J Korean Foot Ankle Soc.  2019 Sep;23(3):100-104. 10.14193/jkfas.2019.23.3.100.

Peroneal Tendon Repair in Sports Injury

• Young KW
• Park KC
• Hwang JS
• Lee HS

• KMID: 2458010
• DOI: http://doi.org/10.14193/jkfas.2019.23.3.100

Abstract

PURPOSE
This study examined the clinical outcomes and assessed the average time to return to play following a peroneal tendon repair in Korean athletes.
MATERIALS AND METHODS
Between March 2004 and February 2017, a total of 30 athletes underwent peroneal tendon repair for a peroneal tendon tear. The indications of surgical treatment were chronic pain or intractable symptoms after a previous ankle sprain affecting sports activity refractory to conservative treatment for at least six months. The patient underwent tubulization for a longitudinal tendon rupture. Peroneus longus to peroneus brevis tenodesis was performed when tendon repair was impossible due to total rupture or multiple longitudinal rupture.
RESULTS
Twenty patients not included in this study were as follows: insufficient follow-up, previous surgery, and additional bone surgery. All 10 patients had a previous ankle sprain history, tenderness and swelling on the retromalleolar area. In the 10 patient population, there were five peroneus brevis tendon tears, three peroneus longus tendon tears, one peroneus longus and brevis tendon tear, and one peroneus brevis and superior peroneal retinaculum tear. In the 10 patients, six cases of peroneal brevis tendon repair and four cases of peroneal longus to brevis tenodesis were performed. The preoperative American Orthopaedic Foot and Ankle Society score was improved from a mean of 60.6 (standard deviation [SD], 8.64) to a mean of 90.2, postoperatively (SD, 4.4; p<0.012). The preoperative visual analogue scale was improved from a mean of 5.43 (SD, 1.2) to 0.5 (SD, 0.16), postoperatively (p<0.023). The mean length of time to return to play was 12.2 weeks (range, 8~16 weeks).
CONCLUSION
Peroneal tendon tear can occur due to sports injuries. If there is tenderness at the retromalleolar area, the surgeon should consider a peroneal tendon lesion. Surgical repair of the peroneal tendon can be an effective treatment to help athletes to return to play.

Keyword

Tendon injuries; Sports; Athletes

MeSH Terms

Ankle
Ankle Injuries
Athletes
Athletic Injuries*
Chronic Pain
Follow-Up Studies
Foot
Humans
Return to Sport
Rupture
Sports*
Tears
Tendon Injuries
Tendons*
Tenodesis

Figure

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  Figure 1. In the operative field, a split tear and degenerative change of the peroneus brevis tendon are visible.

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  Figure 2. Debridement and tubulization of the peroneus brevis tendon were performed.

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