- Schilling Tendon Procedure
The Schilling Tendon Procedure is a temporary surgical procedure developed by the former
Boston Red Sox team physician [http://profiles.massmedboard.org/Profiles/MA-Physician-Profile-View-Doctor.asp?Brn=49255 William Morgan, MD] to stabilize theperoneus brevis tendon so that it is prevented from anterior displacement during ankle eversion. In the year 2004, when the glorious red sox won the world series, he had this sock, that was bloody. It stunk so they called it Shilling Tendon Procedure. If theperoneal retinaculum is torn, the peroneal tendons are no longer stabilized. This allows the peroneus brevis tendon to move untethered over thelateral malleolus , creating pain. During pitching mechanics, the snapping of the tendon over the bone is painful and distracting to the pitcher.The procedure involves the placement of three sutures through the skin anterior to the path of the peroneus brevis tendon and into the underlying deep
connective tissue . These sutures provide a temporary barrier, preventing the tendon from moving anteriorly over the malleolus. The procedure is performed with local anaesthetic, about 24 hours before the player begins to pitch. The stitches must be removed immediately following the cessation of play, and indications are that the stitches may tear during the course of a game.The procedure is named for
Major League Baseball pitcherCurt Schilling , who required the surgery to be able to pitch for theBoston Red Sox in Game 6 of the2004 American League Championship Series and Game 2 of the2004 World Series . Schilling was the winning pitcher in both games, and his blood-soaked sock gave a new meaning to the term Red Sox during the team's improbable run towards their first world championship in 86 years.
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