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subluxation of peroneal tendon
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subluxation of peroneal tendon - January 30, 2005 7:14:00 AM
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whiskers182
Posts: 2
Joined: January 29, 2005
From: urbana, illinois
Status: offline
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hi, my name is sarah, i was just wondering if anyone here has had a subluxation of their peroneal tendon? the doctor says i need surgery. i just just wondering if anyone had experience with this?? what was the treatment like? more later
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Re: subluxation of peroneal tendon - January 30, 2005 8:29:00 AM
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Synergy
Posts: 592
Joined: March 11, 2004
From: Texas
Status: offline
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Hi Sarah! I've never had this type of injury before, but I may be able to offer you a bit of info. There are several surgical procedures that can be performed with this type of injury, but one of the most common is deepening of the peroneal groove, just under the outside of your ankle. With this procedure, the surgeon creates a larger groove and this is turn will 'house' the tendons more efficiently.
Quite a few surgeons tend to try a non-operative approach first by reducing the inflammation of the tendons. They will usually place you in a below-the-knee cast for about 6 weeks and provide you with some anti-inflammatory meds. However, if you are very active, i.e. an athlete, the chances of subluxing again are pretty high.
Hope this helps!
_____________________________
Chris Adams, PT, MPT
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Re: subluxation of peroneal tendon - January 30, 2005 8:51:00 AM
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whiskers182
Posts: 2
Joined: January 29, 2005
From: urbana, illinois
Status: offline
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ok, the doctor told me about the casting it up for 6-10 weeks, but he also said that he thinks it wouldnt help me because i have had this for years now. he thinks surgery would be the best option, do u know if after surgery how long ill be in a cast? do u think this surgery will help me?
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Re: subluxation of peroneal tendon - January 30, 2005 9:52:00 AM
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PTupdate.com
Posts: 1474
Joined: October 8, 2001
From: Pittsburgh, PA USA
Status: offline
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You might want to hit the library and dig up this article:
TRAUMATIC PERONEAL TENDON INSTABILITY. The American Journal of Sports Medicine, Vol. 24, NO. 5, September/October 1996.
The general concensus is that surgery is the requirement, except in certain instances. The more you snap that tendon over the bone, the more damage you can incur.
Duffy
_____________________________
John M. Duffy, PT
Board Certified Orthopaedic Clinical Specialist
www.PTupdate.com
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Re: subluxation of peroneal tendon - January 30, 2005 2:38:00 PM
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ptace
Posts: 85
Joined: January 20, 2001
From: Illinois
Status: offline
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Hey Sarah,
I have actually had a pretty severe peroneal subluxation when I was in college. I played soccer at a D1 school, so I had access to the very best care. It happened when I went to kick the ball and caught the toe of my shoe on the ground and I then fell forward. I was very lucky that they caught it very early, I was in a cast for 6 weeks NWB, and then a walking boot for another 6 weeks progressing to FWB. The goal was to allow scar tissue to form to keep the tendons in place. I then started aggressive rehab. When I returned the trainers taped my ankle in a special way to hold the tendons down. Today, I only have problems when I run on very hard surfaces, or play indoor soccer.
If you interested look up what Curt Schilling went through in order to play in the world series.
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Re: subluxation of peroneal tendon - January 30, 2005 2:42:00 PM
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FLAOrthoPT
Posts: 1011
Joined: May 8, 2004
From: West Palm Beach
Status: offline
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go red sox
oh and go pats
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