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Knee Surgery, Sports Traumatology, Arthroscopy
Published in: Knee Surgery, Sports Traumatology, Arthroscopy 4/2016

Open Access 01-04-2016 | Ankle

Return to sports and clinical outcomes in patients treated for peroneal tendon dislocation: a systematic review

Authors: Pim A. D. van Dijk, Arianna L. Gianakos, Gino M. M. J. Kerkhoffs, John G. Kennedy

Published in: Knee Surgery, Sports Traumatology, Arthroscopy | Issue 4/2016

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Abstract

Purpose

The aim of this study was to determine the outcome following different surgical treatment techniques in the treatment of peroneal tendon dislocation and to establish whether return to sports was achieved universally following the procedures.

Methods

A systematic review and best-evidence synthesis was performed. PubMed and EMBASE were searched for eligible studies. The last search was done in March 2015. Quality assessment of pooled data was performed using a modified Macleod scale and a best-evidence synthesis was performed. In total, 14 studies were included.

Results

Surgical treatment provides improvement in the post-operative AOFAS score (p < 0.0001) and high satisfaction rates. The redislocation rate is less than 1.5 % at long-term follow-up. Patients treated with both groove deepening and SPR repair have higher rates of return to sports than patients treated with SPR repair alone (p = 0.022).

Conclusions

Surgical treatment of peroneal tendon dislocation provides good outcomes, high satisfaction and a quick return to sports. Rates in return to sports are significantly higher in patients treated with both groove deepening and SPR repair. To optimize treatment, the surgical management should involve increasing the superior peroneal tunnel volume by groove deepening and stabilizing the tendons by SPR repair.

