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Longitudinal rupture of the peroneal tendons.

Publication ,  Journal Article
Bassett, FH; Speer, KP
Published in: Am J Sports Med
1993

To determine more precisely the injury mechanism of the peroneal tendon longitudinal tear, we studied 15 cadaveric lower extremities. Our study was motivated by our observation from a retrospective study of athletes treated by one surgeon (FHB) over a 17-year period. Eight patients who sustained lateral ankle sprains by plantar flexion and inversion of the foot on the leg also had longitudinal tears (1 to 3 cm) of the peroneal tendon--five in the peroneus longus and three in the peroneus brevis. All of the lateral ankle sprains were successfully managed nonoperatively. However, even after a period of rehabilitation, when their ankles should have been asymptomatic, the patients continued to complain of persistent lateral ankle swelling, popping, and retrofibular pain. On physical examination, all ankles were clinically stable. Palpable retrofibular popping occurred with active foot rotation. There was no evidence of peroneal tendon instability. Radiographs were normal and tenograms were suggestive of peroneal tendon injury but did not have the specificity to reveal the rupture. Primary suture repair of this peroneal tendon split was performed and gave excellent long-term results. The cadaveric studies revealed that the tear of the tendon could occur in the 25 degrees to 15 degrees range of plantar flexion as the peroneus longus impinged against the tip of the fibula and as the peroneus brevis impinged against the lateral wall of the peroneal groove or against the longus tendon.

Duke Scholars

Published In

Am J Sports Med

DOI

ISSN

0363-5465

Publication Date

1993

Volume

21

Issue

3

Start / End Page

354 / 357

Location

United States

Related Subject Headings

  • Tendon Injuries
  • Retrospective Studies
  • Radiography
  • Orthopedics
  • Male
  • Humans
  • Female
  • Cadaver
  • Athletic Injuries
  • Ankle Injuries
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Bassett, F. H., & Speer, K. P. (1993). Longitudinal rupture of the peroneal tendons. Am J Sports Med, 21(3), 354–357. https://doi.org/10.1177/036354659302100305
Bassett, F. H., and K. P. Speer. “Longitudinal rupture of the peroneal tendons.Am J Sports Med 21, no. 3 (1993): 354–57. https://doi.org/10.1177/036354659302100305.
Bassett FH, Speer KP. Longitudinal rupture of the peroneal tendons. Am J Sports Med. 1993;21(3):354–7.
Bassett, F. H., and K. P. Speer. “Longitudinal rupture of the peroneal tendons.Am J Sports Med, vol. 21, no. 3, 1993, pp. 354–57. Pubmed, doi:10.1177/036354659302100305.
Bassett FH, Speer KP. Longitudinal rupture of the peroneal tendons. Am J Sports Med. 1993;21(3):354–357.
Journal cover image

Published In

Am J Sports Med

DOI

ISSN

0363-5465

Publication Date

1993

Volume

21

Issue

3

Start / End Page

354 / 357

Location

United States

Related Subject Headings

  • Tendon Injuries
  • Retrospective Studies
  • Radiography
  • Orthopedics
  • Male
  • Humans
  • Female
  • Cadaver
  • Athletic Injuries
  • Ankle Injuries