Abstract
Peroneal tendon injuries are a common cause of posterolateral ankle pain in active patients. When conservative management fails to improve symptoms surgery is an option, followed by an appropriately tailored rehabilitation program, which is essential for optimal recovery and (early) return to sports. While early range of motion is important to prevent tethering of the tendon(s), progression to full weight bearing depends on both the nature of the pathology and the type of treatment (tendoscopic or open, with or without repair of the superior peroneal retinaculum). After immobilization, strengthening of the tendons by physiotherapy is recommended.
This chapter provides an overview of the literature on rehabilitation in the treatment of peroneal tendon injuries.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
van Dijk PA, Lubberts B, Verheul C, DiGiovanni CW, Kerkhoffs GM. Rehabilitation after surgical treatment of peroneal tendon tears and ruptures. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):1165–74. PMC4823352.
Griffin M, Hindocha S, Jordan D, Saleh M, Khan W. An overview of the management of flexor tendon injuries. Open Orthop J. 2012;6:28–35.3293389.
Becker H, Orak F, Duponselle E. Early active motion following a beveled technique of flexor tendon repair: report on fifty cases. J Hand Surg Am. 1979;4(5):454–60.
Cullen KW, Tolhurst P, Lang D, Page RE. Flexor tendon repair in zone 2 followed by controlled active mobilisation. J Hand Surg Br. 1989;14(4):392–5.
Elliot D, Giesen T. Avoidance of unfavourable results following primary flexor tendon surgery. Ind J Plast Surg. 2013;46(2):312–324.3901913.
Savage R, Risitano G. Flexor tendon repair using a "six strand" method of repair and early active mobilisation. J Hand Surg Br. 1989;14(4):396–9.
Jielile J, Badalihan A, Qianman B, et al. Clinical outcome of exercise therapy and early post-operative rehabilitation for treatment of neglected Achilles tendon rupture: a randomized study. Knee Surg Sports Traumatol Arthrosc. 2015. https://doi.org/10.1007/s00167-015-3598-4.
Kangas J, Pajala A, Ohtonen P, Leppilahti J. Achilles tendon elongation after rupture repair: a randomized comparison of 2 postoperative regimens. Am J Sports Med. 2007;35(1):59–64.
Motta P, Errichiello C, Pontini I. Achilles tendon rupture. A new technique for easy surgical repair and immediate movement of the ankle and foot. Am J Sports Med. 1997;25(2):172–6.
Solveborn SA, Moberg A. Immediate free ankle motion after surgical repair of acute Achilles tendon ruptures. Am J Sports Med. 1994;22(5):607–10.
Uchiyama E, Nomura A, Takeda Y, Hiranuma K, Iwaso H. A modified operation for Achilles tendon ruptures. Am J Sports Med. 2007;35(10):1739–43.
Demetracopoulos CA, Vineyard JC, Kiesau CD, Nunley JA. Long-term results of debridement and primary repair of peroneal tendon tears. Foot Ankle Int. 2014;35(3):252–7.
Karlsson J, Wiger P. Longitudinal Split of the Peroneus Brevis Tendon and Lateral Ankle Instability: Treatment of Concomitant Lesions. J Athl Train. 2002;37(4):463–6. Pmc164378.
Karlsson J, Brandsson S, Kalebo P, Eriksson BI. Surgical treatment of concomitant chronic ankle instability and longitudinal rupture of the peroneus brevis tendon. Scand J Med Sci Sports. 1998;8(1):42–9.
van Dijk PA, Miller D, Calder J, et al. The ESSKA-AFAS international consensus statement on peroneal tendon pathologies. Knee Surg Sports Traumatol Arthrosc. 2018. epub ahead of print.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Van Dijk, P.A.D., Tanriover, A., DiGiovanni, C.W., Waryasz, G.R., Kvarda, P. (2020). Immobilization and Rehabilitation After Surgical Treatment of Peroneal Tendon Tears and Ruptures. In: Sobel, M. (eds) The Peroneal Tendons. Springer, Cham. https://doi.org/10.1007/978-3-030-46646-6_21
Download citation
DOI: https://doi.org/10.1007/978-3-030-46646-6_21
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-46645-9
Online ISBN: 978-3-030-46646-6
eBook Packages: MedicineMedicine (R0)