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Pim A D Van Dijk - One of the best experts on this subject based on the ideXlab platform.
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the esska afas international consensus statement on Peroneal Tendon pathologies
Knee Surgery Sports Traumatology Arthroscopy, 2018Co-Authors: Pim A D Van Dijk, David Miller, James D F Calder, Christopher W Digiovanni, John G Kennedy, Gino M M J Kerkhoffs, Akos Kynsburtg, Daniel HavercampAbstract:Peroneal Tendon injuries are a significant cause of lateral ankle symptoms in the active population. Accurate diagnosis and prompt treatment is important for minimizing the risk of long-term sequelae associated with chronic Peroneal tendinopathy. Although several studies have been published on diagnostic strategies and treatment outcomes, there is no consensus on the optimal management of Peroneal Tendon pathologies. The purpose of this ESSKA-AFAS consensus statement was to conduct an international and multidisciplinary agreed guideline on management of patients with Peroneal Tendon pathologies. Using the Nominal Group Technique, a panel comprised of sixteen specialists spanning nine countries was convened by the ESSKA-AFAS board. In preparation for the meeting, relevant questions were identified and supported by a systematic literature search. During the meeting, the panel members gave presentations on each question, and the evidence supporting each subject was then vetted by open discussion. Statements were thereafter adjusted on the basis of the discussion and voted upon to determine consensus using a 0–10 range Likert scale. Agreement was confirmed when a mean score of at least 7.5 was reached. This ESSKA-AFAS consensus statement on the optimal management of Peroneal Tendon pathologies is the result of international and multidisciplinary agreement combined with a systematic review of the literature. V.
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retromalleolar groove deepening in recurrent Peroneal Tendon dislocation technique tip
Orthopaedic Journal of Sports Medicine, 2017Co-Authors: Pim A D Van Dijk, Christopher W Digiovanni, Bryan G Vopat, Daniel Guss, Alastair YoungerAbstract:Peroneal Tendon dislocations are most prevalent in the active and athletic population, so accurate diagnosis and management are essential for optimal return of function. Although many nonoperative and surgical management options have been described, the optimal treatment method continues to be debated. In this technique article, a modified retromalleolar groove-deepening technique is described for addressing all anatomic variations of the posterior distal fibula and retromalleolar groove without unduly disturbing the important anatomic facets meant for retention in this region. This technique is indicated for chronic dislocated Peroneal Tendons, recurrent dislocating Peroneal Tendons, and dislocation of the Tendons after acute injury with a shallow fibular Peroneal groove. Although it remains unclear what effect a cortically abraded fibular gliding surface or forceful cortical impaction on the fibrocartilage gliding surface might have on Peroneal Tendon integrity and function long term, it would seem preferable to avoid such techniques if reliable alternatives are available.
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return to sports and clinical outcomes in patients treated for Peroneal Tendon dislocation a systematic review
Knee Surgery Sports Traumatology Arthroscopy, 2016Co-Authors: Pim A D Van Dijk, Gino M M J Kerkhoffs, Arianna L Gianakos, John G KennedyAbstract:Purpose The aim of this study was to determine the outcome following different surgical treatment techniques in the treatment of Peroneal Tendon dislocation and to establish whether return to sports was achieved universally following the procedures.
