Minimally invasive tenodesis for peroneus longus tendon rupture: A case report and review of literature

Danilo Ryuko Candido Nishikawa; Fernando Aires Duarte; Guilherme Honda Saito; Cesar de Cesar Netto; Fabio Correia Paiva Fonseca; Bruno Rodrigues de Miranda; Augusto Cesar Monteiro; Marcelo Pires Prado

doi:10.5312/wjo.v11.i2.137

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Minimally invasive tenodesis for peroneus longus tendon rupture: A case report and review of literature

Journal article

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Minimally invasive tenodesis for peroneus longus tendon rupture: A case report and review of literature

Danilo Ryuko Candido Nishikawa, Fernando Aires Duarte, Guilherme Honda Saito, Cesar de Cesar Netto, Fabio Correia Paiva Fonseca, Bruno Rodrigues de Miranda, Augusto Cesar Monteiro and Marcelo Pires Prado

World journal of orthopedics, Vol.11(2), pp.137-144

02/18/2020

DOI: 10.5312/wjo.v11.i2.137

PMCID: PMC7063456

PMID: 32190558

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Abstract

BACKGROUND Peroneal tendon disorders are common causes of lateral hindfoot pain. However, total rupture of the peroneal longus tendon is rare. Surgical treatment for this condition is usually a side-to-side tenodesis of the peroneal longus tendon to the peroneal brevis tendon. While the traditional procedure involves a long lateral curved incision, this approach is associated with damage to the lateral soft tissues (up to 24% incidence). CASE SUMMARY A 50-year-old female had developed pain at the lateral aspect of the hindfoot 1 mo after an ankle sprain while walking in the street. Previous treatments were anti-inflammatory drugs, ice, rest and Cam-walker boot. At physical exam, there was pain and swelling over the course of the peroneal tendons. Ankle instability and cavovarus foot deformity were ruled out. Eversion strength was weak (4/5). Imaging showed complete rupture of the peroneal longus tendon associated with a sharp hypertrophic peroneal tubercle. Surgical repair was indicated after failure of conservative treatment (physiotherapy, rest, analgesics, and ankle stabilizer). A less invasive approach was performed for peroneal longus tendon debridement and side-to-side tenodesis to the adjacent peroneal brevis tendon, with successful clinical and functional outcomes. CONCLUSION Peroneus longus tendon tenodesis can be performed through a less invasive approach with preservation of the lateral soft tissue integrity.

Life Sciences & Biomedicine

Orthopedics

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Details

Title: Subtitle: Minimally invasive tenodesis for peroneus longus tendon rupture: A case report and review of literature
Creators: Danilo Ryuko Candido Nishikawa - Hospital do Servidor Público Municipal
Fernando Aires Duarte - Athens Orthopedic Clinic
Guilherme Honda Saito - Hospital Israelita Albert Einstein
Cesar de Cesar Netto - Univ Iowa, Dept Orthoped Foot & Ankle Surg, Iowa City, IA 52242 USA
Fabio Correia Paiva Fonseca - Hospital do Servidor Público Municipal
Bruno Rodrigues de Miranda - Hospital do Servidor Público Municipal
Augusto Cesar Monteiro - Hospital do Servidor Público Municipal
Marcelo Pires Prado - Hospital Israelita Albert Einstein
Resource Type: Journal article
Publication Details: World journal of orthopedics, Vol.11(2), pp.137-144
DOI: 10.5312/wjo.v11.i2.137
PMID: 32190558
PMCID: PMC7063456
NLM abbreviation: World J Orthop
ISSN: 2218-5836
eISSN: 2218-5836
Publisher: Baishideng Publishing Group Inc
Number of pages: 9
Language: English
Date published: 02/18/2020
Academic Unit: Orthopedics and Rehabilitation
Record Identifier: 9984304700802771

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