Traumatic dislocations of the peroneal tendons

American Journal of Sports Medicine - Tập 11 Số 3 - Trang 142-146 - 1983
Scott R. Arrowsmith1, Lamar L. Fleming1, Fred L. Allman1
1Department of Orthopaedic Surgery, Emory University, Atlanta, Georgia

Tóm tắt

Traumatic dislocation of the peroneal tendons is an often unrecognized injury which has been reported to occur most commonly during snow skiing. The strength of the peroneal retinaculum is exceeded during resist ance to violent passive dorsiflexion or to inversion stress. Pain, swelling, and ecchymosis may hinder early diagnosis; however, intense retromalleolar pain on ac tive eversion is a specific, highly suggestive finding. Fracture of a thin shell of the lateral malleolar cortex is diagnostic. In chronic cases, marked dislocation of the tendons is frequently demonstrable, with more than the usual degree of snapping. Surgical repair is advocated, using one of several procedures available. Most acute cases can be treated by simple repair of the torn or fractured structures. In chronic cases, or in acute cases with deficient structures predisposing to dislocation, it is necessary to reconstruct the peroneal retinaculum and/or deepen the peroneal groove. Longitudinal split ting of the peroneous brevis tendon was a new finding in this series.

Từ khóa


Tài liệu tham khảo

Bonnin JG Injuries to the Ankle Danen, Conn Hafner Publishing Company, 1970, p 302

Church CC Radiographic diagnosis of acute peroneal tendon dislocation Am J Roent 129 1065, 1977

Crenshaw AH (ed) Campbell's Operative Orthopaedics. St Louis, CV Mosby Company, 1963, p 1325

DeHaven KE, Allman FL, Cox JS, et al Symposium Ankle sprains in athletes Contemp Orthop 1 56-78, 1979

DuVries HL: Surgery of the Foot. St Louis, CV Mosby Company, pp 256-257,1965

10.2106/00004623-197658050-00016

10.1002/aja.1000420109

Escalas F., Figueras JM, Merino JA Dislocation of the peroneal tendons J Bone Joint Surg 1980

Jones E. Operative treatment of chronic dislocations of the peroneal tendons J Bone Joint Surg 14 574-576, 1932

10.1002/bjs.1800072808

Montz JR Ski injuries Am J Surg 98 493, 1959

Murr S. Dislocation of the peroneal tendons with marginal fracture of the lateral malleolus J Bone Joint Surg 43B: 563-565, 1961

Platzgummer H. Uber ein einfaches Verfahren zur operativen Behandlun der habituellen Peronaeussehnenluxation Arch Orthop Unfallchir 61 44-150, 1967

10.2106/00004623-197557010-00021

10.1016/0002-9610(62)90483-X

Watson-Jones R. Fractures and Joint Injuries New York, Churchil Livingstone, 1976, pp 1140-1141

10.2106/00004623-197961020-00025

Thông tin
Thông tin xuất bản

American Journal of Sports Medicine

Tập 11 Số 3

142-146

Thông tin tác giả