Peroneal Tendon Injury Specialists Hays KS

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Tsereteli Zurab Md
(785) 623-5945
2500 Canterbury Dr
Hays, KS
Industry
Osteopath (DO), Physical Therapist

Data Provided By:
Therapy Works
(785) 623-4041
2401 E 13th St
Hays, KS
Industry
Physical Therapist

Data Provided By:
Physical Therapy Plus Rehab
(785) 628-7587
205 East 13th St
Hays, KS
 
Robert D Kennemer, DDS
(785) 625-9714
1012 E 29th St
Hays, KS
Specialties
Orthodontics/Dentofacial Orthopedics

Data Provided By:
Gregory Alan Woods, MD
(785) 628-8221
2500 Canterbury Dr Ste 112
Hays, KS
Specialties
Orthopedics
Gender
Male
Languages
English
Education
Medical School: Univ Of Ks Sch Of Med, Kansas City Ks 66103
Graduation Year: 1983

Data Provided By:
Hays Health Center
(785) 625-2221
105 W 14th St
Hays, KS
Industry
Physical Therapist

Data Provided By:
Progressive Physical Therapy Center
(785) 621-4570
2209 Canterbury Dr
Hays, KS
Industry
Physical Therapist

Data Provided By:
Irvin H Mattick, MD FACS
(785) 628-8221
PO Box 999
Hays, KS
Gender
Male
Education
Medical School: Washington (st. Louis)
Graduation Year: 1943

Data Provided By:
Mirza Shamim Baig, MD
(785) 628-8221
2500 Canterbury Dr Ste 112
Hays, KS
Specialties
Orthopedics
Gender
Male
Education
Medical School: Dow Med Coll, Univ Of Karachi, Karachi, Pakistan
Graduation Year: 1968

Data Provided By:
Sheima Baig, MD
(703) 360-9700
Hays, KS
Specialties
Orthopedics
Gender
Female
Education
Medical School: Dow Med Coll, Univ Of Karachi, Karachi, Pakistan
Graduation Year: 1969

Data Provided By:
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Treating Peroneal Tendon Injuries in Athletes

This article is the first part of a series on disorders of the foot and ankle. Surgeons from the University of North Carolina Department of Orthopedic Surgery provide an update in this sports medicine topic. The specific focus is on peroneal tendon problems causing ankle pain and dysfunction.

The peroneal tendon is divided into two parts: the peroneus longus and the peroneus brevis. It is located on the lateral (outside) of the lower leg and ankle. The two sections start together at the upper portion of the lower leg and travel down the length of the lower leg. Both parts of the tendon wrap around under the ankle bone and then separate again and attache to two separate places on the foot.

Peroneal tendon injuries can occur as a result of misalignment of the ankle, frequent (repeated) ankle sprains, or overuse in athletic activities. It's not a common problem. So, treatment isn't based on evidence from large scientific studies. Instead, surgeons rely on what's referred to as a consensus approach. This means they listen to what the experts have to say and see how others treat it as reported in published case studies.

Several specific conditions affecting the peroneal tendon are presented. The authors describe and discuss peroneal tendinopathy, os peroneum syndrome, peroneal tendon dislocation, and peroneal tendon tears. A special section is included for each one called the Author's Preferred Treatment to help guide other surgeons treating any of these problems.

Tendinopathy refers to any inflammation of the tendon or the sheath (the covering) around the tendon. Dancers, runners, and athletes with chronic ankle instability from repeated ankle sprains are the people most likely to develop this problem. Os peroneum syndrome is a very painful condition caused by fracture of the os peroneum, ruptured tendons around the os peroneum, or entrapment of the os peroneum or peroneus tendon. The os peroneum is an extra little piece of cartilage or bone that is located within the peroneus longus tendon.

Treatment for both peroneal tendinopathies and painful os peroneum syndrome (POPS) begins with conservative (nonoperative) care. Antiinflammatories, shoe (heel) wedges, and physical therapy are the first approaches in care. In some cases of severe pain associated with acute injury, the patient may be put in a short-leg cast (below the knee, including the foot and ankle) or controlled ankle motion (CAM) boot.

Surgery is an alternate treatment option but only after the patient has tried three to six months of conservative care. For patients with tendinopathy, the surgeon uses an open incision to inspect the tendon and tendon sheath. The sheath is cut open and the tendon repaired. The surgeon leaves the tendon sheath unrepaired to prevent further pressure on the tendon.

In the case of a painful os peroneum syndrome, the bone or cartilage fragment is surgically removed. The surgeon must be careful to remove the os pero...

Click here to read the rest of this article from eOrthopod.com