Peroneus Brevis Split Tear with Surgical Repair and Removal of Torn Tendon Portion. (below)
Partial Tear Peroneus Brevis Tendon. (below)
Removal of Torn portion and debulking of tendon. (below)
Final Placement of Peroneal Tendons back in the fibular groove and suture replacement for repair of Superior Peroneal Retinaculum and Tendon Sheath. (below)
Below, Peroneal Tear with Low lying muscle belly. The muscle belly is removed and bulked to allow gliding and reduce congestion.
The muscle belly is seen at the right and closure of the sheath on the left and bottom pics.
Below, dislocated peroneal tendons are being repaired and reduced to the anatomic location.
The tendons are dislocated to the outside of the fibula instead of behind.
These are intraoperative pics of a woman who traumatically dislocated her peroneal tendons in a fall.
These are pics of the peroneus longus dislocated over the fibula. The instrument on the bottom is pointing towards the tendon. The instrument on the top left is showing where the tendon should be.
This is a pic of us relocating the tendons.
The following pic is of us debriding the side of the fibula to allow the ligament and tissue to connect to the fibula during healing so the tendons do not dislocate.
This is a pic of the suture passing through the fibula to attach the retinaculum and tissue so the peroneal tendons do not dislocate or sublux.
This is a final pic of the repair
Pics of repair of peroneal retinaculum for dislocating peroneal tendons
The sutures can be seen prior to repair
The retinaculum is repaired through drill holes in the fibula and the sutures are woven through the bone
Pic after complete repair
Bulbous thickening of peroneus brevis with split thickness tear
The bulbous portion is removed and the remainder of the tendon is repaired back onto itself.
Below, Split thickness tear before and after excision of a portion of the tear
Below, Flattening of Peroneus Brevis before and after repair
Below, Split tear of peroneus brevis before and after repair
Below, Bulbous thickening of the Peroneal tendon
Bulbous thickening of the tendon noted
The tear inside the bulbous thickening is resected and the tendon is repaired onto itself
This is a picture of the CFL being repaired with suture during peroneal tendon repair
Below, Intraop Pics of intrasubstance tear of Peroneus Longus with excision of low lying muscle belly, tear and repair
Below, Intraop Pics of intrasubstance tear of peroneus longus with repair
Below, Intraop pics of low lying muscle belly of peroneus brevis
Pic of CFL behind the peroneal tendons
Below, Pic of low lying muscle belly resection of the peroneus brevis which causes pain due to congestion.
Pics of repair of a traumatic laceration of the peroneus brevis
Pic of the suture of the adjacent side of tear prior to reapposition
Pic of apposition of tendon edges
Split Tear of Peroneus Brevis during repair
Split tear of Peroneus Brevis
Visualization of the tear
The portion diseased tendon removed
After the removal of tissue, the tendon sits nicely behind the groove and the area is debulked
Pic during debulking of peroneus brevis muscle and tendon
Split tear of P. Brevis
Pic after repair. The sutures can be seen in the tendon post repair
Intrasubstance tear of Peroneus brevis
Portion of diseased tendon excised
Pic Post repair
Split tear of peroneus brevis during repair
Portion of tendon excised
Pic after repair
Pics of split tear of peroneus brevis
Pics of split tears of peroneus brevis
Pic of intrasubstance tear and boomeranging of peroneus brevis tendon
Pics after debaulking of tendon and repair
Pic of Split tear of the Peroneus Brevis and section that was removed. This is caused by the Peroneus longus constantly pushing the Brevis into the back of the fibula. It can be due to repeated microtrauma or one isolated traumatic event, i.e. ankle sprain or fracture).
Pic of Split tear of the Peroneus Brevis and section that was removed. This is caused by the Peroneus longus constantly pushing the Brevis into the back of the fibula. There was also a low lying muscle belly of the Brevis that was removed with the damaged tendon. This can be seen at the left side of the removed tendon. The tear can be due to repeated microtrauma or one isolated traumatic event, i.e. ankle sprain or fracture).
Split Tear of the Peroneus Brevis
The torn damaged portion is removed and the tendon is repaired onto itself
Intrasubstance tear with bulbous thickening before and after repair
The torn damaged portion is removed and the tendon is repaired onto itself
Below, Peroneal Tendon Tear with low-lying muscle belly that is being removed in the 3rd pic. The tendon is then repaired and tubularized.
Intrasheath subluxation of Peroneal Tendons with Split tear of tendon
Revision of other surgeon's allograft application for prior Peroneal repair