Orthopaedic Surgery, University of Miami, Jackson Memorial Hospital, 1611 Northwest 12th Avenue, Miami, FL 33136, USA.
University of Miami Miller School of Medicine, 1600 Northwest 10th Avenue, Miami, FL 33136, USA.
Clin Sports Med. 2020 Oct;39(4):845-858. doi: 10.1016/j.csm.2020.07.005. Epub 2020 Aug 14.
Peroneal tendinosis and subluxation are lifestyle-limiting conditions that can worsen if not properly diagnosed and treated. Adequate knowledge of ankle anatomy and detailed history and comprehensive physical examination is essential for diagnosis. Peroneal tendinopathy is likely to result from overuse, whereas subluxation often precipitates from forceful contraction of peroneals during sudden dorsiflexion while landing or abruptly stopping. In athletes, conservative measures remain first-line treatment of tendinopathy, but surgery is often immediately indicated in cases of recurrent symptomatic subluxation or dislocation. Surgical technique varies on the type, mechanism, and severity of injury, but most procedures have a high success rate.
腓骨肌腱病和腓骨肌腱脱位是限制生活方式的疾病，如果不能得到正确的诊断和治疗，病情可能会恶化。充分了解踝关节解剖结构、详细的病史和全面的体格检查对诊断至关重要。腓骨肌腱病可能是由于过度使用引起的，而脱位通常是由于在落地或突然停止时腓骨强力收缩导致的背屈。在运动员中，保守治疗仍然是肌腱病的一线治疗方法，但对于反复出现症状性脱位或半脱位的病例，手术通常是立即需要的。手术技术因损伤类型、机制和严重程度而异，但大多数手术的成功率都很高。
