Minimally invasive tenodesis for peroneus longus tendon rupture: A case report and review of literature

• 作者: Augusto César Monteiro Bruno Rodrigues de Miranda Cesar de Cesar Netto Danilo Ryuko Candido Nishikawa Fábio Correia Paiva Fonseca Fernando Aires Duarte Guilherme Honda Saito Marcelo Pires Prado
• 来源期刊: 世界骨科杂志(英文版)
• 学科: 医学
• 关键词: Peroneus longus TENDON Complete RUPTURE TENODESIS MINIMALLY INVASIVE surgery Wound BREAKDOWN Case report
• 年，卷（期）: 2020,（2）
• 页码范围: 137-144
• 页数: 8页
• 分类号: R31

摘要

BACKGROUND Peroneal tendon disorders are common causes of lateral hindfoot pain.However,total rupture of the peroneal longus tendon is rare.Surgical treatment for this condition is usually a side-to-side tenodesis of the peroneal longus tendon to the peroneal brevis tendon.While the traditional procedure involves a long lateral curved incision,this approach is associated with damage to the lateral soft tissues(up to 24%incidence).CASE SUMMARY A 50-year-old female had developed pain at the lateral aspect of the hindfoot 1 mo after an ankle sprain while walking in the street.Previous treatments were anti-inflammatory drugs,ice,rest and Cam-walker boot.At physical exam,there was pain and swelling over the course of the peroneal tendons.Ankle instability and cavovarus foot deformity were ruled out.Eversion strength was weak(4/5).Imaging showed complete rupture of the peroneal longus tendon associated with a sharp hypertrophic peroneal tubercle.Surgical repair was indicated after failure of conservative treatment(physiotherapy,rest,analgesics,and ankle stabilizer).A less invasive approach was performed for peroneal longus tendon debridement and side-to-side tenodesis to the adjacent peroneal brevis tendon,with successful clinical and functional outcomes.CONCLUSION Peroneus longus tendon tenodesis can be performed through a less invasive approach with preservation of the lateral soft tissue integrity.