What is the role of surgery during the recovery phase of a peroneal tendon injury?

Updated: Mar 07, 2018
  • Author: Steven J Karageanes, DO, FAOASM; Chief Editor: Craig C Young, MD  more...
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Answer

Chronic tears of the peroneal tendons with persistent pain and instability that fail conservative treatment should have a surgical evaluation. [39] Tendinosis may cause nodules or scar tissue that may need debridement. Longitudinal tears that fail treatment with immobilization may be present.

An orthopedic surgeon, or a foot and ankle surgeon, should be consulted in cases of ankle pain or instability that is unresponsive to conservative treatment. Conditions that would warrant surgical evaluation include talar instability, peroneal subluxation or dislocation, distal fibular fracture or nonunion, and full-thickness peroneal tendon tear.

For persistent symptoms with peroneal tendinitis, a tenosynovectomy is the procedure of choice.  [40]


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