Non-operative treatment of peroneal tendon dislocations: A systematic review

Purpose: This study evaluated the clinical outcome of non-operative treatment of peroneal tendon dislocations. Methods: A systematic review of literature was performed. Results: Six studies were included. Redislocation rates differed between treatments: taping ≥ 3 weeks; 18/30 (60%) patients. Plaster cast ≥ 4 weeks; 5/13 (32%) plaster cast ≥ 6 weeks; 1/6 (17%). Strapping or taping treatment indicated a higher rate of pain and instability and a lower rate of ability to return to former activity. Conclusions: A non-weight bearing cast ≥ 6 weeks was successful in 5/6 patients. A non-weight bearing cast might be a good alternative for surgical intervention. Level of Clinical Evidence: Level IV, systematic review of level IV studies.

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