Maroc Mohammed, Khatab Zakaria, Moueqqit Othman, Abdeljaouad Najib, Yacoubi Hicham
Department of Trauma and Orthopaedics, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Mohammed First University, Oujda, MAR.
General Medicine, Faculty of Medicine and Pharmacy of Oujda, Mohammed First University, Oujda, MAR.
Cureus. 2023 Feb 13;15(2):e34949. doi: 10.7759/cureus.34949. eCollection 2023 Feb.
Ankle injuries are a very common cause of patient visits to the primary care units and emergency departments. Although the most frequent ones are lateral ligament sprains, peroneal tendon subluxations have the same inversion mechanism and are described as one of the main causes of lateral ankle pain and instability. They are often missed during the acute phases as they are misdiagnosed as ankle sprains since both injuries share similar mechanisms and often occur in athletes and patients with high sports activity. We present two different cases of peroneal tendon dislocation that illustrate how this pathological condition may be present under different circumstances. We aim, through these cases, to provide clinical awareness and help improve earlier diagnosis of this condition; we also demonstrate the effectiveness of surgical reattachment of the upper retinaculum that two of our patients underwent.
踝关节损伤是患者前往初级保健单位和急诊科就诊的常见原因。虽然最常见的是外侧韧带扭伤，但腓骨肌腱半脱位具有相同的内翻机制，被认为是外侧踝关节疼痛和不稳定的主要原因之一。在急性期，它们常常被漏诊，因为它们被误诊为踝关节扭伤，这两种损伤机制相似，且常发生在运动员和体育活动量大的患者身上。我们展示了两例不同的腓骨肌腱脱位病例，说明了这种病理状况在不同情况下可能的表现。我们旨在通过这些病例提高对这种疾病的临床认识，并帮助改善早期诊断；我们还展示了我们两名患者接受的上支持带手术重新固定的有效性。
