Intrasheath Subluxation of the Peroneal Tendons by Steven M. Raikin JBJS Essent Surg Tech Volume os-91(Supplement 2 Part 1):146-155 March 1, 2009 ©2009.

Slides:

Advertisements

Similar presentations

Reconstruction of Segmental Bone Defects Due to Chronic Osteomyelitis with Use of an External Fixator and an Intramedullary Nail by Levent Eralp, Mehmet.

Advertisements

Revision Posterior Cruciate Ligament Reconstruction with a Modified Tibial-Inlay Double-Bundle Technique by Sang Hak Lee, Young-Bok Jung, Sung-Min Rhee,

Osteochondromas of the Distal Aspect of the Tibia or Fibula by Kingsley R. Chin, F. Daniel Kharrazi, Bruce S. Miller, Henry J. Mankin, and Mark C. Gebhardt.

Transepiphyseal Replacement of the Anterior Cruciate Ligament Using Quadruple Hamstring Grafts in Skeletally Immature Patients by Allen F. Anderson J Bone.

Long-Term Outcome After Surgical Treatment of Unresolved Osgood-Schlatter Disease in Young Men by Harri K. Pihlajamäki, and Tuomo I. Visuri JBJS Essent.

Operative Treatment of Irreparable Rupture of the Subscapularis*† by MICHAEL A. WIRTH, and CHARLES A. ROCKWOOD J Bone Joint Surg Am Volume 79(5):

Management of Massive Irreparable Rotator Cuff Tears: The Role of Tendon Transfer*† by Jon J. P. Warner J Bone Joint Surg Am Volume 82(6): June.

Peroneal and Achilles tendon problems with surgical management.

Open Reduction and Internal Fixation of Intra-Articular Calcaneal Fractures Via an Extensile Lateral Approach by Karl M. Schweitzer, Trevor R. Gaskill,

Arthroscopic Treatment of Suprascapular Neuropathy from a Suprascapular Notch Cyst Using a Lateral Subacromial Approach by Justin J. Mitchell, Ryan R.

The Capsular Imbrication Procedure for Recurrent Anterior Instability of the Shoulder*† by MICHAEL A. WIRTH, GEORGE BLATTER, and CHARLES A. ROCKWOOD J.

Pemberton Osteotomy for Acetabular Dysplasia by Shier-Chieg Huang, Ting-Ming Wang, Kuan-Wen Wu, Chien-feng Fang, and Ken N. Kuo JBJS Essent Surg Tech Volume.

The Effect of Suture-Button Fixation on Simulated Syndesmotic Malreduction: A Cadaveric Study by Robert W. Westermann, Chamnanni Rungprai, Jessica E. Goetz,

Diagnosis and Treatment of Chronic Ankle Pain by Dane K. Wukich, and Dominic A. Tuason J Bone Joint Surg Am Volume 92(10): August 18, 2010 ©2010.

Surgical Repair of Acute and Chronic Tibialis Anterior Tendon Ruptures by V. James Sammarco, G. James Sammarco, Carlo Henning, and Solomon Chaim J Bone.

Painful Ununited Fracture of the Posterior Process of the Talus in an Adolescent Dancer by Hsuan-Kai Kao, and James G. Gamble JBJS Case Connect Volume.

Use of Distal Femoral Osteoarticular Allografts in Limb Salvage Surgery by D. Luis Muscolo, Miguel A. Ayerza, Luis A. Aponte-Tinao, and Maximiliano Ranalletta.

Step-Cut Bone-Graft Technique for Osteoarthritis with Severe Glenoid Bone Loss by Vani Sabesan, Vinay Sharma, Mark Callanan, Jason Ho, and Joseph Iannotti.

by A. Lee Dellon, and J. Henk Coert

Posterior Ankle and Hindfoot Arthroscopy

Gluteus Maximus Avulsion and Closed Degloving Lesion Associated with a Thoracolumbar Burst Fracture by David E. Gwinn, Robert A. Morgan, and Anand R. Kumar.

Treatment of Advanced Primary and Recurrent Diffuse Pigmented Villonodular Synovitis of the Knee by Kingsley R. Chin, Stephen J. Barr, Carl Winalski, David.

Elbow Resection for Deep Infection After Total Elbow Arthroplasty by Joaquin Sanchez Sotelo, Peter Zarkadas, Thomas Throckmorton, and Bernard F. Morrey.

Lumbosacral Subdural Hematoma Following Minor Trauma by Seamus F. Morris, Ashley R. Poynton, Turlough O'Donnell, and Damian McCormack JBJS Case Connect.

by Joseph F. Davies, and Dana M. Davies

Autologous Osteochondral Mosaicplasty for Osteochondritis Dissecans of the Elbow in Teenage Athletes by Norimasa Iwasaki, Hiroyuki Kato, Jyunichi Ishikawa,

Outcomes of an Anatomic Posterolateral Knee Reconstruction

Injuries to the Ankle Syndesmosis

Extraperiosteal Plating of Pronation-Abduction Ankle Fractures by Jodi Siegel, and Paul Tornetta JBJS Essent Surg Tech Volume os-90(Supplement 2 Part 1):

Tibialis Anterior Tendon Transfer for Relapsing Idiopathic Clubfoot by Joshua B. Holt, Brian Westerlind, and Jose A. Morcuende JBJS Essent Surg Tech Volume.

