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Endoscopic treatment of intrasheath peroneal tendon subluxation.

ABSTRACT: Intrasheath subluxation of the peroneal tendons within the peroneal groove is an uncommon problem. Open exploration combined with a peroneal groove-deepening procedure and retinacular reefing is the recommended treatment. This extensive lateral approach needs incision of the intact superior peroneal retinaculum and repair afterwards. We treated three patients with a painful intrasheath subluxation using an endoscopic approach. During this tendoscopy both tendons were inspected. The distal muscle fibers of the peroneus brevis tendon were resected in two patients. A partial tear was debrided in the third patient. All patients had a good result. No wound-healing problems or other complications occurred. Early return to work and sports was possible. An endoscopic approach was successful in treatment of an intrasheath subluxation of the peroneal tendons.

SUBMITTER: Michels F

PROVIDER: S-EPMC3569882 | biostudies-literature | 2013

REPOSITORIES: biostudies-literature

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Endoscopic treatment of intrasheath peroneal tendon subluxation.

Michels Frederick F Jambou Stéphane S Guillo Stéphane S Van Der Bauwhede Jan J

Case reports in medicine 20121226

Intrasheath subluxation of the peroneal tendons within the peroneal groove is an uncommon problem. Open exploration combined with a peroneal groove-deepening procedure and retinacular reefing is the recommended treatment. This extensive lateral approach needs incision of the intact superior peroneal retinaculum and repair afterwards. We treated three patients with a painful intrasheath subluxation using an endoscopic approach. During this tendoscopy both tendons were inspected. The distal muscle ...[more]

PMID: 23424591

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