Peroneal Tendoscopy

Overview

Journal Curr Rev Musculoskelet Med

Date 2012 Apr 25

PMID 22527779

Citations 6

Authors

Antonio Marmotti

Mattia Cravino

Margherita Germano

Rainero Del Din

Roberto Rossi

Alessia Tron

Alessandra Tellini

Filippo Castoldi

Affiliations

Soon will be listed here.

Abstract

Peroneal tendoscopy is an innovative technique that allows visualization of the tendons from the myotendinous junction to the peroneal tubercle, together with adjacent anatomic structures such as the recently unveiled vincula. Through a minimally invasive approach, it is possible to diagnose and treat several disorders, such as common tenosynovitis, accessory muscles, hypertrophic bony prominences, and thickened vincula, that can cause pain and tendon catching. Surgical morbidity and postoperative pain are significantly reduced when compared with open procedures. In this paper, the main indications for peroneal tendoscopy are discussed, the available literature is reviewed, and the surgical technique is described. Advantages of this procedure and current limitations are also presented. Anatomic and histological studies were also performed in order to verify: 1) the feasibility of peroneal tendoscopy for evaluation of peroneal tendons, using cadaver specimens; 2) the presence of nervous tissue in cadaver peroneal vincula as well as in tendoscopic vincula biopsies from patients undergoing surgery for chronic lateral ankle pain.

Citing Articles

Minimally Invasive Peroneal Tenodesis Assisted by Peroneal Tendoscopy: Technique and Preliminary Results.

Castilho R, Magalhaes J, Verissimo B, Perisano C, Greco T, Zambelli R Medicina (Kaunas). 2024; 60(1).

PMID: 38256365 PMC: 10819866. DOI: 10.3390/medicina60010104.

Operative Approaches to Ankle and Hindfoot Arthroscopy.

Carreira D, Garden S, Ueland T Foot Ankle Orthop. 2022; 5(1):2473011419894968.

PMID: 35097358 PMC: 8564949. DOI: 10.1177/2473011419894968.

2-Mm Diameter Operative Tendoscopy of the Tibialis Posterior, Peroneal, and Achilles Tendons: A Cadaveric Study.

Stornebrink T, Stufkens S, Appelt D, Wijdicks C, Kerkhoffs G Foot Ankle Int. 2019; 41(4):473-478.

PMID: 31868013 PMC: 7160745. DOI: 10.1177/1071100719895504.

The distance from the peroneal tendons sheath to the sural nerve at the posterior tip of the fibula decreases from proximal to distal.

Pereira B, Pereira H, Robles R, Perez Rivas A, Nar O, Espregueira-Mendes J Knee Surg Sports Traumatol Arthrosc. 2019; 27(9):2852-2857.

PMID: 30888450 DOI: 10.1007/s00167-019-05438-x.

Foot and ankle tendoscopies: current concepts review.

Monteagudo M, Maceira E, Martinez de Albornoz P EFORT Open Rev. 2017; 1(12):440-447.

PMID: 28461923 PMC: 5367565. DOI: 10.1302/2058-5241.160028.

References

Keller K, Nasrilari M, Filler T, Jerosch J . The anterior tibio-talar ligament: one reason for anterior ankle impingement. Knee Surg Sports Traumatol Arthrosc. 2009; 18(2):225-32. DOI: 10.1007/s00167-009-0896-8. View

Dhillon M, Bali K, Vasistha R . Immunohistological evaluation of proprioceptive potential of the residual stump of injured anterior cruciate ligaments (ACL). Int Orthop. 2010; 34(5):737-41. PMC: 2903166. DOI: 10.1007/s00264-009-0948-1. View

Maquirriain J, Sammartino M, Ghisi J, Mazzuco J . Tibialis anterior tenosynovitis: Avoiding extensor retinaculum damage during endoscopic debridement. Arthroscopy. 2003; 19(2):E9. DOI: 10.1053/jars.2003.50059. View

