Peroneal tendon disorders

[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. In a study by Dombek et al,1 only 60% of 40 peroneal tendon disorders were accurately diagnosed at the first clinical evaluation. Pathology of the tendons falls into three broad categories: tendinopathy, tendon subluxation and dislocation, and tendon splits and tears.2 These pathologies are frequently encountered in patients with chronic lateral ankle instability or cavovarus hindfoot alignment, and usually result from prolonged, repetitive athletic activities or ankle inversion injuries. The management of these conditions is based on case series and retrospective studies. Typically, these conditions respond to non-operative treatment such as physiotherapy, use of non-steroidal anti-inflammatory drugs, and immobilisation. When left untreated, peroneal tendon disorders can lead to persistent lateral ankle pain and substantial functional problems. 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 for peroneal tendon lesions.

[学科分类] 神经科学

[关键词] peroneal tendons;peroneus brevis;peroneus longus;peroneal tendinopathy;peroneal subluxation