◽  
Christine Conroy ◽  
Caroline Fryar ◽  
...  
Keyword(s):  
Systematic Review ◽  
Operative Treatment ◽  
Mixed Model ◽  
Meta Analysis ◽  
Random Effect ◽  
Nonoperative Treatment ◽  
Pectoralis Major ◽  
Isokinetic Strength ◽  
Tendon Tears

Objectives: The incidence of pectoralis major tendon tears is rising, and repair is generally considered, but there is a paucity of comparative data to demonstrate the superiority of operative treatment. We sought to compare the outcomes of operative and nonoperative treatment of pectoralis major tendon tears. We hypothesized that repair would result in superior outcomes compared to nonoperative treatment. Methods: In accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, a systematic review of the literature was completed using MEDLINE, SPORTDiscus, CINAHL, Cochrane, Embase and Web of Science databases. English-language studies were included with a minimum of 6 months average follow-up and 5 cases per study. Methodological Index for Nonrandomized Studies was utilized to assess the quality of the existing literature. Meta-analysis of pooled mechanisms of injury and outcomes was completed. Pooled effect-sizes were calculated from random effects models. Continuous variables were assessed using mixed model analysis with the individual study designated as a random effect and the desired treatment for comparison as a fixed effect. Bivariate frequency data was transformed using the Freeman-Tukey log-linear transformation for variance stabilization and then assessed using a mixed model with a study-level random effect and subsequently back-transformed. Significance was set at P<.05. Results: Twenty-three articles with 664 injuries met the inclusion criteria for comparison (Figure 1). All patients were male with 63.2% of injuries occurring during weight training, with an average age of 31.48 years and follow-up of 37.02 months. Included studies had moderately high methodological quality. Operative treatment was significantly superior to nonoperative treatment with a relative improvement of functional outcome by 0.70 (P=.027), full isometric strength by 77.07% (P<.001), isokinetic strength by 28.86% (P<.001) compared to the uninjured arm, cosmesis satisfaction by 13.79% (P=.037), and resting deformity by 98.85% (P<.001) (Table 1). There was an overall complication rate of 14.21%, including a 3.08% rate of rerupture, for operative treatment. Conclusion: Pectoralis major tendon repair resulted in significantly superior outcomes as compared to nonoperative treatment with an associated 14.21% complication rate. There was a statistically significant improvement in functional outcome, isokinetic strength, isometric strength, cosmesis, and resting deformity. [Figure: see text][Table: see text]

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