Peroneal tendon irritation after arthroscopic modified Brostrom procedure A case reportopen access
- Authors
- Lee, Young Koo; Lee, Hong Seop; Cho, Whi Je; Won, Sung Hun; Kim, Chang Hyun; Kim, Hyun Kwon; Ryu, Aeli; Kim, Woo Jong
- Issue Date
- Dec-2019
- Publisher
- Lippincott Williams & Wilkins Ltd.
- Keywords
- arthroscopic modified Brostrom procedure; peroneal tendon irritation; suture knot irritation
- Citation
- Medicine, v.98, no.51
- Journal Title
- Medicine
- Volume
- 98
- Number
- 51
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/3818
- DOI
- 10.1097/MD.0000000000018424
- ISSN
- 0025-7974
1536-5964
- Abstract
- Rationale: With the development of ankle arthroscope techniques and procedures, the number of arthroscopic modified Brostrom procedures (MBPs) is increasing. All-inside arthroscopic MBP was developed recently, with good to excellent results. However, several complications have been reported in patients after arthroscopic MBP. This case report describes a rare complication of arthroscopic MBP. Patient concerns: A 34-year-old woman presented with severe pain in her right ankle and underwent arthroscopic MBP for lateral ankle instability. About 6 months postoperatively, she presented with severe pain on the lateral aspect of the right ankle, especially while walking. Diagnosis: In physical examinations, there was marked swelling around the ankle and focal tenderness in the posterolateral malleolar area. Ankle ultrasonography showed a diffuse low-echoic mass-like lesion at the distal fibula between the fibular tip and peroneus tendon. T1-weighted sagittal magnetic resonance imaging images showed an irregularly shaped mass-like lesion with a heterogeneous signal near the distal fibula posteriorly where the anchor protruded. Interventions: The suture anchor in the posterior distal fibula area, which had irritated the peroneus tendon, was removed with debridement of the granulomatous lesion. Outcomes: At the 3-month follow-up, the patient was almost asymptomatic and had a nearly full range of motion. No complications or recurrent symptoms were noted at the 1-year follow-up. Lessons: Three-dimensional computed tomography studies of the appropriate fibular depth and position of suture anchors are needed to standardize the procedure and reduce complications.
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Orthopedic Surgery > 1. Journal Articles
- College of Medicine > Department of Obstetrics and Gynecology > 1. Journal Articles
- College of Medicine > Department of Orthopedic Surgery > 1. Journal Articles
![qrcode](https://api.qrserver.com/v1/create-qr-code/?size=55x55&data=https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/3818)
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.