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functional outcomes after Peroneal tendoscopy in the treatment of Peroneal Tendon disorders
Knee Surgery Sports Traumatology Arthroscopy, 2016Co-Authors: John G Kennedy, Pim A D Van Dijk, Christopher W Digiovanni, Christopher D Murawski, Gavin L Duke, Hunter Newman, Youichi YasuiAbstract:The primary purpose of this study was to evaluate clinical outcomes following Peroneal tendoscopy for the treatment of Peroneal pathology. Correlation between pre-operative magnetic resonance imaging (MRI) and Peroneal tendoscopic diagnostic findings was also assessed. Twenty-three patients with a mean age of 34 ± 8.8 years undergoing Peroneal tendoscopy were pre- and post-operatively assessed with the foot and ankle outcome score (FAOS) and the Short Form-12 (SF-12) outcome questionnaires. Follow-up was over 24 months in all patients. The sensitivity and specificity of MRI were calculated in comparison with Peroneal tendoscopy, including the positive predictive value (PPV). Both the FAOS and the SF-12 improved significantly (p < 0.05) at a mean follow-up of 33 ± 7.3 months significantly. MRI showed an overall sensitivity of 0.90 (95 % confidence interval (CI) = 0.82–0.95) and specificity of 0.72 (95 % CI 0.62–0.80). The PPV for MRI diagnosis of Peroneal Tendon pathology was 0.76 (95 % CI 0.68–0.83). The current study found good clinical outcomes in patients with Peroneal Tendon disorders, treated with Peroneal tendoscopy. Although a relatively small number of patients were included, the study suggests good correlation between tendoscopic findings and pre-operative MRI findings of Peroneal Tendon pathology, supporting the use of MRI as a useful diagnostic modality for suspected Peroneal Tendon disorders. Level IV, retrospective case series.
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rehabilitation after surgical treatment of Peroneal Tendon tears and ruptures
Knee Surgery Sports Traumatology Arthroscopy, 2016Co-Authors: Pim A D Van Dijk, Christopher W Digiovanni, Gino M M J Kerkhoffs, Bart Lubberts, Claire VerheulAbstract:Purpose The purpose of this study was to provide an overview of the available evidence on rehabilitation programmes after operatively treated patients with Peroneal Tendon tearsand ruptures.
Christopher W Digiovanni - One of the best experts on this subject based on the ideXlab platform.
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immobilization and rehabilitation after surgical treatment of Peroneal Tendon tears and ruptures
2020Co-Authors: P A D Van Dijk, Christopher W Digiovanni, A Tanriover, Gregory R Waryasz, Peter KvardaAbstract:Peroneal Tendon injuries are a common cause of posterolateral ankle pain in active patients. When conservative management fails to improve symptoms surgery is an option, followed by an appropriately tailored rehabilitation program, which is essential for optimal recovery and (early) return to sports. While early range of motion is important to prevent tethering of the Tendon(s), progression to full weight bearing depends on both the nature of the pathology and the type of treatment (tendoscopic or open, with or without repair of the superior Peroneal retinaculum). After immobilization, strengthening of the Tendons by physiotherapy is recommended.
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the esska afas international consensus statement on Peroneal Tendon pathologies
Knee Surgery Sports Traumatology Arthroscopy, 2018Co-Authors: Pim A D Van Dijk, David Miller, James D F Calder, Christopher W Digiovanni, John G Kennedy, Gino M M J Kerkhoffs, Akos Kynsburtg, Daniel HavercampAbstract:Peroneal Tendon injuries are a significant cause of lateral ankle symptoms in the active population. Accurate diagnosis and prompt treatment is important for minimizing the risk of long-term sequelae associated with chronic Peroneal tendinopathy. Although several studies have been published on diagnostic strategies and treatment outcomes, there is no consensus on the optimal management of Peroneal Tendon pathologies. The purpose of this ESSKA-AFAS consensus statement was to conduct an international and multidisciplinary agreed guideline on management of patients with Peroneal Tendon pathologies. Using the Nominal Group Technique, a panel comprised of sixteen specialists spanning nine countries was convened by the ESSKA-AFAS board. In preparation for the meeting, relevant questions were identified and supported by a systematic literature search. During the meeting, the panel members gave presentations on each question, and the evidence supporting each subject was then vetted by open discussion. Statements were thereafter adjusted on the basis of the discussion and voted upon to determine consensus using a 0–10 range Likert scale. Agreement was confirmed when a mean score of at least 7.5 was reached. This ESSKA-AFAS consensus statement on the optimal management of Peroneal Tendon pathologies is the result of international and multidisciplinary agreement combined with a systematic review of the literature. V.
