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MEDICINA E CHIRURGIA DELLA CAVIGLIA E DEL PIEDE
A Journal on Physiopathology and Surgery of the Foot
Indexed/Abstracted in: EMBASE, Scopus
Chirurgia Del Piede 2004 June;28(2):45-52
Chronic dislocation of the peroneal tendons: clinical experience and review of the literature
Parino E., Germano M.
Aim. Dislocation of the peroneal tendons is a rare event, the acute phase of which is often misunderstood and diagnosis demands a high degree of suspicion; if the treatment applied during this phase is not appopriate, the most frequent consequence is chronic dislocation. The fact that this pathology is observed so rarely means that the operating series presented by each author are not statistically significant and the extreme variety of the treatment techniques proposed in the literature makes comparative evaluation difficult.
Methods. We present a series of 9 cases of surgically treated chronic dislocation of the peroneals in patients with an average age of 32 and with an average follow-up of 3 years 10 months. In the majority of cases the anatomical finding was a whole retinaculum and continuity with the periosteum which appeared detached from the anterior face of the peroneal malleolus with consequent formation of a dislocation chamber.
Results. The results were obtained by analysing the data from a questionnaire associated with a clinical control. Apart from the case of recurrence reported in all the remaining cases the peroneals appeared sound and there was a good recovery of sporting activity.
Conclusion. We present the different surgical techniques reported in the literature. It is however, fundamental to be able to associate the choice of surgical technique with theanatomopathological picture observed, even though very often in the literature this association is not encountered and this makes comparison of series difficult.