Painful Peroneal Tendon Subluxation in a Patient With a Prior Ankle Fusion.

Richard A Zell, Ananya Mehta
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Abstract

This case report describes a patient who underwent an ankle fusion using a lateral approach and fibular-onlay strut 14 years ago. She presented with increasing lateral ankle pain and giving way. Despite bracing and steroid injections, she had continued symptoms and surgery for hardware removal was recommended. While under anesthesia, she was found to have subluxation of her peroneal tendons. Operative findings included impingement of the peroneal brevis on the screw head from her fibular-onlay strut and a peroneal tendon tear. Hardware removal, a peroneal tenodesis, and reconstruction of the peroneal retinaculum were performed with a good clinical result.Level of Evidence: V (case report).

曾接受过踝关节融合术的患者出现腓肠肌肌腱半脱位疼痛。
本病例报告描述的是一名 14 年前接受踝关节融合术的患者,该手术采用外侧入路和腓骨衬垫支撑。她出现越来越严重的外侧踝关节疼痛和让位。尽管进行了支撑和类固醇注射,但她的症状仍在持续,医生建议她进行手术切除硬件。在麻醉状态下,她被发现腓骨肌腱半脱位。手术结果显示,腓骨后腱与腓骨衬垫支柱的螺钉头发生撞击,腓骨肌腱撕裂。手术进行了硬件移除、腓骨腱鞘切除和腓骨网重建,临床效果良好:证据等级:V(病例报告)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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