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retromalleolar groove deepening in recurrent Peroneal Tendon dislocation technique tip
Orthopaedic Journal of Sports Medicine, 2017Co-Authors: Pim Van Dijk, Christopher W Digiovanni, Bryan G Vopat, Daniel Guss, Alastair YoungerAbstract:Peroneal Tendon dislocations are most prevalent in the active and athletic population, so accurate diagnosis and management are essential for optimal return of function. Although many nonoperative ...
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retromalleolar groove deepening in recurrent Peroneal Tendon dislocation technique tip
Orthopaedic Journal of Sports Medicine, 2017Co-Authors: Pim A D Van Dijk, Christopher W Digiovanni, Bryan G Vopat, Daniel Guss, Alastair YoungerAbstract:Peroneal Tendon dislocations are most prevalent in the active and athletic population, so accurate diagnosis and management are essential for optimal return of function. Although many nonoperative and surgical management options have been described, the optimal treatment method continues to be debated. In this technique article, a modified retromalleolar groove-deepening technique is described for addressing all anatomic variations of the posterior distal fibula and retromalleolar groove without unduly disturbing the important anatomic facets meant for retention in this region. This technique is indicated for chronic dislocated Peroneal Tendons, recurrent dislocating Peroneal Tendons, and dislocation of the Tendons after acute injury with a shallow fibular Peroneal groove. Although it remains unclear what effect a cortically abraded fibular gliding surface or forceful cortical impaction on the fibrocartilage gliding surface might have on Peroneal Tendon integrity and function long term, it would seem preferable to avoid such techniques if reliable alternatives are available.
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functional outcomes after Peroneal tendoscopy in the treatment of Peroneal Tendon disorders
Knee Surgery Sports Traumatology Arthroscopy, 2016Co-Authors: John G Kennedy, Pim A D Van Dijk, Christopher W Digiovanni, Christopher D Murawski, Gavin L Duke, Hunter Newman, Youichi YasuiAbstract:The primary purpose of this study was to evaluate clinical outcomes following Peroneal tendoscopy for the treatment of Peroneal pathology. Correlation between pre-operative magnetic resonance imaging (MRI) and Peroneal tendoscopic diagnostic findings was also assessed. Twenty-three patients with a mean age of 34 ± 8.8 years undergoing Peroneal tendoscopy were pre- and post-operatively assessed with the foot and ankle outcome score (FAOS) and the Short Form-12 (SF-12) outcome questionnaires. Follow-up was over 24 months in all patients. The sensitivity and specificity of MRI were calculated in comparison with Peroneal tendoscopy, including the positive predictive value (PPV). Both the FAOS and the SF-12 improved significantly (p < 0.05) at a mean follow-up of 33 ± 7.3 months significantly. MRI showed an overall sensitivity of 0.90 (95 % confidence interval (CI) = 0.82–0.95) and specificity of 0.72 (95 % CI 0.62–0.80). The PPV for MRI diagnosis of Peroneal Tendon pathology was 0.76 (95 % CI 0.68–0.83). The current study found good clinical outcomes in patients with Peroneal Tendon disorders, treated with Peroneal tendoscopy. Although a relatively small number of patients were included, the study suggests good correlation between tendoscopic findings and pre-operative MRI findings of Peroneal Tendon pathology, supporting the use of MRI as a useful diagnostic modality for suspected Peroneal Tendon disorders. Level IV, retrospective case series.
Youichi Yasui - One of the best experts on this subject based on the ideXlab platform.