Instructional Course Lectures, The American Academy of Orthopaedic Surgeons - Magnetic Resonance Imaging of the Shoulder*† by RICHARD J. HERZOG J Bone.

Complications Associated with FAST-FIX All-Inside Meniscal Repair by Ryan C. Rauck, Sameer Jain, and David C. Flanigan JBJS Case Connect Volume 5(3):e62.

Carpal Wedge Osteotomy in the Arthrogrypotic Patient by Scott N. Oishi, Christian A. Foy, Lesley Wheeler, and Marybeth Ezaki JBJS Essent Surg Tech Volume.

Thoracolumbar Burst Fractures Treated with Posterior Decompression and Pedicle Screw Instrumentation Supplemented with Balloon-Assisted Vertebroplasty.

Cervical Disc Arthroplasty Compared with Arthrodesis for the Treatment of Myelopathy by Jacob M. Buchowski, Paul A. Anderson, Lali Sekhon, and K. Daniel.

Surgical Treatment of Talar Body Fractures by Heather A. Vallier, Sean E. Nork, Stephen K. Benirschke, and Bruce J. Sangeorzan JBJS Essent Surg Tech Volume.

by Matjaz Veselko, and Matej Kastelec

Reconstruction of Patellar Tendon Disruption After Total Knee Arthroplasty by James A. Browne, and Arlen D. Hanssen J Bone Joint Surg Am Volume 93(12):

Hindfoot Endoscopy for Posterior Ankle Impingement

Revision Anterior Cruciate Ligament Reconstruction with Doubled Semitendinosus and Gracilis Tendons and Lateral Extra-Articular Reconstruction by Andrea.

Reattachment of the Migrated Ununited Greater Trochanter After Revision Hip Arthroplasty: The Abductor Slide Technique. A Review of Four Cases* by KINGSLEY.

Glenohumeral Arthrodesis After Failed Prosthetic Shoulder Arthroplasty by Jason J. Scalise, and Joseph P. Iannotti JBJS Essent Surg Tech Volume os-91(Supplement.

Posterior Shoulder Dislocations and Fracture-Dislocations by C. Michael Robinson, and Joseph Aderinto J Bone Joint Surg Am Volume 87(3): March 1,

Reconstruction of the Posterior Cruciate Ligament with a Mid-Third Patellar Tendon Graft with Use of a Modified Tibial Inlay Method by Young-Bok Jung,

Surgical Treatment of Main Thoracic Scoliosis with Thoracoscopic Anterior Instrumentation by Peter O. Newton, Vidyadhar V. Upasani, Juliano Lhamby, Valerie.

Anatomical Reconstruction for Chronic Posterolateral Instability Combined with Posterior Cruciate Ligament Reconstruction by Sung-Jae Kim, Sung-Hwan Kim,

Supramalleolar Osteotomy in Patients with Varus Ankle Osteoarthritis by Woo-Chun Lee, Jeong-Seok Moon, Kang Lee, Woo Jin Byun, and Sang Hyeong Lee JBJS.

Allograft-Prosthesis Composite Reconstruction of the Proximal Part of the Humerus by Ayesha Abdeen, and John H. Healey JBJS Essent Surg Tech Volume os-92(Supplement.

Anterior Cruciate Ligament Reconstruction with a Four- Strand Hamstring Tendon Autograft by Riley J. Williams, Jon Hyman, Frank Petrigliano, Tamara Rozental,

Knee Injury in Patients Experiencing a High-Energy Traumatic Ipsilateral Hip Dislocation by Gary L. Schmidt, Robert Sciulli, and Gregory T. Altman J Bone.

Chondral Resurfacing of Articular Cartilage Defects in the Knee with the Microfracture Technique by Kai Mithoefer, Riley J. Williams, Russell F. Warren,

by Carlos A. Uquillas, Michael S. Guss, Devon J. Ryan, Laith M

Management of Capsular Deficiency of the Shoulder by Jon J.P. Warner, Andreas A. Venegas, Janne T. Lehtinen, and John J. Macy J Bone Joint Surg Am Volume.

Management of Thumb Metacarpophalangeal Ulnar Collateral Ligament Injuries by Peter C. Rhee, David B. Jones, and Sanjeev Kakar J Bone Joint Surg Am Volume.

Radial Head Arthroplasty with a Modular Metal Spacer to Treat Acute Traumatic Elbow Instability by David Ring, and Graham King JBJS Essent Surg Tech Volume.

Hindfoot Endoscopy for Posterior Ankle Impingement by P.E. Scholten, I.N. Sierevelt, and C.N. van Dijk J Bone Joint Surg Am Volume 90(12): December.

Computer-Assisted Minimally Invasive Total Knee Arthroplasty Compared with Standard Total Knee Arthroplasty by Andrew Quoc Dutton, and Seng-Jin Yeo JBJS.

