Peroneal Tendon Subluxation / Dislocation - Everything You Need To Know - Dr. Nabil Ebraheim

Educational video describing the condition of peroneal tendon subluxation.
The peroneal tendons on the outside of the ankle just behind the fibula. The two peroneal tendons lie behind the fibula in a groove. The two peroneal tendons are peroneus brevis tendon (closer to fibula), peroneus longus tendon.
Patients with peroneal tendon subluxation usually describe pain in the puter part of the ankle or just behind the lateral malleolus. Retromalleolar swelling with pain and giving way of the ankle should alert the clinician to the possibility of peroneal tendon subluxation. The patient may feel a “pop” and click on the outer side of the ankle.
Testing for peroneal tendon subluxation is usually done with dorsiflexion/eversion of the foot against resistance. The ankle may feel as if it is unstable and sometimes the patient will be able to demonstrate the subluxation of the tendons.
The peroneal tendons are held in their position behind the fibula predominantly by the superior peroneal retinaculum.
Peroneal tendons subluxation usually occur in young individuals. It is usually a sports related injury such as with soccer and skiing and the injury can be missed. The condition can be acute or chronic recurrent. It may be associated with a shallow fibular groove or a weak superior peroneal retinaculum, and the retinaculum is usually peeled off of the bone from the injury.
an x-ray may show avulsion fracture of the fibula called a rim fracture. The fleck sign is an indication for peroneal tendon subluxation. MRI or ultrasound is very helpful in viewing the peroneal tendon subluxation. The condition may be associated with a longitudinal tear of the peroneus brevis tendon (the tendon is near the fibula and may hit the fibula as it subluxes, causing a tear.
Treatment
Acute
•Usually with a cast or immobilization. Results are average
•Surgery
•Repair of the retinaculum is done if there is a rim fracture or in conjunction with other conditions such as calcaneal fracture. +/- deepening of the fibular groove.
Chronic /recurrent painful
•Soft tissue procedure to reconstruct the superior peroneal retinaculum
•+/- bony procedure by deepening the groove
•Repair of the longitudinal tear of the peroneus brevis by suturing the tendon side to side.
•Suturing of the peroneus brevis longitudinal tear.
•Reconstruction of the superior peroneal retinaculum.
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[@HalfBlindPlans]

Fantastic video, thank you! I'm healing from this surgery, repairing the tendon and retinaculum. It's very helpful for me to finally understand my surgery better thanks to this video. After many ankle sprains it became a chronic pain issue and physical therapy never made it go away. I received a lot of skepticism because I often didn't have much bruising or swelling, despite the pain and I was always expected to have a much faster recovery than I did. I'm glad I finally insisted on seeing a podiatrist who gave me an MRI and discussed my options, both surgical options and non surgical, and let me make a decision based on my pain and my goals. The surgical recovery is hard, but not unbearable, and it is hard to be patient with each stage in healing. I'm looking forward to seeing how much this improves my quality of life. 👏

[@suzanneeisele5594]

It's taken me almost two years to figure this out.

[@dianadamann4661]

My peroneal tendon dislocated 6 months after tendon repair surgery. I am unsure is I should have another surgery to repair it.

[@juanpablosegarralituma8677]

Diana D Amann OMG that's why i don't get it.

[@layton5088]

3 for me

[@souuf48]

Please how long does it take for the pain to go away after the surgery?

[@abdkhan5677]

Suzanne Eisele thanke god I am not alone

[@joseville]

Got my ankle checked by my ortho because I've had sprains before and my right ankle looks weird compared to my left. My ortho said I have this. Thanks for making this vid so I know what is going on. I don't feel pain at the ankle, though sometimes it get tight.

[@paulacoyle5685]

I’ve been able to pop my tendon in an out rapidly since I was a kid, I didn’t know it wasn’t normal. I’ve sprained his ankle So many times and a couple of them were really bad, and I finally just had surgery on it. Also have a ligament tears in other places of the same foot because of the repeated spraining!

[@someone-ji2zb]

@@paulacoyle5685 How are you now after the surgery? I had a peroneal partial tear last year, and i still experience this peroneal subluxation... I am now worried that maybe my doctors were wrong on the treatment

[@seanhallett7156]

I am pretty sure this is what is going on with me, but it doesn't bother me unless I am running. Day to day it seems fine and the popping doesn't hurt.

[@333ZackFair]

WTF! I have the same injury and we have the same name

[@mdma3593]

Oh man, this great

[@jakethompson5843]

I had this for close to 10 years! No pain when it dislocated normally but extreme pain if it dislocated while doing any type of plyometric/explosive movement. Had it looked at and the surgeon said it was by far the worst case he'd seen in his career. Definitely get it looked at as in a lot of cases physiotherapy cannot fix this, only surgery.

[@DrMVSrinivas]

thanks for al the videos n ur effort is priceless.i nevvvver forget u in my life.thanka lottt SIR

[@muhammadeesaakhan4605]

My tendon is moved only when i ran.....usually i play football and this happened in it..... so the operation is must?? to play again?

