Case Reports

Peroneal tendon subluxation: A case report

Putu Suehandika Caksana , I Gusti Ngurah Wien Aryana, dr Zainarda

Putu Suehandika Caksana
udayana university. Email: tuandi182@gmail.com

I Gusti Ngurah Wien Aryana
udayana university

dr Zainarda
udayana university
Online First: December 01, 2018 | Cite this Article
Suehandika Caksana, P., Wien Aryana, I., Zainarda, d. 2018. Peroneal tendon subluxation: A case report. Indonesia Journal of Biomedical Science 12(2). DOI:10.15562/ijbs.v12i2.153


Background: Dislocation of the peroneal tendons is uncommon and is frequently misdiagnosed as an ankle sprain usually in young and active patients. The most common mechanism is a dorsiflexory force on the ankle associated with a rapid and strong contraction of the peroneal tendons and with eversion of the hindfoot, rapid contraction can also lead to injury to the superior peroneal retinaculum.

Case Report: We reported a case of traumatic dislocation of the peroneal tendons. The patient was a 32-year-old who complained of right ankle pain and a feeling of dislocation after suffered an accident while playing football.

Discussion: There have been many options reported for surgical repair of peroneal subluxation or dislocation. These include direct repair of peroneal retinaculum, reconstruction of peroneal retinaculum, bone block (lateral malleolus, sliding graft), and groove deepening and rerouting procedures.Reconstruction of the peroneal tendon can be accomplished using the peroneus brevis, plantaris, and/or Achilles tendons. Complications associated with these techniques include graft fracture, tendonitis, pain, and re-subluxation.

Conclusions: Acute peroneal tendon dislocation is a challenging entity because it may mimic and frequently be misdiagnosed as an ankle sprain. Conservative treatment may be considered for acute dislocation but may be associated with high failure rate. There have been many options reported for surgical repair of peroneal subluxation or dislocation include direct repair of peroneal retinaculum, reconstruction of peroneal retinaculum, bone block (lateral malleolus, sliding graft), and groove deepening and rerouting procedures.

 

Keywords: Peroneal Tendon, Subluxation, Dislocation, Ankle Injury.

References

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