Longitudinal peroneal tendon tears

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Longitudinal peroneal tendon tears are uncommon. Seven cases are presented: four involving peroneus brevis and three of the peroneus longus tendons. Evaluation and treatment methods are described along with a diagnostic algorithm. All patients noted relief of symptoms with surgical treatment. Magnetic Resonance Imaging proved useful in aiding diagnosis prior to surgery, revealing a hypertro-phied peroneal tendon.

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Cited by (25)

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    Up to 40% cause delays in definitive diagnosis as a result. Tears of the peroneal tendons have traditionally been considered uncommon.2–9 However, several investigators have suggested that they are more common than previously recognized.10–15

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    Clinically relevant complications (e.g., hematoma, wound dehiscence, ankle instability, and pain) were reported in 4 patients (10%) (5). Saxena and Pham reported good to excellent results in 6 out of 7 patients (86%) after surgical reconstruction of longitudinal peroneal tendon tears (13). Steel and DeOrio included 30 patients and report that 46% of the surgically treated patients returned to sports (14).

  • Clinical results of peroneal tendon repair in a retrospective series of 30 patients

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    Hindfoot varus incurs a risk of inversion trauma, accounting for the possible association with talocrural ligament instability, which should screened for systematically. Several authors reported associated calcaneal varus [22,23], but no correlation with the quality of clinical results has been established, opening the way for calcaneal osteotomy to be performed. Some authors [2,16] recommend associating opening wedge calcaneal osteotomy to tendon repair when the hindfoot is in less than 4° valgus.

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  • Salvage options for peroneal tendon ruptures

    2014, Foot and Ankle Clinics
    Citation Excerpt :

    The exact incidence is somewhere between the high numbers of the cadaveric studies and the very small numbers reported clinically in the spare retrospective series. Although since the late 1980s and early 1990s there was an increased awareness of the pathophysiology and diagnosis of peroneal tendon tears and focused attention in the literature regarding treatment options,6–12 it was not until 1998 when Krause and Brodsky13 first proposed operative treatment criteria based on the severity of tendon involvement. Since their recommendation, several reports with favorable outcomes have been published when surgical treatment is used.

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2

Submitted while resident, California College of Podiatric Medicine, San Francisco, CA.

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