[@nabilebraheim]

thanks

[@vinoe004]

Am I still be able to play regular sports like Basketball after the surgery and recovery time? Thank You

[@amalsyihan2422]

Sure you can. I've undergo this surgery and I can play well now

[@jesserankins8692]

Getting this done soon. Does it fix the problem or do you still feel like there are issues? All your strength and mobility came back?

[@summervibes9931]

I've had it done twice and it didn't work but it was worth the try

[@kazemalassadi6993]

Summer Vibes I had surgery last 2 weeks but the pain never leave me I could not sleep at all

[@summervibes9931]

They should give you Oxy, about 40 pills. I only took 2 when the pain was too much to sleep because I hear there are many negatives to taking too many. After a month, you should be fine. The pain seemed to be greater when I had the cast on, once it comes off, it feels soooo much better. Tell me how it goes...hope it works for you

[@SWest00072]

I think I may have this. But my ankle or the area does not get inflamed or is painful. Could it be something else? I am 46 years old now, and actually had this cracking ankle all the way back when I was 24 yrs old. It didn't hurt then either. It went away or would just show-up from time to time. Now it seems to happen 55-60% of the time when I count 20 steps. It clicks 10-13 times out of the 20. Need to figure out what is is. People look at me funny when walking and running along the street. lol!

[@WilliamAshleyOnline]

sort of freaked out, was sprinting and rolled the foot in heavy and hard on the ankle... knew it was injured but continued to jog back to my place... massively swelled, left weird purple bruising all the way from my tibula -- above my ankle and it bruised the side of the bottom of my foot from heel to tarsals, no clue why... it doesn't hurt only ever so tender.. went out to for two all night drinking and dancing events... it was bad the first night but after 10 or so drinks it was hardly noticiable unless I was moving same day it happened, swelling is pretty much gone on day 3 and am doing jogging (not sprinting) not really noticable just very very dull tenderness that is more making me think just don't go hard.. however now I am feeling and hearing clocking and feeling the ? tendon go up and down a little about 10cm above the ankle from where the bruising but only if I fully extend my toes up. I'm not really feeling loss of strength, is there no pain associated with this type of injury after day 1 or 2??? anyway to coax the tendon back into possition with massage. i notied applying preassure to the bone tendon area caused it not to pop. Is this something that could happen with only a pull like level one or is this only happening on a level 3 rupture or level 2 tear. It feels more bruised than as bad as this sounds. cause I just don't feel like I have a rupture or tear because I still ave the strength tore my should ac level 2 on both shoulders over years with totally loss of use.. this doesn't feel debilitating. no real loss of strength or anything. will this effect deadlifting? Like does support just fail with this type of thing? also clicks movin it the opposite side it rolled so it rolled inward if I fully extend my foot outward I feel a click too.. no pain it feels relieving not painful, like cracking knuckles. also the tear felt like it occured at the midfood or strain// but the clicking is happening above the ankle on the opposite end of the tendon.. obvious it was pulled /stretched but can this happen at 3 points and not be debilitating?? does it ever self reposition as it heals.. anyway to use massage or applying pressure to rehab back into the groove by forcing it in? I read you need to keep your ankel mobile after a sprain.. to keep full mobility... but the therapy for this includes putting it in a cast?? Wouldn't that result in loss of mobility? Am I self miss diagnosing??? like should I actually feel injured rather than just bruised with this and clicking if I extend my foot in any direction full flex or contraction position == also I feel it is easier to stretch with the injured foot, my uninjured foot feels like it has less range motion than the injured one. but hte injured one wats to rest a little more palm of foot lower when laying on my back so back of foot is more the bottom of hte heel rather than the back of the heel on the uninjured.

[@MunchMunchies]

Hi. Why do I hear cracking sounds in my feet every time I walk?

[@nathanjamesjr4963]

Lmao same. Just twisting it side to side makes funny noises

[@Kanenasss]

10/10 thank you very much sir! god bless you. do more foot and ankle videos please

[@shariarmstrong8865]

I literally just got home from having surgery in Baltimore. of course I can't say anything about the pain cuz I'm still drugged up.

[@kimberlyessex431]

Fabio Martinelli you are not going to be able to make it to the bank and get your money back to my house and I will be there at the same time I don't have a car so I can get your money back to my house and I will be there huh I don't have a good time and that you have sad historcectamy you are not going to be able to make it to the bank and get your neck of the lawyer is going well with your stuff is still in am6 to the same address you sent to my address you sent you the Long way I will get the info for sale on what I should get your stuff in it for a couple days but way

[@EasyKill7]

Thanks for the great video.

[@Nors1e]

Great vid music threw me off each time it stopped

[@Rafael-kq5wl]

Estoy fracturado de tobillo bimaleomar y nose que es, he me aki buscando

[@Hawlkeye-e9p]

Both mine pop but dont hurt and there no swelling. But ya i cant see my tendons on The very edge of the bone. Fog god sace i thought it was my ancle joint.

