Peroneal Tendon Surgery
Peroneal tendon surgery is a procedure which repairs or replaces part or all of the peroneal tendons. A tendon is a soft tissue that connects muscle to bone. There are two peroneal tendons which are located on the outside of the foot and ankle area (peroneus brevis and peroneus longus). The peroneal muscles which are connected to the tendons dorsiflex the ankle (pull the toes up) and evert the ankle (move the ankle outwards). They are important tendons as they keep the foot and ankle in a balanced position and stop the foot from inverting (moving inwards).
There are a number of ways that these tendons can get injured:
- A direct blow to the outside of your foot
- A forceful movement of the foot inwards (inversion) or a twisting injury
- An overuse injury which may involve repetitive eversion movements of the foot
- Tight calf muscles (soleus and gastrocnemius) which may put increased pressure on the peroneal muscles and tendons
- Inflammation of the synovium (membrane of the tendons) from overuse
- A fracture of the ankle and/or foot joints causing the tendons to tear
There is a ligament (soft tissue that connects bone to bone) which holds the tendons firmly onto the fibula (small bone of the leg). If this ligament is damaged in a sprain type injury, the tendons may be moved out of position and become stretched which can cause the ankle to become unstable. This is known as a tendon subluxation. If you have experienced any of these injuries there are various symptoms that you may have which will need to be treated appropriately.
These may include the following:
- Pain on the outside of your ankle or around the calcaneus (heel bone )
- Pain when you invert your foot
- Swelling after activity
- Crepitus (clicking noises ) when the ankle is moved into various positions
- Tightness and/or pain the calf area
- A snapping noise as the tendon moves out of its normal position
- Instability around the ankle joint
- Weakness of the muscles surrounding the foot and ankle
- Warmth and redness
As a general rule, Peroneal Tendon procedures are performed on an out-patient basis in an Alberta Health Services (AHS) approved Surgical Center or in a Hospital. Surgical procedural costs are covered by AHS or the patient may opt for private surgery to avoid a waiting time. A visit to Feldman & Leavitt Foot And Ankle Specialists will CLEARLY define all available patient options.
Frequently Asked Questions
At Feldman & Leavitt Foot and Ankle Specialists, we are dedicate to providing quality foot and ankle care to all ages of patients. We believe that prompt diagnosis, early intervention and prevention are essential for the care and treatment of your feet. We provide a full range of podiatric medical care including both conservative and surgical therapies in our Calgary clinic.
Neighborhoods We Serve