Sussman Walter I, Hofmann Kurt
Assistant Professor, Department of Physical Medicine & Rehabilitation, Tufts University, Boston, MA; Physician, Orthopedic Care Physician Network, North Easton, MA.
Physician, Orthopedic Care Physician Network, North Easton, MA; Assistant Professor, Department of Orthopedics, Tufts University, Boston, MA.
J Foot Ankle Surg. 2019 Nov;58(6):1285-1287. doi: 10.1053/j.jfas.2019.04.004.
Insertional peroneus brevis tendinopathy is uncommon and treatment options for recalcitrant insertional lesions are rarely described in the literature. Ultrasound-guided percutaneous ultrasonic needle tenotomy has been described for the treatment of recalcitrant tendinopathy in the elbow, knee, and plantar fascia, but has not been described for the treatment of peroneal tendinopathy. We report a case of recalcitrant insertional peroneus brevis tendinopathy successfully treated with an ultrasound-guided percutaneous ultrasonic needle tenotomy. The treatment resulted in a rapid recovery, and the patient remained asymptomatic at the 6-month follow up. No complications were observed during follow up and the minimally invasive percutaneous procedures offers clear advantage over open techniques.
腓骨短肌附着点肌腱病并不常见，文献中很少描述顽固性附着点病变的治疗选择。超声引导下经皮超声针刀松解术已被用于治疗肘部、膝部和足底筋膜的顽固性肌腱病，但尚未用于治疗腓骨肌腱病。我们报告一例顽固性腓骨短肌附着点肌腱病患者，通过超声引导下经皮超声针刀松解术成功治愈。治疗后恢复迅速，患者在6个月随访时无症状。随访期间未观察到并发症，与开放手术相比，微创经皮手术具有明显优势。
