Question 1 of 4

(demo test)

This patient sustained a subacute rupture of the superior peroneal retinaculum. This allows the peroneal tendons to sublux and dislocate laterally and anteriorly to the lateral margin of the in view fibula. The main technique is suturing and primary repair of the anterior retinacular edge to the fibrous lip or through drill holes in the malleolar ridge

Soft-tissue reconstruction can involve direct repair of the SPR or the use of local or transplanted tissues to reconstruct the retinaculum. Posterior fibular groove deepening can be performed in combination with repair or reconstruction of the SPR with numerous techniques described. Further, tendon rerouting procedures deep to the calcaneofibular ligament and bone-block procedures have also been described

Peroneal tendon debridement and repair should not be performed alone in this patient, as it does not address the subluxation and dislocation of the tendons

Citation

• Ogawa B. Current Concepts Review: Peroneal Tendon Subluxation and Dislocation. Foot Ankle Int. 2007(28):1034-1040