Saxena Amol, Wolf Steven K
Department of Sports Medicine, Palo Alto Medical Foundation, Palo Alto, CA 94301, USA.
J Am Podiatr Med Assoc. 2003 Jul-Aug;93(4):272-82. doi: 10.7547/87507315-93-4-272.
The authors reviewed data from 40 peroneal tendon surgeries performed on 39 patients (25 males and 14 females) between 1991 and 1999. Patients underwent tendon repair, subluxation repair, and/or accessory ossicle and muscle excisions. Some patients underwent more than one procedure, including eight undergoing ankle stabilizations. Preoperatively and postoperatively, the American Orthopaedic Foot and Ankle Society ankle-hindfoot score was assessed. Average preoperative and postoperative ankle-hindfoot scores were 61.6 (range, 19 to 72) and 91.4 (range, 63 to 100), respectively. Mean group return-to-activity time, defined as initiation of regular activity, including sports, was 3.2 months (range, 1 to 6 months). There were 17 athletes and 22 active patients; no patients were sedentary. Magnetic resonance imaging was used to evaluate peroneal tendon pathology in 29 patients. Sensitivity was 82.7%; specificity, 50%; and positive predictive value, 100%. Overall results were excellent in 25 cases, good in 12, fair in 1, and poor in 2. A paired t-test showed that patients with previous steroid injections had statistically poorer results. Patients with symptoms for more than 12 months also had poorer outcomes.
作者回顾了1991年至1999年间对39例患者（25例男性和14例女性）实施的40例腓骨肌腱手术的数据。患者接受了肌腱修复、半脱位修复和/或副骨与肌肉切除术。部分患者接受了不止一项手术，其中8例接受了踝关节稳定手术。术前和术后均对美国矫形足踝协会的踝-后足评分进行了评估。术前和术后踝-后足评分的平均值分别为61.6（范围19至72）和91.4（范围63至100）。将恢复常规活动（包括运动）定义为恢复活动的平均时间为3.2个月（范围1至6个月）。有17名运动员和22名活跃患者；无久坐不动的患者。对29例患者使用磁共振成像评估腓骨肌腱病变。敏感性为82.7%；特异性为50%；阳性预测值为100%。总体结果为25例优秀，12例良好，1例一般，2例差。配对t检验显示，既往接受过类固醇注射的患者结果在统计学上较差。症状持续超过12个月的患者预后也较差。
