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Peroneal sheath reconstruction (for peroneal tendon subluxation) Surgical Technique

Overview

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CPD/CME Points: 1

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The mechanism of this injury that results in peroneal tendon subluxation  is as for an ankle sprain. However  once it has occurred the chance of the resultant instability and secondary pain settling with conservative management is far less than with an ankle sprain.

Most patients will demonstrate their subluxation without being asked but on occasion it can be subtle and require careful dynamic ultrasound assessment of the peroneal tendons during ankle circumduction.

With appropriate surgery and rehabilitation post-operative recurrence is rare .

 

Author: Mark Herron FRCS

Institution: The Wellington Hospital , London

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