Zade Amisha P, Ramteke Swapnil U, Keoliya Ashish, Deshmukh Tanushree V
Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Sports Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Sep 19;16(9):e69706. doi: 10.7759/cureus.69706. eCollection 2024 Sep.
Proximal peroneal tendinopathy is a relatively rare condition and can cause severe pain, discomfort, and often disability, especially if it coexists with other pathologies of the lower limbs. This case report discusses a 32-year-old male surgeon with the condition of chronic lateral ankle pain due to proximal peroneal tendinopathy, complicated by an anterior cruciate ligament sprain, a posterior cruciate ligament ganglion cyst, and early medial meniscus degeneration. His ability to perform surgeries has been compromised due to the need to stand for prolonged periods. A multi-factorial rehabilitation approach was designed to address the tendon pathology and the knee dysfunctions associated with it. The treatment program included patient education, therapeutic exercise, and pain management. There were considerable improvements in terms of pain, range of motion, muscle strength, and function from the previous stage of six weeks. This case indicates the clinical necessity of kinetic-chain-oriented, very individualized approaches to rehabilitation for complex musculoskeletal conditions such as this, especially in active professionals. The success of the rehabilitation lies in the potential for recovery even with some tough conditions if the treatment modality is appropriately designed to address the interactive aspects of the patient's condition. This case highlights the importance of an integrated approach in managing complex peroneal tendonitis, especially when associated with upstream joint pathology. The positive outcome underscores the value of early recognition and individualized management to restore function and avoid permanent complications. Additionally, the report serves as a guide for future research into the potential long-term benefits of holistic, patient-specific approaches for similar cases.
腓骨近端肌腱病是一种相对罕见的病症，可引起严重疼痛、不适，且常导致残疾，尤其是当它与下肢的其他病变共存时。本病例报告讨论了一名32岁的男性外科医生，他因腓骨近端肌腱病患有慢性外侧踝关节疼痛，并伴有前交叉韧带扭伤、后交叉韧带腱鞘囊肿和早期内侧半月板退变。由于需要长时间站立，他进行手术的能力受到了影响。设计了一种多因素康复方法来解决肌腱病变及其相关的膝关节功能障碍。治疗方案包括患者教育、治疗性锻炼和疼痛管理。与六周前的阶段相比，在疼痛、活动范围、肌肉力量和功能方面有了显著改善。该病例表明，对于如此复杂的肌肉骨骼疾病，尤其是在活跃的专业人员中，以动力链为导向的、高度个体化的康复方法具有临床必要性。康复的成功在于，如果治疗方式设计得当，能够解决患者病情的相互作用方面，即使在一些困难条件下也有恢复的潜力。该病例强调了综合方法在管理复杂腓骨肌腱炎中的重要性，尤其是当与上游关节病变相关时。积极的结果强调了早期识别和个体化管理对于恢复功能和避免永久性并发症的价值。此外，该报告为未来研究针对类似病例的整体、针对患者的方法的潜在长期益处提供了指导。
