Distal fibular periosteal flap for superior peroneal retinaculum reconstruction

Authors

  • Samuel J Ahrenholz University of Iowa, Carver College of Medicine, Department of Orthopedics and Rehabilitation, Lowa City, IA, USA https://orcid.org/0000-0002-5486-9858
  • Matthieu Lalevee University of Iowa, Carver College of Medicine, Department of Orthopedics and Rehabilitation, Lowa City, IA, USA
  • Hee Young Lee University of Iowa, Carver College of Medicine, Department of Orthopedics and Rehabilitation, Lowa City, IA, USA
  • Tutku E Tazegul University of Iowa, Carver College of Medicine, Department of Orthopedics and Rehabilitation, Lowa City, IA, USA https://orcid.org/0000-0002-3802-3422
  • Christian A VandeLune University of Iowa, Carver College of Medicine, Department of Orthopedics and Rehabilitation, Lowa City, IA, USA https://orcid.org/0000-0002-7797-6111
  • Nacime Salomão Barbachan Mansur Universidade Federal de São Paulo, Paulista School of Medicine, Department of Orthopedics and Traumatology, São Paulo, SP, Brazil https://orcid.org/0000-0003-1067-727X
  • César de César Netto University of Iowa, Carver College of Medicine, Department of Orthopedics and Rehabilitation, Lowa City, IA, USA https://orcid.org/0000-0001-6037-0685

DOI:

https://doi.org/10.30795/jfootankle.2021.v15.1558

Keywords:

Joint instability, Periosteum, Tendons, Tendon injuries, Ligaments

Abstract

Peroneal tendon instability is a common injury that occurs in physically active individuals, often as a result of trauma and in the context of an anatomically shallow distal fibular groove. Subluxation of these tendons over the lateral malleolus is accompanied by superior peroneal retinaculum injury. Several techniques have been described in the literature, including fibular groove deepening and retinaculum repair, but few reconstruction techniques are available for cases with insufficient residual retinaculum. We report the case of a 53-year-old man, without a history of trauma, who presented with chronic peroneal instability with a completely obliterated, unsalvageable retinaculum which we treated with a combination of fibular groove deepening and fibular periosteal flap to reconstruct the superior peroneal retinaculum. Level of Evidence V; Case Report; Expert Opinion. 

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Published

2021-08-31

How to Cite

Ahrenholz, S. J. ., Lalevee, M., Lee, H. Y., Tazegul, T. E., VandeLune, C. A., Mansur, N. S. B., & César Netto, C. de . (2021). Distal fibular periosteal flap for superior peroneal retinaculum reconstruction. Journal of the Foot & Ankle, 15(2), 183–187. https://doi.org/10.30795/jfootankle.2021.v15.1558