Non-operative treatment of peroneal tendon dislocations: A systematic review

Daniel Bakker; Jan B Schulte; Duncan E Meuffels; Tom M Piscaer

doi:10.1016/j.jor.2019.08.031

Non-operative treatment of peroneal tendon dislocations: A systematic review

J Orthop. 2019 Aug 29:18:255-260. doi: 10.1016/j.jor.2019.08.031. eCollection 2020 Mar-Apr.

Authors

Daniel Bakker¹, Jan B Schulte¹, Duncan E Meuffels¹, Tom M Piscaer¹

Affiliation

¹ Department of Orthopaedic Surgery, Erasmus MC Rotterdam, University Medical Center Rotterdam, Dr. Molewaterplein 40, 3015GD Rotterdam, the Netherlands.

Abstract

Purpose: This study evaluated the clinical outcome of non-operative treatment of peroneal tendon dislocations.

Methods: A systematic review of literature was performed.

Results: Six studies were included. Redislocation rates differed between treatments: taping ≥ 3 weeks; 18/30 (60%) patients. Plaster cast ≥ 4 weeks; 5/13 (32%) plaster cast ≥ 6 weeks; 1/6 (17%). Strapping or taping treatment indicated a higher rate of pain and instability and a lower rate of ability to return to former activity.

Conclusions: A non-weight bearing cast ≥ 6 weeks was successful in 5/6 patients. A non-weight bearing cast might be a good alternative for surgical intervention.Level of Clinical Evidence: Level IV, systematic review of level IV studies.

Keywords: Dislocation; Luxation; Non-operative therapy; Peroneal; Peroneal tendons; Subluxation.

Publication types

Review