Treatment of peroneal @entity924 and coexisting medial and lateral XXXX in the ankle joint.

@entity1 @entity924 @entity10089 @entity130
PURPOSE: Acute dislocation of the peroneal tendon is caused by massive combined flexion-torsion @entity130 supported by preexisting @entity10089 of the ankle joint. This study aimed to investigate the clinical outcome of combined treatment of peroneal @entity924 and lateral and medial @entity10089 . METHODS: Between 2005 and 2007, forty-two @entity1 with peroneal @entity924 and coexisting @entity10089 were treated. The superior extensor retinaculum was reconstructed using anchor technique and periosteal flap repair, whereas the preexisting @entity10089 with regard to the extensor inferior retinaculum was addressed using anchor reconstruction. All @entity1 underwent arthroscopy prior to surgery. Thirty-eight of a total of 42 @entity1 (aged 17-31) completed the 24-month follow-up. Clinical and arthroscopic examination was accomplished consistently by always the same two surgeons. Postoperative follow-up comprised clinical evaluation after 3, 6, 12 and 24 months. RESULTS: Clinical results showed a significant (P<0.0001) increase in the AOFAS-Hindfoot Score as an often used but not validated outcome measure, as well as a significant decrease in the Visual Analogue Scale and in the internal and external rotation, after 3 months. The clinical outcome was confirmed at the 6-, 12- and 24-months measuring points. No dislocation of the peroneal tendon recurred within the 24-month follow-up. Subjective @entity1 satisfaction was stated as high. CONCLUSIONS: Combined treatment of peroneal @entity924 and coexisting lateral and medial @entity10089 in the ankle joint following arthroscopy results in good clinical outcome and high @entity1 satisfaction. LEVEL OF EVIDENCE: Case series, Level IV.
