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Department of Orthopaedic Surgery and Sports Medicine, Northern Inyo Hospital, Bishop, California 93514
The study, diagnosis, and treatment of subluxations or dislo cations of the peroneal tendons has received little attention in the orthopaedic literature and has long been an enigma to the orthopaedic surgeon. This study reviews literature regarding this problem, and evaluates a group of patients treated by various modalities at Centinella Valley Hospital to provide, hopefully, a source of reference and suggestions as to treat ment.
Operative and nonoperative management of acute or chronic subluxating or dislocating peroneal tendons were evaluated over a 4-year period with a minimum follow-up of 2 years. Most injuries were athletically related. Sixteen patients had demon strable lesions in 19 ankles; all but two were a result of trauma documented at some time. All patients returned for follow-up physical examinations, x-ray films and to answer our question naires assessing their functional status, symptoms, limitations, and progress.
In 93% of the patients evaluated, conservative modes of treatment were initiated, although 44% ultimately required operative intervention. Three patients treated nonoperatively had evidence of resubluxation, although functionally there was little objective associated disability.
Because morbidity is minimal, conservative modes of treat ment are functionally satisfactory in most instances. However, in acute injuries in individuals involved heavily in athletics, operative reconstruction is desired. All patients required pro tective taping for a minimum of 6 months after injury regardless of mode of treatment.
This article has been cited by other articles:
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  N. Maffulli, N. A. Ferran, F. Oliva, and V. Testa Recurrent Subluxation of the Peroneal Tendons Am. J. Sports Med., June 1, 2006; 34(6): 986 - 992. [Abstract] [Full Text] [PDF]
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 A. Saxena and S. K. Wolf Peroneal Tendon Abnormalities: A Review of 40 Surgical Cases J Am Podiatr Med Assoc, July 1, 2003; 93(4): 272 - 282. [Abstract] [Full Text] [PDF]
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S. L. Kollias and R. D. Ferkel Fibular Grooving for Recurrent Peroneal Tendon Subluxation Am. J. Sports Med., June 1, 1997; 25(3): 329 - 335. [Abstract] [PDF]
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M. Sobel, R. F. Warren, and S. Brourman Lateral ankle instability associated with dislocation of the peroneal tendons treated by the Chrisman-Snook procedure: A case report and literature review Am. J. Sports Med., September 1, 1990; 18(5): 539 - 543. [PDF]
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J.P. McConkey and K.J. Favero Subluxation of the peroneal tendons within the peroneal tendon sheath: A case report Am. J. Sports Med., September 1, 1987; 15(5): 511 - 513. [PDF]
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M. A. Martens, J. F. Noyez, and J. C. Mulier Recurrent dislocation of the peroneal tendons: Results of rerouting the tendons under the calcaneofibular ligament Am. J. Sports Med., March 1, 1986; 14(2): 148 - 150. [Abstract] [PDF]
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M. Szczukowski JR, R. K. St. Pierre, L. L. Fleming, and J. Somogyi Computerized tomography in the evaluation of peroneal tendon dislocation Am. J. Sports Med., December 1, 1983; 11(6): 444 - 447. [Abstract] [PDF]
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