背景:腓骨肌腱半脱位是一种相对罕见的疾病,常被误诊为踝关节扭伤。它主要影响年轻人,通常在体育活动中。它主要是由腓骨上支持带(SPR)从腓骨插入撕脱引起的,这需要手术干预,特别是对于有症状的慢性腓骨肌腱半脱位和/或脱位的病例。我们报道了一例左踝关节腓骨肌腱半脱位,采用腓骨沟加深和支持带韧带修复治疗,其目的是说明这一程序的有效性。
方法:我们介绍一例34岁男性左踝腓骨肌腱半脱位。患者在入院前两年锻炼时受伤。他现在报告左脚踝疼痛和不稳定。我们进行腓骨沟加深和支持带韧带修复以治疗该患者。
结论:腓骨沟加深和支持带韧带修复显示出良好的临床效果;手术后,没有感染等重大并发症,伤口问题或永久性不适。总的来说,手术结果被认为是令人满意的。术后,脚踝放在膝盖以下,非承重临时铸造在半马蹄位置两周。
结论:腓骨肌腱半脱位的发生率相对较低,手术是这种类型损伤的主要治疗方法,为执行外科医生提供各种可用的手术方法。腓骨沟加深和支持带韧带修复提供了令人满意的结果。
BACKGROUND: Peroneal tendon subluxation is a relatively rare disorder that is often misdiagnosed as an ankle sprain. It affects mainly young adults, usually during sports activities. It is mostly caused by avulsion of the superior peroneal retinaculum (SPR) from its fibular insertion, which requires surgical intervention, especially for cases of symptomatic chronic peroneal tendon subluxation and/or dislocation. We reported a case of peroneal tendon subluxation of left ankle treated with peroneal groove deepening and retinaculum ligament repair, the objective of which is to illustrate the effectiveness of this procedure.
METHODS: We present a case of a thirty-four-year old male with peroneal tendon subluxation of left ankle. The patient was injured while exercising two years prior to admission. He now reported pain and instability on the left ankle. We performed peroneal groove deepening and retinaculum ligament repair to treat this patient.
CONCLUSIONS: Peroneal groove deepening and retinaculum ligament repair shows an excellent clinical outcome; after the procedure, there are no major complications such as infections, wound problems or permanent discomfort. Overall, the result of surgery had been considered satisfactory. Postoperatively, the ankle was placed in a below-knee, non-weight-bearing temporary cast in semi-equinus position for two weeks.
CONCLUSIONS: The incidence rate of peroneal tendon subluxation is relatively low, and surgery is the primary treatment of this type of injury, with various available surgical methods available for the performing surgeon. Peroneal groove deepening and retinaculum ligament repair offers a satisfactory outcome.