Stress Fracture of the Acetabular Rim: Arthroscopic Reduction and Internal Fixation by Noah J. Epstein, and Marc R. Safran J Bone Joint Surg Am Volume.

Single and Dual-Incision Fasciotomy of the Lower Leg

Comminuted Fractures of the Radial Head: Comparison of Resection and Internal Fixation by Masayoshi Ikeda, Kazuhiro Sugiyama, Chonte Kang, Tomonori Takagaki,

Arthroscopic Capsulolabral Revision Repair for Recurrent Anterior Shoulder Instability by Christoph Bartl, and Andreas B. Imhoff JBJS Essent Surg Tech.

Temporary Internal Distraction as an Aid to Correction of Severe Scoliosis by Jacob M. Buchowski, David L. Skaggs, and Paul D. Sponseller JBJS Essent Surg.

Operative Treatment for Peroneal Tendon Disorders by Daniel S. Heckman, Sudheer Reddy, David Pedowitz, Keith L. Wapner, and Selene G. Parekh J Bone Joint.

Isolated Subtalar Arthrodesis

Free Vascularized Fibular Grafting for the Treatment of Postcollapse Osteonecrosis of the Femoral Head by J. Mack Aldridge, Keith R. Berend, Eunice E.

Competence of the Deltoid Ligament in Bimalleolar Ankle Fractures After Medial Malleolar Fixation* by Paul Tornetta J Bone Joint Surg Am Volume 82(6):

Chronic Ankle and Subtalar Joint Instability in the Athlete

Prasit Rajbhandari, M.S., M.B.B.S., Chayanin Angthong, M.D., Ph.D.

Presentation transcript:

Intrasheath Subluxation of the Peroneal Tendons by Steven M. Raikin JBJS Essent Surg Tech Volume os-91(Supplement 2 Part 1): March 1, 2009 ©2009 by The Journal of Bone and Joint Surgery, Inc.

View of the lateral aspect of the ankle with the fibula (dotted lines) and peroneal tendons (solid blue lines) marked out. Steven M. Raikin J Bone Joint Surg Am 2009;os-91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

In extra sheath (standard) peroneal subluxation, the peroneal retinaculum is elevated off the fibula and the peroneal tendons come to lie within this pouch, out of their natural groove. Steven M. Raikin J Bone Joint Surg Am 2009;os-91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

The incision into the retinaculum is made, leaving a 1-mm rim of retinacular tissue remaining attached to the fibula. Steven M. Raikin J Bone Joint Surg Am 2009;os-91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

Steven M. Raikin J Bone Joint Surg Am 2009;os-91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

Steven M. Raikin J Bone Joint Surg Am 2009;os-91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

In this T1-weighted axial magnetic resonance imaging study, the peroneal tendons are reduced posterior to the fibula. Steven M. Raikin J Bone Joint Surg Am 2009;os-91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

The fibro-osseous sheath is osteotomized with a thin sliver of bone off the posterior aspect of the fibula. Steven M. Raikin J Bone Joint Surg Am 2009;os-91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

The fibro-osseous sheath is then reflected, exposing the underlying cancellous bone. Steven M. Raikin J Bone Joint Surg Am 2009;os-91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

A 3-mm round burr is used to deepen the peroneal groove. Steven M. Raikin J Bone Joint Surg Am 2009;os-91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

A 7 to 9-mm segment of bone is removed to adequately deepen the groove. Steven M. Raikin J Bone Joint Surg Am 2009;os-91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

A bone tamp is utilized to gently reduce the fibro-osseous sheath back down to the deepened floor of the peroneal groove. Steven M. Raikin J Bone Joint Surg Am 2009;os-91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

Four drill-holes are made along the anterior edge of the roof of the deepened groove. Steven M. Raikin J Bone Joint Surg Am 2009;os-91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

The peroneal retinaculum is reattached to the undersurface of the anterior lip of the groove with nonabsorbable suture. Steven M. Raikin J Bone Joint Surg Am 2009;os-91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

The sutures are not tied until they are all placed, and they are used to pull the retinaculum down under the anterior edge for reattachment. Steven M. Raikin J Bone Joint Surg Am 2009;os-91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

A line drawing demonstrating the repaired peroneal retinaculum attached under the deep anterior surface of the groove with use of a pants-over-vest suture repair. Steven M. Raikin J Bone Joint Surg Am 2009;os-91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

The retinacular rim that remained attached to the fibula when the sheath was opened is mobilized and repaired back to the reconstructed retinaculum in a reefed configuration, creating a double row repair. Steven M. Raikin J Bone Joint Surg Am 2009;os-91: ©2009 by The Journal of Bone and Joint Surgery, Inc.

A line drawing demonstrating a cross-sectional view of the deepened groove with the peroneal tendons reduced and the retinaculum repaired under the roof of the groove. Steven M. Raikin J Bone Joint Surg Am 2009;os-91: ©2009 by The Journal of Bone and Joint Surgery, Inc.