Peroneal tendonitis subluxation

[nicolas_bermudez]

Hey guys,

 

Im starting to have nightmares (quite literally) about this so i thought maybe someone else has been through this and could bring up my spirits. Broke my front foot ankle about 5 years ago, got surgery and since my ankle has been sensible some times on rough hits, nothing i couldnt handle, just a day or two off and ice would do. Because of that i moved on to a power shell and rtp on a two boot goode carbon plate. This worked fenomenally for me for over a year.

 

I had been very careful taking care of my ankle since, but over a month ago I hit 2 ball which resulted in an ankle sprain, my orthopedist suggested a 4-6 week resting period. It will be 2 months in a week and Im still not ready for practice. Here is why: Im starting to get a subluxation (which hurts like hell by the way) on the peroneal tendons quite chronically (for those of you who dont know the meaning of that watch the next video and imagine that at least once every two days on a low activity basis:

)

 

now my question, Has anyone been there? any good spirits toward the future? When I dont get nightmares i end up spending hours rolling in my beed on the thought this will limit my skiing somewhat permanently. That having in mind every luxation means sitting on the floor for at least 10 minutes immediately after the event.

[EFW]

I feel bad watching that video. I have had two right peroneal tendon surgeries from the retinaculum being torn and the second time from having too much slack in it. The second time what happened was I have broken 4 left ankles skiing. I was hopping around so much on my right ankle not using my crutches I finally stretched out the retinaculum and I had to have it repaired again. The second time I had the medial malleolus grooved out so the peroneal tendon sits down deep in the groove and will not slip out. My own opinion - that is the way to go. I don't know how many years it's been now 15 maybe more maybe less never even come close to slipping again. Okay that's my story here's my wife's story. My wife is used to making fun of my ankles seeing I've broken 4 left ankles (lff) and one right ankle from a car accident.. her ankles look like tanks compared to mine. She was skiing with one of my old KDs with my size 10 Wiley hi-wraps. Needless to say To me they were way too big on her but to her level of skiing she thought they were ridiculously tight. I guess it's a woman thing. We get done skiing and she goes to get up on the platform having a ridiculously hard time getting the ski off so I helped her pull it off by pulling up on the tip. Really it was no huge effort at least to me. Well she started yelling about her ankle hurting and she was telling me that she could feel her peroneal tendon moving. I'm sure it was but it wasn't subluxing to the degree it was coming over the medial malleolus. Well in a couple days it did slip over. I couldn't believe it. And it succeeded to do it after also but not to the degree of frequency that mine did which required surgery. She went to the same surgeon that I went to who was going to do the same procedure. Surgery was scheduled everything was set the last second the doctor canceled the surgery for an emergency vacation. That's what they called it an "emergency vacation". Okay my wife got pissed off said that was enough she was not going to have surgery. Guess what? Don't ask me how the retinaculum tightened up over the ensuing months and she is totally fine. Okay I myself wear tight probably too tight boots and sneakers. My wife her whole entire life where's backless shoes and clogs. I don't know how she can run in footwear like that but that is what she insists on wearing constantly. Plus she will not go barefoot. I thought no way when I saw her tendon doing what it was would it ever heal itself. Well it did and she's proof of it. I don't know what to tell you. I saw

your video. Trust me I know exactly what you're going through. I myself would get the surgery. I hope this helps you. You are not in an envious position. Good luck okay? (BTW that is the picture I took of her getting in the time it actually happened.)

[nicolas_bermudez]

hahaha so bit of both alternatives.. did you try any alternatives before the surgery? haha thats not me, just a video of someone else i found for the purpose of the discussion. ive been trying to stretch the tendon so it would "slack" a little and avoid the surgery, but havent seen much progress on that front over the last couple weeks. Im sure asking because in that case, i would like to have the surgery sooner rather than later, you know?

thanks for the advice!

[EFW]

@nicolas_bermudez. Sorry first chance I've had to answer. 1977 was my first peroneal tendon surgery. I broke my ankle in January 1977.( was 18 )Cast came off 6 weeks later, shortly thereafter the tendon started subluxing. The orthopedic at that time suggested recasting to rest ankle and hopefully the retinaculum would take care of itself. Another 6 weeks or so cast came off no change. Early fall 1977 I had surgery. It lasted until early 2000's. It is working well. I would opt for the surgery as quick as possible. Other than what I've already told you maybe somebody else can shed some light on it. Don't worry about it too much. I guess when it rains it pours after I had surgery the last time I was ready to go back to work. The day I was to go back I got diverticulitis. I was off for another month-and-a- half. Easy to take good health for granted and a whole body until you don't have one.

[BlueSki]

Had it happen a couple of years ago. It sucks, and the tendon slowly gets shredded by the ankle bone. I'm am sure the surgeon's scalpel is sharp, let him use it.

[PSM]

I had the surgery also to repair my torn retinaculum. Cast for 5 weeks, skied at 8 weeks. And agree with the above. As the peroneal tendons continue to sublux anterior to the lateral malleolus, they can slowly shred. I've heard of folks rupturing the tendons over time, and then it's a more serious situation in terms of repair.

[EFW]

@PSM thank you for correcting me you're right about that - anterior malleolus you're right. My medial malleolus is what I snapped 5X

[nicolas_bermudez]

great info guys, I'll be going into surgery next week, in two weeks the latest, still searching for a specific date. you guys took some stress out of my head, really glad you people tld me your experiences..

[BlueSki]

Good luck and do your exercises and everything else they tell you to do.