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Hamstring Autograft Reconstruction of the Peroneus Brevis

Peroneal tendon tears are an underdiagnosed source of pain and disability in patients presenting with inversion type ankle injuries and lateral ankle and hindfoot pain. Operative treatment is indicated for symptomatic tears, as nonsurgical treatments are associated with poor clinical outcomes. There is no consensus regarding optimal surgical interventions, with primary repair, tenodesis of the peroneus longus to brevis, deep flexor tendon transfers (ie, flexor halluces longus), and allograft reconstruction all described. We present a novel technique utilizing hamstring autograft for the management of irreparable peroneus brevis tears. Level of Evidence: Diagnostic Level V. See Instructions for Authors for a complete description of levels of evidence.