Peroneal tendon disorders

被引:66
作者
Davda, Kinner [1 ]
Malhotra, Karan [1 ]
O'Donnell, Paul [2 ]
Singh, Dishan [1 ]
Cullen, Nicholas [1 ]
机构
[1] Royal Natl Orthopaed Hosp, Dept Foot & Ankle Surg, Brockley Hill, Stanmore HA7 4LP, Middx, England
[2] Royal Natl Orthopaed Hosp, Dept Radiol, Brockley Hill, Stanmore HA7 4LP, Middx, England
来源
EFORT OPEN REVIEWS | 2017年 / 2卷 / 06期
关键词
peroneal tendons; peroneus brevis; peroneus longus; peroneal tendinopathy; peroneal subluxation; FUNCTIONAL ANKLE INSTABILITY; INTRASHEATH SUBLUXATION; QUARTUS MUSCLE; BREVIS TENDON; LONGUS; FOOT; TENOSYNOVITIS; TENDINOPATHY; DISLOCATION; RETINACULUM;
D O I
10.1302/2058-5241.2.160047
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Pathological abnormality of the peroneal tendons is an under-appreciated source of lateral hindfoot pain and dysfunction that can be difficult to distinguish from lateral ankle ligament injuries. Enclosed within the lateral compartment of the leg, the peroneal tendons are the primary evertors of the foot and function as lateral ankle stabilisers. Pathology of the tendons falls into three broad categories: tendinitis and tenosynovitis, tendon subluxation and dislocation, and tendon splits and tears. These can be associated with ankle instability, hindfoot deformity and anomalous anatomy such as a low lying peroneus brevis or peroneus quartus. A thorough clinical examination should include an assessment of foot type (cavus or planovalgus), palpation of the peronei in the retromalleolar groove on resisted ankle dorsiflexion and eversion as well as testing of lateral ankle ligaments. Imaging including radiographs, ultrasound and MRI will help determine the diagnosis. Treatment recommendations for these disorders are primarily based on case series and expert opinion. The aim of this review is to summarise the current understanding of the anatomy and diagnostic evaluation of the peroneal tendons, and to present both conservative and operative management options of peroneal tendon lesions.
引用
收藏
页码:281 / 292
页数:12
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  • [1] Anatomy of the Superior Peroneal Tunnel
    Athavale, Sunita Arvind
    Swathi
    Vangara, S. V.
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2011, 93A (06) : 564 - 571
  • [2] Bentley G., 2014, European Surgical Orthopaedics and Traumatology
  • [3] Peroneus quartus: prevalance and clinical importance
    Bilgili, Mustafa Gokhan
    Kaynak, Gokhan
    Botanlioglu, Huseyin
    Basaran, Serdar Hakan
    Ercin, Ersin
    Baca, Emre
    Uzun, Ibrahim
    [J]. ARCHIVES OF ORTHOPAEDIC AND TRAUMA SURGERY, 2014, 134 (04) : 481 - 487
  • [4] Split lesions of the peroneus brevis tendon in chronic ankle laxity
    Bonnin, M
    Tavernier, T
    Bouysset, M
    [J]. AMERICAN JOURNAL OF SPORTS MEDICINE, 1997, 25 (05) : 699 - 703
  • [5] Characterization of patients with primary peroneus longus tendinopathy: A review of twenty-two cases
    Brandes, CB
    Smith, RW
    [J]. FOOT & ANKLE INTERNATIONAL, 2000, 21 (06) : 462 - 468
  • [6] Stenosing tenosynovitis and impingement of the peroneal tendons associated with hypertrophy of the peroneal tubercle
    Bruce, WD
    Christofersen, MR
    Phillips, DL
    [J]. FOOT & ANKLE INTERNATIONAL, 1999, 20 (07) : 464 - 467
  • [7] BRUNT D, 1992, MED SCI SPORT EXER, V24, P171
  • [8] Coughlin M J., 2013, Mann's Surgery of the Foot and Ankle, V9th
  • [9] The effect of sudden inversion stress on EMG activity of the peroneal and tibialis anterior muscles in the chronically unstable ankle
    Ebig, M
    Lephart, SM
    Burdett, RG
    Miller, MC
    Pincivero, DM
    [J]. JOURNAL OF ORTHOPAEDIC & SPORTS PHYSICAL THERAPY, 1997, 26 (02) : 73 - 77
  • [10] ACUTE RUPTURE OF PERONEAL RETINACULUM
    ECKERT, WR
    DAVIS, EA
    [J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1976, 58 (05) : 670 - 673