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Foot & Ankle
intermediate
X-Type

Peroneal Tendon Subluxation - SPR Rupture and Groove Deepening

Tendon Pathology

A 24-year-old professional footballer presents with recurrent painful snapping behind the lateral malleolus. He recalls an inversion injury 6 months ago while playing. On examination, there is tenderness posterior to the lateral malleolus and subluxation of the peroneal tendons is reproduced with resisted ankle dorsiflexion and eversion. Regarding peroneal tendon subluxation anatomy and classification:

Mark each as TRUE or FALSE

A

The superior peroneal retinaculum (SPR) is the primary restraint to peroneal tendon subluxation; it ...

B

The Eckert-Davis classification describes four grades of SPR injury: Grade I involves SPR stripping ...

C

Peroneal tendon subluxation always occurs in the setting of a deep retromalleolar groove; the depth ...

D

Anatomical variations predisposing to subluxation include a shallow or convex retromalleolar groove ...

E

The peroneal tendons are held in place by the retromalleolar groove, the SPR, and the fibrocartilagi...

Answer the questions to see explanations

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