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incidence of reoperation and wound dehiscence in patients treated for Peroneal Tendon dislocations comparison between osteotomy versus soft tissue procedures
Knee Surgery Sports Traumatology Arthroscopy, 2018Co-Authors: Christopher D Murawski, Youichi Yasui, Khushdeep S Vig, Ichiro Tonogai, Chun Wai HungAbstract:There is a lack of substantial clinical evidence endorsing the clinical outcomes of osteotomy for Peroneal Tendon dislocations. The aim of this study was to compare the post-operative reoperation rates following osteotomy techniques and soft tissues procedures using large database in order to investigate the efficacy of bony techniques. Patients who underwent osteotomy and soft tissue procedures for Peroneal Tendon dislocations were identified and subsequently analysed using the United Healthcare Orthopedic and the Medicare datasets (PearlDiver Patient Record Database, PearlDiver Technologies Inc., Fort Wayne, IN). The investigated period was from 2005 to 2012. The annual incidence, gender distribution, and incidences of reoperation and wound dehiscence following primary operative procedures were determined in these cohorts. Of 6122 patients who received operative treatment for Peroneal Tendon dislocations, 1416 patients (23.1%) received the osteotomy technique, while 4706 (76.9%) were treated with the soft tissue techniques. The incidence of these operative procedures did not change significantly over the time periods of each database. In both databases, reoperation rates were 2.8% (40/1416) for osteotomy patients and 3.4% (158/4706) for soft tissue repair patients, with no statistical difference (2.8 vs. 3.4%. odds ratio 0.8, 95% confidence interval [CI] 0.6–1.2, [n.s.]) between them. Based on both databases, wound dehiscence occurred in 2.6% (37/1416) of the osteotomy patients and 2.3% (110/4706) of soft tissue repair patients with no statistical difference (2.6 vs. 2.3%, odds ratio 1.1, 95% CI 0.8–1.6, [n.s.]) between the groups. The results of this study show that osteotomy techniques were frequently performed for patients with Peroneal Tendon dislocations. Nevertheless, osteotomy techniques for Peroneal Tendon dislocations are not associated with a lower risk of reoperation. In conclusion, soft tissue procedures offer a satisfactory method of treating Peroneal Tendon dislocations without any additional risk of reoperation when compared to osteotomy techniques that have potentially greater complication rates. III.
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functional outcomes after Peroneal tendoscopy in the treatment of Peroneal Tendon disorders
Knee Surgery Sports Traumatology Arthroscopy, 2016Co-Authors: John G Kennedy, Pim A D Van Dijk, Christopher W Digiovanni, Christopher D Murawski, Gavin L Duke, Hunter Newman, Youichi YasuiAbstract:The primary purpose of this study was to evaluate clinical outcomes following Peroneal tendoscopy for the treatment of Peroneal pathology. Correlation between pre-operative magnetic resonance imaging (MRI) and Peroneal tendoscopic diagnostic findings was also assessed. Twenty-three patients with a mean age of 34 ± 8.8 years undergoing Peroneal tendoscopy were pre- and post-operatively assessed with the foot and ankle outcome score (FAOS) and the Short Form-12 (SF-12) outcome questionnaires. Follow-up was over 24 months in all patients. The sensitivity and specificity of MRI were calculated in comparison with Peroneal tendoscopy, including the positive predictive value (PPV). Both the FAOS and the SF-12 improved significantly (p < 0.05) at a mean follow-up of 33 ± 7.3 months significantly. MRI showed an overall sensitivity of 0.90 (95 % confidence interval (CI) = 0.82–0.95) and specificity of 0.72 (95 % CI 0.62–0.80). The PPV for MRI diagnosis of Peroneal Tendon pathology was 0.76 (95 % CI 0.68–0.83). The current study found good clinical outcomes in patients with Peroneal Tendon disorders, treated with Peroneal tendoscopy. Although a relatively small number of patients were included, the study suggests good correlation between tendoscopic findings and pre-operative MRI findings of Peroneal Tendon pathology, supporting the use of MRI as a useful diagnostic modality for suspected Peroneal Tendon disorders. Level IV, retrospective case series.
