Traumatic Dislocation of the Peroneal Tendons Treated by Immobilization -A Case Report

• Published in: Orthopedics & Traumatology Vol. 33; no. 3; pp. 722 - 725
• Main Authors: Shimizu, Katsuji, Awaya, Goro, Matsuda, Fumihide, Wakita, Shigeaki, Mayekawa, Masaki
• Format: Journal Article
• Language: English
• Published: West-Japanese Society of Orthopedics & Traumatology 1985
• ISSN: 0037-1033; 1349-4333
• DOI: 10.5035/nishiseisai.33.722

There are an increasing number of reports of traumatic dislocation of peroneal tendones, formerly believed to be rare, as a result of sports accidents. Most of them are diagnosed late and treated surgically. Although conservative treatment for acute cases is described in standard orthopedic textbooks, few successful cases have actually been reported. There is no established theory as for how old injuries could be managed conservatively, as for the method and duration of immobilization and as for the necessity of non-weight-bearing. A case of traumatic dislocation of the peroneal tendons is presented in which immobilization was started on the twelfth day following injury and continued for 31/2 moths permitting weight-bearing. The patient, a 24 year-old dental student, who sustained a dorsiflexioninversion injury from skiing, returned to sports activities such as water skiing at 5 1/2 months and regained full ROM at 8 months. He was assymptomatic in the 16th month of follow-up. Several problems about conservative tratment of this condition are discussed.