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A Simple and Inexpensive Management for Peroneus Longus Dislocation

INTRODUCTION: Peroneal longus dislocation is an uncommon sports injury and commonly misdiagnosed. Imaging measure includes plain radiography, ultrasonography, and MRI examination. Treatment strategies include controversial nonoperative treatment with a significant failure rate and several surgical p...

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Autor principal: Winata, Fahroni Cahyono
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8822098/
http://dx.doi.org/10.1177/2325967119S00472
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author Winata, Fahroni Cahyono
author_facet Winata, Fahroni Cahyono
author_sort Winata, Fahroni Cahyono
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description INTRODUCTION: Peroneal longus dislocation is an uncommon sports injury and commonly misdiagnosed. Imaging measure includes plain radiography, ultrasonography, and MRI examination. Treatment strategies include controversial nonoperative treatment with a significant failure rate and several surgical procedures were reported. We reporting a chronic peroneal longus dislocation case in our hospital. MATERIAL AND METHODS: Twenty-two years old male presented with a painful snapping lateral ankle suffered 3-month prior surgery. He played futsal and suddenly he felt popped on his ankle followed by pain and swelling. Dynamic ultrasound examination shows dislocation of peroneal longus tendon and convex shape of the retromalleolar groove. A five-centimeter long incision is made posterior to the lateral malleolus and during exploration we confirmed the ultrasound findings. We perform retromalleolar groove deepening by making bone flap medially, curette the cancellous bone and tamper back the bone flap, followed by superior peroneal retinaculum (SPR) reconstruction to the medial aspect of lateral cortex of the lateral malleolus to provide smooth gliding surface. We immobilize the ankle with a cast for six weeks for soft tissue healing. RESULT: After six weeks he can perform the almost full range of motion of the ankle without pain. Followed by further physiotherapy to regain full range of motion of the ankle. He returns to sport six months after surgery. Ultrasound examination shows the stability of the peroneal longus tendon. CONCLUSION: Dynamic ultrasound examination and retromalleolar groove deepening with SPR reconstruction are simple and inexpensive management for peroneal longus dislocation
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spelling pubmed-88220982022-02-18 A Simple and Inexpensive Management for Peroneus Longus Dislocation Winata, Fahroni Cahyono Orthop J Sports Med Article INTRODUCTION: Peroneal longus dislocation is an uncommon sports injury and commonly misdiagnosed. Imaging measure includes plain radiography, ultrasonography, and MRI examination. Treatment strategies include controversial nonoperative treatment with a significant failure rate and several surgical procedures were reported. We reporting a chronic peroneal longus dislocation case in our hospital. MATERIAL AND METHODS: Twenty-two years old male presented with a painful snapping lateral ankle suffered 3-month prior surgery. He played futsal and suddenly he felt popped on his ankle followed by pain and swelling. Dynamic ultrasound examination shows dislocation of peroneal longus tendon and convex shape of the retromalleolar groove. A five-centimeter long incision is made posterior to the lateral malleolus and during exploration we confirmed the ultrasound findings. We perform retromalleolar groove deepening by making bone flap medially, curette the cancellous bone and tamper back the bone flap, followed by superior peroneal retinaculum (SPR) reconstruction to the medial aspect of lateral cortex of the lateral malleolus to provide smooth gliding surface. We immobilize the ankle with a cast for six weeks for soft tissue healing. RESULT: After six weeks he can perform the almost full range of motion of the ankle without pain. Followed by further physiotherapy to regain full range of motion of the ankle. He returns to sport six months after surgery. Ultrasound examination shows the stability of the peroneal longus tendon. CONCLUSION: Dynamic ultrasound examination and retromalleolar groove deepening with SPR reconstruction are simple and inexpensive management for peroneal longus dislocation SAGE Publications 2019-11-27 /pmc/articles/PMC8822098/ http://dx.doi.org/10.1177/2325967119S00472 Text en © The Author(s) 2019 https://creativecommons.org/licenses/by-nc-nd/4.0/This open-access article is published and distributed under the Creative Commons Attribution - NonCommercial - No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ), which permits the noncommercial use, distribution, and reproduction of the article in any medium, provided the original author and source are credited. You may not alter, transform, or build upon this article without the permission of the Author(s). For article reuse guidelines, please visit SAGE’s website at http://www.sagepub.com/journals-permissions.
spellingShingle Article
Winata, Fahroni Cahyono
A Simple and Inexpensive Management for Peroneus Longus Dislocation
title A Simple and Inexpensive Management for Peroneus Longus Dislocation
title_full A Simple and Inexpensive Management for Peroneus Longus Dislocation
title_fullStr A Simple and Inexpensive Management for Peroneus Longus Dislocation
title_full_unstemmed A Simple and Inexpensive Management for Peroneus Longus Dislocation
title_short A Simple and Inexpensive Management for Peroneus Longus Dislocation
title_sort simple and inexpensive management for peroneus longus dislocation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8822098/
http://dx.doi.org/10.1177/2325967119S00472
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