Operative Treatment for Peroneal Tendon Disorders by Daniel S. Heckman, Sudheer Reddy, David Pedowitz, Keith L. Wapner, and Selene G. Parekh J Bone Joint.

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Presentation transcript:

Operative Treatment for Peroneal Tendon Disorders by Daniel S. Heckman, Sudheer Reddy, David Pedowitz, Keith L. Wapner, and Selene G. Parekh J Bone Joint Surg Am Volume 90(2): February 1, 2008 ©2008 by The Journal of Bone and Joint Surgery, Inc.

T2-weighted magnetic resonance imaging scan of a patient with an acute peroneal tendon dislocation, demonstrating a shallow retromalleolar groove (arrowhead). Daniel S. Heckman et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.

Intraoperative photograph showing a longitudinal split tear of the peroneus brevis tendon within the retromalleolar sulcus. Daniel S. Heckman et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.

Anteroposterior radiograph of the ankle, demonstrating a fleck sign (arrowhead). Daniel S. Heckman et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.

Axial T2-weighted magnetic resonance imaging scan demonstrating high signal intensity around the peroneus brevis and longus tendons (arrowhead). Daniel S. Heckman et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.

T2-weighted magnetic resonance imaging scan showing a bisected peroneus brevis tendon, consistent with a tear (arrowhead). Daniel S. Heckman et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.

Tears involving <50% of the cross-sectional area of the peroneal tendons can be treated with excision of the affected area followed by tubularization with nonabsorbable sutures. Daniel S. Heckman et al. J Bone Joint Surg Am 2008;90: ©2008 by The Journal of Bone and Joint Surgery, Inc.