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Peroneal Tendon disorders icl 14
2016Co-Authors: Pim A D Van Dijk, Christopher W Digiovanni, John G Kennedy, Christopher D Murawski, Youichi Yasui, Pieter Dhooghe, Gino M M J KerkhoffsAbstract:Peroneal Tendon pathologies account for a substantial amount of posterolateral ankle complaints and typically occur after recurrent ankle sprains due to chronic lateral ankle instability or overuse [12, 23, 51, 58]. With an important role in the lateral stabilization of the ankle, more strain is put on the Peroneal Tendons in cases of chronic instability. During inversion, the peroneus brevis Tendon may become impinged between the peroneus longus Tendon and the fibula, resulting in hypertrophic tendinopathy and eventually tearing of the Tendon [12, 51]. Three primary categories of pathology can be distinguished: (1) tendinopathy (tendinitis, tenosynovitis, tendinopathy, and stenosis), (2) subluxation and dislocation, and (3) partial or complete tears [9, 12, 63]. Predisposing factors for Peroneal tendinopathies include malalignment of the ankle or hindfoot, psoriatic arthritis, rheumatoid arthritis, hyperparathyroidism, diabetic neuropathy, calcaneal fractures, local steroid injections, and fluoroquinolone use [6, 7, 42, 64, 65, 71].
Christopher D Murawski - One of the best experts on this subject based on the ideXlab platform.
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incidence of reoperation and wound dehiscence in patients treated for Peroneal Tendon dislocations comparison between osteotomy versus soft tissue procedures
Knee Surgery Sports Traumatology Arthroscopy, 2018Co-Authors: Christopher D Murawski, Youichi Yasui, Khushdeep S Vig, Ichiro Tonogai, Chun Wai HungAbstract:There is a lack of substantial clinical evidence endorsing the clinical outcomes of osteotomy for Peroneal Tendon dislocations. The aim of this study was to compare the post-operative reoperation rates following osteotomy techniques and soft tissues procedures using large database in order to investigate the efficacy of bony techniques. Patients who underwent osteotomy and soft tissue procedures for Peroneal Tendon dislocations were identified and subsequently analysed using the United Healthcare Orthopedic and the Medicare datasets (PearlDiver Patient Record Database, PearlDiver Technologies Inc., Fort Wayne, IN). The investigated period was from 2005 to 2012. The annual incidence, gender distribution, and incidences of reoperation and wound dehiscence following primary operative procedures were determined in these cohorts. Of 6122 patients who received operative treatment for Peroneal Tendon dislocations, 1416 patients (23.1%) received the osteotomy technique, while 4706 (76.9%) were treated with the soft tissue techniques. The incidence of these operative procedures did not change significantly over the time periods of each database. In both databases, reoperation rates were 2.8% (40/1416) for osteotomy patients and 3.4% (158/4706) for soft tissue repair patients, with no statistical difference (2.8 vs. 3.4%. odds ratio 0.8, 95% confidence interval [CI] 0.6–1.2, [n.s.]) between them. Based on both databases, wound dehiscence occurred in 2.6% (37/1416) of the osteotomy patients and 2.3% (110/4706) of soft tissue repair patients with no statistical difference (2.6 vs. 2.3%, odds ratio 1.1, 95% CI 0.8–1.6, [n.s.]) between the groups. The results of this study show that osteotomy techniques were frequently performed for patients with Peroneal Tendon dislocations. Nevertheless, osteotomy techniques for Peroneal Tendon dislocations are not associated with a lower risk of reoperation. In conclusion, soft tissue procedures offer a satisfactory method of treating Peroneal Tendon dislocations without any additional risk of reoperation when compared to osteotomy techniques that have potentially greater complication rates. III.
