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OrthoVellum

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Not affiliated with the Royal Australasian College of Surgeons.

Foot & Ankle
intermediate
X-Type

Peroneal Tendon Disorders

Tendon Pathology

A 28-year-old basketball player presents with chronic lateral ankle pain and recurrent "snapping" sensations behind the lateral malleolus. He recalls an initial inversion ankle sprain 2 years ago. Examination reveals tenderness along the peroneal tendons posterior to the fibula, a palpable click with circumduction, and positive peroneal tendon subluxation with resisted dorsiflexion-eversion. MRI shows peroneus brevis tendinosis with a longitudinal split tear and superior peroneal retinaculum (SPR) attenuation. Regarding peroneal tendon disorders:

Mark each as TRUE or FALSE

A

The peroneal tendons (peroneus longus and brevis) pass posterior to the lateral malleolus in the ret...

B

Peroneal tendon subluxation/dislocation results from SPR injury, often from forced dorsiflexion with...

C

Peroneus longus is more prone to tears than brevis; the tendons pass anterior to the lateral malleol...

D

Peroneus brevis longitudinal split tears occur from chronic compression between the fibula and peron...

E

Treatment: acute subluxation may be treated with casting in slight plantarflexion and eversion for 6...

Answer the questions to see explanations

Click T (True) or F (False) for each option