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Peroneal Tendon Dislocation/Subluxation, Sports Medicine

Holly J. Benjamin, MD, FAAP, FACSM and Claire Gross, MD Reviewed 04/2019
 


BASICS

DESCRIPTION

  • The lateral compartment of the ankle contains the peroneus longus (PL) and peroneus brevis (PB) tendons.

  • The tendons lie posterior to the lateral malleolus in the retromalleolar groov...

DIAGNOSIS

HISTORY

  • Snapping or popping at time of injury over lateral ankle 1

  • High index of suspicion after trauma with lateral ankle pain

  • Most common mechanism is contraction during dorsiflexion of an ev...

TREATMENT

  • Acute treatment:

    • Rest, ice, compression, and elevation (RICE)

    • Nonsteroidal anti-inflammatory drugs (NSAIDs)

    • Limit weight-bearing if painful; off-load as needed for pain-free ambulation.

    • Ankle br...

ONGOING CARE

PROGNOSIS

  • Recurrence rate 50–75% after conservative treatment 1

  • Recurrence rate 5–20% after surgical intervention 5

  • After surgery, resumption of daily activities after 3 to 4 mo, full athlet...

REFERENCES

1
Davda K, Malhotra K, O’Donnell P, et al. Peroneal tendon disorders. EFORT Open Rev.  2017;2(6):281–292.
2
Golshani A, Zhu L, Cai C, et al. Incidence and association of CT findings of an...

CLINICAL PEARLS

  • Peroneal subluxation can either be from SPR disruption leading to tendon dislocation over the lateral malleolus (anterior dislocation) or the two tendons subluxing over each other with...

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