Peroneal tendon irritation after arthroscopic modified Broström procedure: A case report
- Abstract
- Rationale: With the development of ankle arthroscope techniques and procedures, the number of arthroscopic modified Broström
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.
- All Author(s)
- Y. K. Lee
; H. S. Lee
; W. J. Cho
; S. H. Won
; C. H. Kim
; H. K. Kim
; A. Ryu
; W. J. Kim
- Issued Date
- 2019
- Type
- Article
- Keyword
- arthroscopic modified Broström procedure; peroneal tendon irritation; suture knot irritation
- Publisher
- Lippincott Williams & Wilkins
- ISSN
- 0025-7974
; 1536-5964
- Citation Title
- Medicine
- Citation Volume
- 98
- Citation Number
- 51
- Citation Start Page
- e18424
- Citation End Page
- e18424
- Language(ISO)
- eng
- DOI
- 10.1097/md.0000000000018424
- URI
- http://schca-ir.schmc.ac.kr/handle/2022.oak/2442
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