Return to Play and Clinical Outcomes in the Surgical Treatment of Peroneal Tendon Dislocation and Subluxation

CATEGORY: Ankle; Sports INTRODUCTION/PURPOSE: To provide an overview of the available evidence on peroneal tendon dislocation and subluxation as well as the outcomes after surgical intervention. METHODS: A systematic review of the literature was performed using MEDLINE, Embase, and Cochrane. Criteria for inclusion were clinical studies reporting outcomes after surgical treatment for peroneal tendon dislocation and subluxation within the last 10 years RESULTS: Fourteen articles evaluating a total of 321 patients were included in this review consisting of 240 males and 81 females. The weighted mean age of patients was 28.7 years (range 18-47). The weighted mean follow-up was 38.1 months (range 18 - 58). The weighted mean time to surgery was 5.32 months (range 3 - 9.5). Surgical treatments were categorized into 4 groups which comprised 13 of the 14 studies. Eleven studies recorded the AOFAS score with a weighted mean preoperative score of 65.97 and a weighted mean postoperative score of 92.9. Overall, 90% (145/162) of patients reported their satisfaction as either 'excellent' or 'good'. Time to return to play (RTP) was faster for patients who underwent SPR repair alone compared to SPR repair with groove deepening (p=0.001) CONCLUSION: The current systematic review showed that overall clinical outcomes were positive in lieu of the different modalities of surgical intervention for peroneal tendon dislocation and subluxation. However, patients who received SPR repair with groove- deepening returned to sport faster than patients who received SPR repair alone.