Peroneal Tendoscopy: Applied Anatomy and Operative Technique
Pathologies related to the peroneal tendons are responsible for the largest percentage of retrofibular ankle pain, including a wide spectrum of relevant diagnoses. Diagnosing peroneal tendon pathologies, however, remains challenging as the accuracy of imaging studies including ultrasound (US) and ma...
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| Format: | Article |
| Language: | English |
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Jaypee Brothers Medical Publisher
2022-07-01
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| Series: | Journal of Foot and Ankle Surgery (Asia Pacific) |
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| Online Access: | https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1245 |
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| author | Panagiotis D Symeonidis Ioannis Spanos Pim AD van Dijk Niek C van Dijk |
| author_facet | Panagiotis D Symeonidis Ioannis Spanos Pim AD van Dijk Niek C van Dijk |
| author_sort | Panagiotis D Symeonidis |
| collection | DOAJ |
| description | Pathologies related to the peroneal tendons are responsible for the largest percentage of retrofibular ankle pain, including a wide spectrum of relevant diagnoses. Diagnosing peroneal tendon pathologies, however, remains challenging as the accuracy of imaging studies including ultrasound (US) and magnetic resonance imaging (MRI) is still limited by constricting factors including operator dependence for US and the magic angle effect in MRI. On the contrary, advances in technology and our knowledge of the regional anatomy have rendered tendoscopy a viable option for patients with a high clinical suspicion for peroneal tendon pathology but a lack of positive findings on imaging. For both diagnosis and treatment of these patients, peroneal tendoscopy is recommended.
The aim of the current study is to present a step-by-step, state of the art manner to perform a peroneal tendoscopy in a safe and reproducible manner. As indications of the method expand, an increasing number of surgeons with experience in foot and ankle arthroscopy have the chance to incorporate peroneal tendoscopy in their armamentarium.
A detailed description of the operative technique with reference to recent data from anatomical and cadaveric studies is presented. Moreover, tips and pearls from the authors’ accumulated experience are being highlighted. Finally, common pitfalls and limitations of the method are being discussed. |
| format | Article |
| id | doaj-art-e0da441febb5493c8b676d44d1b796d1 |
| institution | OA Journals |
| issn | 2348-280X 2394-7705 |
| language | English |
| publishDate | 2022-07-01 |
| publisher | Jaypee Brothers Medical Publisher |
| record_format | Article |
| series | Journal of Foot and Ankle Surgery (Asia Pacific) |
| spelling | doaj-art-e0da441febb5493c8b676d44d1b796d12025-08-20T02:12:15ZengJaypee Brothers Medical PublisherJournal of Foot and Ankle Surgery (Asia Pacific)2348-280X2394-77052022-07-019310010610.5005/jp-journals-10040-12452Peroneal Tendoscopy: Applied Anatomy and Operative TechniquePanagiotis D Symeonidis0https://orcid.org/0000-0002-5762-7627Ioannis Spanos1Pim AD van Dijk2Niek C van Dijk3Panagiotis D Symeonidis, St Luke’s Hospital, Thessaloniki, Greece, Phone: +306932258122St Luke’s Hospital, Thessaloniki, GreeceDepartment of Orthopedic Surgery, Amsterdam University Medical Center, Academic Center for Evidence-based Sports Medicine (ACES), Amsterdam, The Netherlands; Amsterdam Collaboration on Health and Safety in Sports (ACHSS), AMC/VUmc IOC Research Center, Amsterdam, The NetherlandsDepartment of Orthopedic Surgery, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The NetherlandsPathologies related to the peroneal tendons are responsible for the largest percentage of retrofibular ankle pain, including a wide spectrum of relevant diagnoses. Diagnosing peroneal tendon pathologies, however, remains challenging as the accuracy of imaging studies including ultrasound (US) and magnetic resonance imaging (MRI) is still limited by constricting factors including operator dependence for US and the magic angle effect in MRI. On the contrary, advances in technology and our knowledge of the regional anatomy have rendered tendoscopy a viable option for patients with a high clinical suspicion for peroneal tendon pathology but a lack of positive findings on imaging. For both diagnosis and treatment of these patients, peroneal tendoscopy is recommended. The aim of the current study is to present a step-by-step, state of the art manner to perform a peroneal tendoscopy in a safe and reproducible manner. As indications of the method expand, an increasing number of surgeons with experience in foot and ankle arthroscopy have the chance to incorporate peroneal tendoscopy in their armamentarium. A detailed description of the operative technique with reference to recent data from anatomical and cadaveric studies is presented. Moreover, tips and pearls from the authors’ accumulated experience are being highlighted. Finally, common pitfalls and limitations of the method are being discussed.https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1245anatomyminimally invasiveperonealperoneal tendonssurgical techniquetendoscopy |
| spellingShingle | Panagiotis D Symeonidis Ioannis Spanos Pim AD van Dijk Niek C van Dijk Peroneal Tendoscopy: Applied Anatomy and Operative Technique Journal of Foot and Ankle Surgery (Asia Pacific) anatomy minimally invasive peroneal peroneal tendons surgical technique tendoscopy |
| title | Peroneal Tendoscopy: Applied Anatomy and Operative Technique |
| title_full | Peroneal Tendoscopy: Applied Anatomy and Operative Technique |
| title_fullStr | Peroneal Tendoscopy: Applied Anatomy and Operative Technique |
| title_full_unstemmed | Peroneal Tendoscopy: Applied Anatomy and Operative Technique |
| title_short | Peroneal Tendoscopy: Applied Anatomy and Operative Technique |
| title_sort | peroneal tendoscopy applied anatomy and operative technique |
| topic | anatomy minimally invasive peroneal peroneal tendons surgical technique tendoscopy |
| url | https://www.jfasap.com/doi/JFASAP/pdf/10.5005/jp-journals-10040-1245 |
| work_keys_str_mv | AT panagiotisdsymeonidis peronealtendoscopyappliedanatomyandoperativetechnique AT ioannisspanos peronealtendoscopyappliedanatomyandoperativetechnique AT pimadvandijk peronealtendoscopyappliedanatomyandoperativetechnique AT niekcvandijk peronealtendoscopyappliedanatomyandoperativetechnique |