Surgical Treatment of Peroneus Longus Tendon Rupture after Ostectomy of Peroneus Tubercle of Calcaneus: A Case Report

Jin-Young Lee; Gab-Lae Kim; Min Jung; Eui-Soo Lee; Jae-Woo Kwon; Dong-Yeon Seo

doi:10.14193/jkfas.2014.18.2.72

Journal List > J Korean Foot Ankle Soc > v.18(2) > 1043335

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Lee, Kim, Jung, Lee, Kwon, and Seo: Surgical Treatment of Peroneus Longus Tendon Rupture after Ostectomy of Peroneus Tubercle of Calcaneus: A Case Report

Case Report

J Korean Foot Ankle Soc 2014;18(2):72-75.

Published online: 10 June 2014

DOI: https://doi.org/10.14193/jkfas.2014.18.2.72

Surgical Treatment of Peroneus Longus Tendon Rupture after Ostectomy of Peroneus Tubercle of Calcaneus: A Case Report

Jin-Young Lee, Gab-Lae Kim, Min Jung, Eui-Soo Lee, Jae-Woo Kwon, Dong-Yeon Seo

Department of Orthopaedic Surgery, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea

Corresponding Author: Gab-Lae Kim Department of Orthopaedic Surgery, Hallym University Kangdong Sacred Heart Hospital, 150 Seongan-ro, Gangdong-gu, Seoul 134-701, Korea Tel: 82-2-2224-2230, Fax: 82-2-489-4391, E-mail: kiga9@hallym.or.kr

Received 31 March 2014 Revised 25 April 2014 Accepted 28 April 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

We experienced a patient in whom rupture of the peroneus longus tendon occurred after ostectomy of the peroneus tubercle of the calcaneus. Acute rupture of the peroneus tendon can be managed by end-to-end anastomosis, while neglected cases can be treated by tenodesis, tendon transfer, or tendon graft. In the current patient, the tendon ends were mildly retracted, yielding a small gap. We successfully repaired the retracted tendon ends after lengthening by Z-plasty.

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Keywords: Peroneus longus tendon, Tendon lengthening, Tenorrhaphy

References

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Figure 1.

(A) Peroneus tubercle (white arrow) was seen in the three-dimensional reconstructed images of computed tomography performed before ostectomy of peroneus tubercle of calcaneus. (B) Irregular surface of peroneus tubercle stump (white arrow) was shown in the three-dimensional reconstructed images of computed tomography performed after ostectomy.

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Figure 2.

(A) Peroneus brevis tendon (white arrow) was found intact, but the continuity of peroneus longus tendon was not shown below the peroneus brevis tendon. (B) Distal stump of the ruptured peroneus longus tendon (white arrow) was found at the undersurface of the cuboid.

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Figure 3.

(A) Peroneus longus tendon (white arrow) was totally ruptured. (B) Peroneus brevis tendon and sural nerve (white arrow) were intact.

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Figure 4.

Peroneus longus tendon (white arrow) was repaired.

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Figure 5.

The continuity of repaired peroneus longus tendon (white arrow) was confirmed below the peroneus brevis tendon (arrowhead) in the coronal plane of the postoperative magnetic resonance imaging.

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