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functional outcomes after Peroneal tendoscopy in the treatment of Peroneal Tendon disorders
Knee Surgery Sports Traumatology Arthroscopy, 2016Co-Authors: John G Kennedy, Pim A D Van Dijk, Christopher W Digiovanni, Christopher D Murawski, Gavin L Duke, Hunter Newman, Youichi YasuiAbstract:The primary purpose of this study was to evaluate clinical outcomes following Peroneal tendoscopy for the treatment of Peroneal pathology. Correlation between pre-operative magnetic resonance imaging (MRI) and Peroneal tendoscopic diagnostic findings was also assessed. Twenty-three patients with a mean age of 34 ± 8.8 years undergoing Peroneal tendoscopy were pre- and post-operatively assessed with the foot and ankle outcome score (FAOS) and the Short Form-12 (SF-12) outcome questionnaires. Follow-up was over 24 months in all patients. The sensitivity and specificity of MRI were calculated in comparison with Peroneal tendoscopy, including the positive predictive value (PPV). Both the FAOS and the SF-12 improved significantly (p < 0.05) at a mean follow-up of 33 ± 7.3 months significantly. MRI showed an overall sensitivity of 0.90 (95 % confidence interval (CI) = 0.82–0.95) and specificity of 0.72 (95 % CI 0.62–0.80). The PPV for MRI diagnosis of Peroneal Tendon pathology was 0.76 (95 % CI 0.68–0.83). The current study found good clinical outcomes in patients with Peroneal Tendon disorders, treated with Peroneal tendoscopy. Although a relatively small number of patients were included, the study suggests good correlation between tendoscopic findings and pre-operative MRI findings of Peroneal Tendon pathology, supporting the use of MRI as a useful diagnostic modality for suspected Peroneal Tendon disorders. Level IV, retrospective case series.
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Peroneal Tendon disorders icl 14
2016Co-Authors: Pim A D Van Dijk, Christopher W Digiovanni, John G Kennedy, Christopher D Murawski, Youichi Yasui, Pieter Dhooghe, Gino M M J KerkhoffsAbstract:Peroneal Tendon pathologies account for a substantial amount of posterolateral ankle complaints and typically occur after recurrent ankle sprains due to chronic lateral ankle instability or overuse [12, 23, 51, 58]. With an important role in the lateral stabilization of the ankle, more strain is put on the Peroneal Tendons in cases of chronic instability. During inversion, the peroneus brevis Tendon may become impinged between the peroneus longus Tendon and the fibula, resulting in hypertrophic tendinopathy and eventually tearing of the Tendon [12, 51]. Three primary categories of pathology can be distinguished: (1) tendinopathy (tendinitis, tenosynovitis, tendinopathy, and stenosis), (2) subluxation and dislocation, and (3) partial or complete tears [9, 12, 63]. Predisposing factors for Peroneal tendinopathies include malalignment of the ankle or hindfoot, psoriatic arthritis, rheumatoid arthritis, hyperparathyroidism, diabetic neuropathy, calcaneal fractures, local steroid injections, and fluoroquinolone use [6, 7, 42, 64, 65, 71].
Patrick R Burns - One of the best experts on this subject based on the ideXlab platform.
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magnetic resonance imaging analysis of Peroneal Tendon pathology associated with low lying peroneus brevis muscle belly a case control study
Foot and Ankle Specialist, 2015Co-Authors: Peter Highlander, Kyle T Pearson, Patrick R BurnsAbstract:Background. Low-lying peroneus brevis Tendon muscle belly has been speculated to be an associated factor with symptomatic Peroneal Tendon pathology. Multiple studies have analyzed normal and anomalous anatomy associated with Peroneal Tendon pathology; however, no study has confirmed the clinical association between Peroneal Tendon pathology and low-lying peroneus brevis muscle belly. Purpose. To identify the correlation of low-lying peroneus brevis muscle belly with Peroneal Tendon pathology. Study Design. Case-control study; Level of evidence 3. Methods. The level of peroneus brevis muscle belly was compared between patients with symptomatic Peroneal Tendon pathology (experimental group) and asymptomatic individuals with otherwise normal lateral ankle using magnetic resonance images. Results. Of the 32 consecutive patients with symptomatic Peroneal Tendon pathology, 28 (87.5%) demonstrated peroneus brevis muscle distal to the fibular groove while 53.8% of control patients demonstrated such findings (P = ...