Karlsson J, Eriksson B I, Swärd L
Department of Orthopaedics, Ostra University Hospital, Göteborg, Sweden.
Scand J Med Sci Sports. 1996 Aug;6(4):242-6. doi: 10.1111/j.1600-0838.1996.tb00098.x.
Peroneal tendon dislocations occur in sports, particularly in skiing and soccer. This paper presents the outcome of 15 patients with post-traumatic recurrent peroneal tendon dislocations, operated on with a soft-tissue reconstruction of the superior peroneal retinaculum, i.e. reattachment and reinforcement, in combination with a retrofibular groove deepening. Mean follow-up was 3.5 (2-7) years after surgery. There were no redislocations and no neurovascular injuries. The functional results were satisfactory in 13/15 (87%) patients, with full range of ankle motion and no pain. The two patients with unsatisfactory functional results had restricted ankle motion and pain on exertion. This simple reconstruction seems to be a good alternative to other more complex procedures and can be recommended in patients with recurrent peroneal tendon dislocations. Conservative treatment is not an option in patients with recurrent peroneal tendon dislocations, due to persistent symptoms of instability and pain.
腓骨肌腱脱位发生于体育运动中，尤其是滑雪和足球运动。本文介绍了15例创伤后复发性腓骨肌腱脱位患者的治疗结果，这些患者接受了腓骨上支持带软组织重建手术，即重新附着和加强，并结合加深腓骨后沟。术后平均随访3.5（2 - 7）年。无再次脱位情况，也无神经血管损伤。15例患者中有13例（87%）功能结果满意，踝关节活动范围正常且无疼痛。另外2例功能结果不满意的患者存在踝关节活动受限且用力时疼痛。这种简单的重建方法似乎是其他更复杂手术的良好替代方案，可推荐用于复发性腓骨肌腱脱位患者。对于复发性腓骨肌腱脱位患者，由于存在持续的不稳定和疼痛症状，保守治疗并非选择。
