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Case Reports in Medicine
Volume 2013 (2013), Article ID 274685, 4 pages
http://dx.doi.org/10.1155/2013/274685
Case Report

Endoscopic Treatment of Intrasheath Peroneal Tendon Subluxation

1Orthopaedic Department, AZ Groeninge, B. Vercruysselaan 5, 8500 Kortrijk, Belgium
2Orthopaedic Department, Bordeaux Mérignac Sports Clinic, 9 rue Jean Moulin, 33700 Bordeaux, France

Received 12 July 2012; Accepted 21 December 2012

Academic Editor: Thomas J. Zgonis

Copyright © 2013 Frederick Michels et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Intrasheath subluxation of the peroneal tendons within the peroneal groove is an uncommon problem. Open exploration combined with a peroneal groove-deepening procedure and retinacular reefing is the recommended treatment. This extensive lateral approach needs incision of the intact superior peroneal retinaculum and repair afterwards. We treated three patients with a painful intrasheath subluxation using an endoscopic approach. During this tendoscopy both tendons were inspected. The distal muscle fibers of the peroneus brevis tendon were resected in two patients. A partial tear was debrided in the third patient. All patients had a good result. No wound-healing problems or other complications occurred. Early return to work and sports was possible. An endoscopic approach was successful in treatment of an intrasheath subluxation of the peroneal tendons.