Postgraduate House Officer Orthopedic Surgery, Department of Orthopaedic Surgery, Spaarne Gasthuis, Hoofddorp, The Netherlands.
PhD Candidate Orthopedic Surgery, Department of Orthopaedic Surgery, Spaarne Gasthuis, Hoofddorp, The Netherlands.
J Foot Ankle Surg. 2021 Mar-Apr;60(2):399-403. doi: 10.1053/j.jfas.2020.09.007. Epub 2020 Sep 19.
Peroneal tendon ruptures are caused by inversion trauma of the ankle and are often mistaken for simple ankle sprains. As a result, peroneal tendon ruptures are underdiagnosed; especially a concomitant rupture of both the brevis and longus tendons is extremely rare. We describe the case of concomitant rupture of both peroneal tendons in a 50-year-old male, diagnosed with magnetic resonance imaging and treated with a flexor digitorum longus tendon transfer. The flexor digitorum longus tendon was mobilized, transferred laterally, and anchored to the distal and proximal stubs of the peroneal tendons, acting like a bridge. At final follow-up (19 months after index surgery), the patient was relieved from his symptoms and had full range of motion. Imaging demonstrated a durable reconstruction. Evidence for the preferred surgical treatment is lacking in the current literature and is limited to small case series and case reports. Randomized prospective studies should be conducted to determine the optimal treatment. Based on current available data, surgical technique should be based on clinical observation (e.g., tendon quality) and imaging findings.
跟腱断裂是由踝关节内翻性创伤引起的，常被误诊为单纯踝关节扭伤。结果，跟腱断裂的诊断不足，特别是同时发生跟腱短肌和跟腱长肌的断裂极其罕见。我们描述了一例 50 岁男性同时发生跟腱断裂的病例，通过磁共振成像诊断，并采用趾长屈肌腱转移术进行治疗。将趾长屈肌腱游离，向外侧转移，并固定在跟腱的远端和近端残端上，起到桥接的作用。在最终随访（索引手术后 19 个月）时，患者的症状得到缓解，且活动度完全恢复。影像学显示重建持久。目前的文献中缺乏对此类损伤首选手术治疗的证据，且仅限于小样本的病例系列研究和病例报告。应开展随机前瞻性研究来确定最佳的治疗方法。基于目前现有的数据，手术技术应基于临床观察（例如，肌腱质量）和影像学发现。