[@hariputtar7815]

Same with me

[@hariputtar7815]

It hurts when I walk more

[@suzieq8502]

It’s never hurt me my whole life until now. So it may not hurt you currently but if it goes untreated you will feel pain eventually

[@LinhNguyen-bp9hd]

I want to have this surgery but I am afraid of general anesthesia. Is it possible to ask for regional anesthesia?

[@amirulasraf]

Linh Nguyen has u done it sir ? Same going to me

[@LinhNguyen-bp9hd]

@@amirulasraf yes I did in Japan with a team of 2 doctors and it was much more comfortable than I imagined. First they gave me a spinal tap which was done behind my back which gave a funny tickling at my spine but not painful at all. Then my legs get numb after a while, just like the electrifying feeling in your legs when you stand up after sitting in a bad posture that block the blood flow, but this time it lasts much longer. Then they start the work while I was totally awake, which took around 1 hour. Overall that was a nice experience, maybe because of the good Japanese hospital service. After the surgery it's important that you keep lying down as instructed by the doctor until the spinal fluid pressure recovers otherwise its lack of pressure will make you dizzy. I remember how worried I was so if you need any info just tell me

[@amirulasraf]

Linh Nguyen thanks for respond sir. I suffered my peroneal tendon subluxation for 5 years and just now about it. Can i know how much that cost for all procedure ?

[@LinhNguyen-bp9hd]

@@amirulasraf it was 500 usd for me, but only after my health insurance covers most of it. I am not sure how much pre-insurance

[@amirulasraf]

Linh Nguyen can i get more information about that ? I want to make my ankle being normal again 😭. What hospital and how i can contact them

[@akash9261]

I was in 9th grade(15 years) was playing football when this happened to me but I ignored it and got used to this and now I am 24 but now I want to cure it . Should I go for surgery or is can be cured without surgery too?? Also from the same time period my hand writing became worse and worse and fingers get stiff when I write and start shaking if I apply too much force on the pen 😔 is this also due to peroneal tendon dislocation?? Or both of these have nothing to do with eachother?? Plzz do reply if anyone knows the solution would be highly obliged ❤

[@higiniomalave]

tgis i have seen in patients and they recover quite nice however if theres is fracture go surgerty

[@chiragverse4796]

anyone here who suffered this plz reply, i need help?

[@omaromar-no8hr]

I did a deep groove and peroneal tendon repair, and the doctor told me to walk 10 days after the surgery, is that right?

[@jakethompson5843]

Standard in the UK is 6 weeks in a cast with no weight-bearing, 6 weeks in a brace with partial weight-bearing. So I would say walking after 10 days is very odd, after 10 days I was in absolute agony most of time even with painkillers so walking was 100000% out of the question

[@justrandom4515]

I have this I think but I am like keeping popping Becuase it is in a awkward position anyone know anything about this?

[@joewoods409]

Does it swell to begin within, and is it painful to walk ?

[@real4everh]

Yes specially after resting

[@PrimeMontages]

iv'e took a video of mine on my channel guessing i need surgery

[@AngelAgape7]

I had surgery done twice but it didn't stop the problem why?

[@metalfreakkvdw]

i had it done once. also not solved

[@nickevanson9585]

I'm getting this done soon...anybody have re occurrence after surgery?

[@christopherhernandez556]

is this surgery painful. getting this soon.

[@amirulasraf]

Nick Evanson how your ankle now sir

[@amirulasraf]

Christopher Hernandez how your ankle now sir ?

[@googleemailaccount7746]

Von Miller SMH. Hope he recovers fully!

[@icysaurus]

I can move that tendon whenever I want. Is this normal?

[@beccamartin8080]

If it doesn’t cause you pain to move it, or instability, you’re fine. My left one I’ve been able to move like that for years, since early childhood - it clicks when i run, and I know other runners who have the same situation. If you hurt it and now it does that and causes you discomfort, I’d see a doctor

[@layton5088]

Can this be caused from mountain biking allot

[@alimihanyar7915]

LAYTON 508 I’ve been mountain biking a hardtail for a long time and I’m starting to notice this so I’m pretty sure yeh

[@Jaymoslots]

I have this it pops in out randomly lucky its not always out but it popped I forced it back over the bone it hurt then boom pain was gone

[@StopFlaggingVideos]

whoa. i been looking into how to do this for myself. i climb indoor boulders a lot, and i have this in my left ankle. if they say the subluxation is the tendon coming out of the groove, then can't you try to get it back in place? this is assuming that the retinacula (the strap thing that holds the tendons in place) didn't get torn, which i don't know, i don't feel any pain nor feel anything torn. what did you do to force it back over the bone? im trying to manipulate the tendon with my fingers but it aint easy

[@someone-ji2zb]

I know this is a bit of an older comment, but if your tendon is popping out of place even for a moment, then it is causing gradual damage over time. Needs to be addressed no matter what, if you haven't already

[@livelaughlovewithkatie4808]

I’m 10 and have this😢

[@maayonxdd]

Bruhh!! How are you now?