Level of evidence

Level IV, systematic review of level IV studies.
Literature
1.
Adachi N, Fukuhara K, Kobayashi T, Nakasa T, Ochi M (2009) Morphologic variations of the fibular malleolar groove with recurrent dislocation of the peroneal tendons. Foot Ankle Int 30:540–544CrossRefPubMed
2.
Adachi N, Fukuhara K, Tanaka H, Nakasa T, Ochi M (2006) Superior retinaculoplasty for recurrent dislocation of peroneal tendons. Foot Ankle Int 27:1074–1078PubMed
3.
Arrowsmith SR, Fleming LL, Allman FL (1983) Traumatic dislocations of the peroneal tendons. Am J Sports Med 11:142–146CrossRefPubMed
4.
Beck E (1981) Operative treatment of recurrent dislocation of the peroneal tendons. Arch Orthop Trauma Surg 98:247–250CrossRefPubMed
5.
Cho J, Kim JY, Song DG, Lee WC (2014) Comparison of outcome after retinaculum repair with and without fibular groove deepening for recurrent dislocation of the peroneal tendons. Foot Ankle Int 35:683–689CrossRefPubMed
6.
De Das S, Balasubramaniam P (1985) A repair operation for recurrent dislocation of peroneal tendons. J Bone Joint Surg Br 67:585–587
7.
Eckert WR, Davis EA Jr (1976) Acute rupture of the peroneal retinaculum. J Bone Joint Surg Am 58:670–672PubMed
8.
Escalas F, Figueras JM, Merino JA (1980) Dislocation of the peroneal tendons. Long-term results of surgical treatment. J Bone Joint Surg Am 62:451–453PubMed
9.
Ferran NA, Oliva F, Maffulli N (2006) Recurrent subluxation of the peroneal tendons. Sports Med 36:839–846CrossRefPubMed
10.
Hui JH, De Das S, Balasubramaniam P (1998) The Singapore operation for recurrent dislocation of peroneal tendons: long-term results. J Bone Joint Surg Br 80:325–327CrossRefPubMed
11.
Hunt KJ, Hurwit D (2013) Use of patient-reported outcome measures in foot and ankle research. J Bone Joint Surg Am 95:e118(111–119)
12.
Karlsson J, Eriksson BI, Sward L (1996) Recurrent dislocation of the peroneal tendons. Scand J Med Sci Sports 6:242–246CrossRefPubMed
13.
Kollias SL, Ferkel RD (1997) Fibular grooving for recurrent peroneal tendon subluxation. Am J Sports Med 25:329–335CrossRefPubMed
14.
Kumai T, Benjamin M (2003) The histological structure of the malleolar groove of the fibula in man: its direct bearing on the displacement of peroneal tendons and their surgical repair. J Anat 203:257–262CrossRefPubMedPubMedCentral
15.
Larsen E, Flink-Olsen M, Seerup K (1984) Surgery for recurrent dislocation of the peroneal tendons. Acta Orthop Scand 55:554–555CrossRefPubMed
16.
Lui TH (2006) Endoscopic peroneal retinaculum reconstruction. Knee Surg Sports Traumatol Arthrosc 14:478–481CrossRefPubMed
17.
Macleod MR, O’Collins T, Howells DW, Donnan GA (2004) Pooling of animal experimental data reveals influence of study design and publication bias. Stroke 35:1203–1208CrossRefPubMed
18.
Maffulli N, Ferran NA, Oliva F, Testa V (2006) Recurrent subluxation of the peroneal tendons. Am J Sports Med 34:986–992CrossRefPubMed
19.
Martens MA, Noyez JF, Mulier JC (1986) Recurrent dislocation of the peroneal tendons. Results of rerouting the tendons under the calcaneofibular ligament. Am J Sports Med 14:148–150CrossRefPubMed
20.
21.
Micheli LJ, Waters PM, Sanders DP (1989) Sliding fibular graft repair for chronic dislocation of the peroneal tendons. Am J Sports Med 17:68–71CrossRefPubMed
22.
Moher D, Liberati A, Tetzlaff J, Altman DG, Group P (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. BMJ 339:b2535CrossRefPubMedPubMedCentral
23.
Oden RR (1987) Tendon injuries about the ankle resulting from skiing. Clin Orthop Relat Res 216:63–69PubMed
24.
Ogawa BK, Thordarson DB (2007) Current concepts review: peroneal tendon subluxation and dislocation. Foot Ankle Int 28:1034–1040CrossRefPubMed
25.
Ogawa BK, Thordarson DB, Zalavras C (2007) Peroneal tendon subluxation repair with an indirect fibular groove deepening technique. Foot Ankle Int 28:1194–1197CrossRefPubMed
26.
Oliva F, Del Frate D, Ferran NA, Maffulli N (2009) Peroneal tendons subluxation. Sports Med Arthrosc 17:105–111CrossRefPubMed
27.
Porter D, McCarroll J, Knapp E, Torma J (2005) Peroneal tendon subluxation in athletes: fibular groove deepening and retinacular reconstruction. Foot Ankle Int 26:436–441PubMed
28.
Raikin SM (2009) Intrasheath subluxation of the peroneal tendons. Surgical technique. J Bone Joint Surg Am 91(Suppl 2 Pt 1):146–155
29.
Raikin SM, Elias I, Nazarian LN (2008) Intrasheath subluxation of the peroneal tendons. J Bone Joint Surg Am 90:992–999CrossRefPubMed
30.
Roth JA, Taylor WC, Whalen J (2010) Peroneal tendon subluxation: the other lateral ankle injury. Br J Sports Med 44:1047–1053CrossRefPubMed
31.
Sarmiento A, Wolf M (1975) Subluxation of peroneal tendons. Case treated by rerouting tendons under calcaneofibular ligament. J Bone Joint Surg Am 57:115–116PubMed
32.
Saupe N, Mengiardi B, Pfirrmann CW, Vienne P, Seifert B, Zanetti M (2007) Anatomic variants associated with peroneal tendon disorders: MR imaging findings in volunteers with asymptomatic ankles. Radiology 242:509–517CrossRefPubMed
33.
Saxena A, Ewen B (2010) Peroneal subluxation: surgical results in 31 athletic patients. J Foot Ankle Surg 49:238–241CrossRefPubMed
34.
Slavin RE (1995) Best evidence synthesis: an intelligent alternative to meta-analysis. J Clin Epidemiol 48:9–18CrossRefPubMed
35.
Stein RE (1987) Reconstruction of the superior peroneal retinaculum using a portion of the peroneus brevis tendon. A case report. J Bone Joint Surg Am 69:298–299PubMed
36.
Steinbock G, Pinsger M (1994) Treatment of peroneal tendon dislocation by transposition under the calcaneofibular ligament. Foot Ankle Int 15:107–111CrossRefPubMed
37.
Thomas JL, Lopez-Ben R, Maddox J (2009) A preliminary report on intra-sheath peroneal tendon subluxation: a prospective review of 7 patients with ultrasound verification. J Foot Ankle Surg 48:323–329CrossRefPubMed
38.
Title CI, Jung HG, Parks BG, Schon LC (2005) The peroneal groove deepening procedure: a biomechanical study of pressure reduction. Foot Ankle Int 26:442–448PubMed
39.
Tomihara T, Shimada N, Yoshida G, Kaneda K, Matsuura T, Satake S (2010) Comparison of modified Das De procedure with Du Vries procedure for traumatic peroneal tendon dislocation. Arch Orthop Trauma Surg 130:1059–1063CrossRefPubMed
40.
van Tulder M, Furlan A, Bombardier C, Bouter L, Editorial Board of the Cochrane Collaboration Back Review G (2003) Updated method guidelines for systematic reviews in the cochrane collaboration back review group. Spine (Phila Pa 1976) 28:1290–1299
41.
Walther M, Morrison R, Mayer B (2009) Retromalleolar groove impaction for the treatment of unstable peroneal tendons. Am J Sports Med 37:191–194CrossRefPubMed
42.
Wang CC, Wang SJ, Lien SB, Lin LC (2009) A new peroneal tendon rerouting method to treat recurrent dislocation of peroneal tendons. Am J Sports Med 37:552–557CrossRefPubMed
43.
Zhenbo Z, Jin W, Haifeng G, Huanting L, Feng C, Ming L (2014) Sliding fibular graft repair for the treatment of recurrent peroneal subluxation. Foot Ankle Int 35:496–503CrossRefPubMed
44.
Zoellner G, Clancy W Jr (1979) Recurrent dislocation of the peroneal tendon. J Bone Joint Surg Am 61:292–294PubMed
Metadata
Title
Return to sports and clinical outcomes in patients treated for peroneal tendon dislocation: a systematic review
Authors
Pim A. D. van Dijk
Arianna L. Gianakos
Gino M. M. J. Kerkhoffs
John G. Kennedy
Publication date
01-04-2016
Publisher
Springer Berlin Heidelberg
Published in
Knee Surgery, Sports Traumatology, Arthroscopy / Issue 4/2016
Print ISSN: 0942-2056
Electronic ISSN: 1433-7347
DOI
https://doi.org/10.1007/s00167-015-3833-z

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