Sobel M, Geppert M, Warren R . Chronic ankle instability as a cause of peroneal tendon injury. Clin Orthop Relat Res. 1993; (296):187-91. View

Lui T . Extensor tendoscopy of the ankle. Foot Ankle Surg. 2011; 17(1):e1-6. DOI: 10.1016/j.fas.2010.06.001. View

Jerosch J, Aldawoudy A . Tendoscopic management of peroneal tendon disorders. Knee Surg Sports Traumatol Arthrosc. 2006; 15(6):806-10. DOI: 10.1007/s00167-006-0227-2. View

Kiter E, Karaboyun T, Tufan A, Acar K . Immunohistochemical demonstration of nerve endings in iliolumbar ligament. Spine (Phila Pa 1976). 2010; 35(4):E101-4. DOI: 10.1097/BRS.0b013e3181ae561d. View

Wertheimer S, Weber C, Loder B, Calderone D, Frascone S . The role of endoscopy in treatment of stenosing posterior tibial tenosynovitis. J Foot Ankle Surg. 1995; 34(1):15-22. DOI: 10.1016/S1067-2516(09)80097-5. View

Lui T . Arthroscopically assisted Z-lengthening of extensor hallucis longus tendon. Arch Orthop Trauma Surg. 2007; 127(9):855-7. DOI: 10.1007/s00402-007-0379-7. View

10.

van Dijk C, Kort N, Scholten P . Tendoscopy of the posterior tibial tendon. Arthroscopy. 1998; 13(6):692-8. DOI: 10.1016/s0749-8063(97)90002-5. View

11.

Hagert E, Garcia-Elias M, Forsgren S, Ljung B . Immunohistochemical analysis of wrist ligament innervation in relation to their structural composition. J Hand Surg Am. 2007; 32(1):30-6. DOI: 10.1016/j.jhsa.2006.10.005. View

12.

van Dijk C, Kort N . Tendoscopy of the peroneal tendons. Arthroscopy. 1998; 14(5):471-8. DOI: 10.1016/s0749-8063(98)70074-x. View

13.

Steenstra F, van Dijk C . Achilles tendoscopy. Foot Ankle Clin. 2006; 11(2):429-38, viii. DOI: 10.1016/j.fcl.2006.02.001. View

14.

Sobel M, Geppert M, Hannafin J, Bohne W, Arnoczky S . Microvascular anatomy of the peroneal tendons. Foot Ankle. 1992; 13(8):469-72. DOI: 10.1177/107110079201300807. View

15.

Blair J, Botte M . Surgical anatomy of the superficial peroneal nerve in the ankle and foot. Clin Orthop Relat Res. 1994; (305):229-38. View

16.

Gonzalez-Martinez T, Perez-Pinera P, Diaz-Esnal B, Vega J . S-100 proteins in the human peripheral nervous system. Microsc Res Tech. 2003; 60(6):633-8. DOI: 10.1002/jemt.10304. View

17.

Lee J, Ladd A, Hagert E . Immunofluorescent triple-staining technique to identify sensory nerve endings in human thumb ligaments. Cells Tissues Organs. 2011; 195(5):456-64. DOI: 10.1159/000327725. View

18.

van Dijk C . Hindfoot endoscopy. Foot Ankle Clin. 2006; 11(2):391-414, vii. DOI: 10.1016/j.fcl.2006.03.002. View

19.

Christensen J, Lanier T . Tendoscopy of the ankle. Clin Podiatr Med Surg. 2011; 28(3):561-70. DOI: 10.1016/j.cpm.2011.05.003. View

20.

Chow H, Chan K, Lui T . Tendoscopic debridement for stage I posterior tibial tendon dysfunction. Knee Surg Sports Traumatol Arthrosc. 2005; 13(8):695-8. DOI: 10.1007/s00167-005-0635-8. View