Severity: Warning
Message: file_get_contents(https://...@gmail.com&api_key=61f08fa0b96a73de8c900d749fcb997acc09): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests
Filename: helpers/my_audit_helper.php
Line Number: 143
Backtrace:
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 143
Function: file_get_contents
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 209
Function: simplexml_load_file_from_url
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 3098
Function: getPubMedXML
File: /var/www/html/application/controllers/Detail.php
Line: 574
Function: pubMedSearch_Global
File: /var/www/html/application/controllers/Detail.php
Line: 488
Function: pubMedGetRelatedKeyword
File: /var/www/html/index.php
Line: 316
Function: require_once
Severity: Warning
Message: Attempt to read property "Count" on bool
Filename: helpers/my_audit_helper.php
Line Number: 3100
Backtrace:
File: /var/www/html/application/helpers/my_audit_helper.php
Line: 3100
Function: _error_handler
File: /var/www/html/application/controllers/Detail.php
Line: 574
Function: pubMedSearch_Global
File: /var/www/html/application/controllers/Detail.php
Line: 488
Function: pubMedGetRelatedKeyword
File: /var/www/html/index.php
Line: 316
Function: require_once
Peroneal tears are an important cause of lateral ankle pain and are often missed. Peroneal tears can present in different combinations requiring different surgical strategies. If the tears are symptomatic in patients in whom conservative treatment has failed, surgery is an option. We present the various types of surgical management of four patients, each with a different tear combination of the peroneal tendons. The first patient presented with a longitudinal split of the peroneal brevis tendon, which was repaired. The second patient had a tear of the peroneal longus tendon with a significant gap, while his peroneal brevis tendon was intact. His peroneal longus was tenodesed to the intact peroneal brevis. The third patient had ruptures of both his peroneal brevis and longus tendons with significant gaps. There was only a small peroneal brevis remnant left. The patient also had a cavovarus deformity of the same foot. His flexor hallucis longus tendon was harvested, routed, and sutured to the remnant peroneal brevis tendon. A lateralising calcaneal osteotomy and a dorsiflexion closing wedge osteotomy of his first metatarsal bone were also performed. The last patient had ruptures of both peroneal tendons with no remnant tendon remaining for repair. His anterior tibialis tendon was transferred from its insertion to his cuboid. A lateralising calcaneal osteotomy was performed, and an ankle-spanning external fixator was applied. A high index of suspicion for peroneal tears in lateral-sided ankle pain must be maintained. Peroneal tears can present in various combinations, with each combination requiring a different surgical treatment.
Download full-text PDF |
Source |
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11647192 | PMC |
http://dx.doi.org/10.7759/cureus.73787 | DOI Listing |
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