What is the role of surgery in the management of acute phase peroneal tendon injury?

Updated: Mar 07, 2018
  • Author: Steven J Karageanes, DO, FAOASM; Chief Editor: Craig C Young, MD  more...
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Surgery is indicated in the acute phase for peroneus brevis tendon rupture, acute dislocation, and anomalous peroneal brevis muscle hypertrophy and for peroneus longus tears that are associated with diminished function. [18, 19, 20] Tears can be horizontal or longitudinal. The repair for subluxation usually involves the peroneal retinaculum, the lateral ankle ligaments, and possibly the peroneal tendons. A procedure to deepen the fibular groove is also performed in many cases. [12] Patients have had excellent long-term functional outcomes with debridement and primary operative repair of peroneal tendon tears. [27]

A literature review by van Dijk et al found good outcomes following surgery for peroneal tendon dislocation, as well as a fast postsurgical return to sports. The study also found that the sports-return rate was significantly greater in patients who underwent a combination of groove deepening and superior peroneal retinaculum repair than in those managed with superior peroneal retinaculum repair alone. [28]

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