Do I need surgery for peroneal tendon subluxation?
Surgery. Many patients with peroneal tendon subluxation will eventually require surgery, especially when symptoms have not been controlled with nonsurgical measures. The following are different surgical procedures designed to help the peroneal tendons remain in their proper position.
How do you fix a peroneal tendon subluxation?
Our preferred treatment for peroneal tendon subluxation in athletes is to deepen the fibular groove, remove the low lying muscle belly (if necessary) and tighten the superior peroneal retinaculum.
How long does peroneal subluxation surgery take?
Surgically repairing your peroneal tendons usually takes 1-1 1/2 hours to perform. Spinal anesthesia is given to numb you from the waist down, and you are sedated so that you sleep through the procedure. An incision approximately 12 centimeters long is made along the outside of your ankle, along your peroneal tendons.
How long does it take to recover from peroneal tendon surgery?
Likely at 4 weeks after surgery you will be allowed to bear weight on your ankle as tolerated in your boot. This may change based on skin healing or other added procedures. Use your crutches, walker, or knee scooter for a total of 4 weeks after surgery.
What does peroneal subluxation feel like?
What does peroneal tendon subluxation feel like? Patients describe a popping or snapping sensation on the outer edge of the ankle. The tendons may even be seen to slip out of place along the lower tip of the fibula. It is common to feel pain and tenderness along the tendons.
How do you know if you need peroneal tendon surgery?
Symptoms of peroneal tendon injuries can include pain and swelling, weakness in the foot or ankle, warmth to the touch, and a popping sound at the time of injury. Many patients do not need surgical treatment for peroneal tendon injuries.
How painful is peroneal subluxation?
Treatment for Peroneal Tendon Subluxation The symptoms can include sharp pain around the outside of your ankle, along with a snapping sensation and a feeling of the tendon moving over the bone. Early treatment is critical, as a tendon that continues to move out of position is more likely to tear or rupture.
When is peroneal tendon surgery necessary?
Peroneal tendonitis and tendon ruptures can cause severe pain and immobility if left untreated, while early treatment can help patients avoid ruptures. But expect patients to require surgery when they have full ruptures or fail to respond to conservative treatment.
Is peroneal subluxation painful?
What is peroneal tendon debridement?
Tendon debridement. In this procedure, the surgeon divides the sheath around the tendon and clears away degenerated and irritated tissue. The sheath is not stitched back together and eventually fills with scar tissue.
When does the peroneal tendon need surgery?
Peroneal tendonitis and tendon ruptures can cause severe pain and immobility if left untreated, while early treatment can help patients avoid ruptures. But expect patients to require surgery when they have full ruptures or fail to respond to conservative treatment.
How long does peroneal tendonitis take to heal?
Peroneal tendonitis generally takes between 6 to 8 weeks to heal. But if you return to physical activity too early while the tendon is healing, then it could take several weeks to a few months to heal. Depending on the severity of tendonitis, you may have to keep your weight off of the affected foot, allowing the tendon space to heal.
Does peroneal tendonosis ever heal?
Your peroneal tendonitis is most likely to heal if you get appropriate treatment for it with proper footwear or possibly a short trial of an ankle boot, and physical therapy. If it does turn out that your peroneal tendons are torn and subluxating, and physical therapy and the ankle boot hasn’t helped you, then you may need surgery to repair the tendons and possibly deepen the groove they sit in.
What is the treatment for peroneal tendonitis?
Ice application: Applying ice to the area can help to reduce swelling and help to control pain.