Soft Tissue Lengthening — Peroneus Brevis Fractional Intramuscular Lengthening

Children's Colorado / Center for Gait and Movement Analysis (CGMA) · CGMA Physical Therapy Team, Children's Colorado

Weight-Bearing

WBAT in short leg cast x 6 weeks; healing ~6 weeks

Key Restrictions

Avoid forceful inversion/eversion; avoid forceful/resisted muscle contraction; no impact until ~6-8 weeks; 6 weeks in cast

Timeline & Phases

Phase 1 (days 1-7): WBAT in cast, positioning, isometrics, SLR; Phase 2 (days 8-21): WB activities in cast; Phase 3 (day 22+): AAROM/AROM after cast removal, full ankle ROM all planes, heel-first initial contact, neutral foot in all stance phases, LE strengthening with theraband at 6 weeks, proprioception, scar massage ~4-6 weeks

Notes

Pediatric; indication is valgus foot/ankle and peroneal muscle contracture; fractional intramuscular lengthening of peroneus brevis; Children's Colorado CGMA

Surgeon / Author

CGMA Physical Therapy Team, Children's Colorado

Published

October 2007