Between January 1970 and September 1992 we operated on 35 patients with dislocation of the peroneal tendons; in 1 patient both sides were affected. Twelve cases were acute and 24 chronic; 83% were due to injuries at sport, 90% of which were in downhill skiers. In 25 cases the fibroperiosteal detachment and the lax tendon sheath were repaired using either the technique of Meary, or that devised by ourselves. Exner suture of the lesion of the main body of the sheath was carried out in 8 cases, and other procedures in the remainder. Ninety two percent of patients had a satisfactory result. The surgical procedure adopted must depend on the patterns of injury, but the majority of cases require fibroperiosteal release with transosseus reattachment of the sheath.
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