Search Our Scientific Publications & Authors

Arthrosc Tech 2020 Apr 27;9(4):e559-e563. Epub 2020 Mar 27.

Department of Orthopaedics and Traumatology, North District Hospital, Hong Kong SAR, China.

Posterior ankle pain is a common foot and ankle problem faced by orthopaedic surgeons. It can have many causes, including posterior ankle joint pathologies (synovitis or osteochondral lesion), ankle impingement (posterior, posterolateral, or posteromedial), flexor hallucis longus pathologies, peroneal tendon problems, posterior tibial tendinopathy, Achilles tendon pathology, posterior subtalar tarsal coalition, or tarsal tunnel syndrome. Most of these pathologies can be managed effectively by an endoscopic approach. Read More

Clin Radiol 2020 Apr 20. Epub 2020 Apr 20.

Department of Diagnostic Radiology, McGill University Health Center, 1001 Decarie Blvd, Montreal, QC H4A 3J1, Canada.

Aim: To define the role of the T2-weighted axial oblique sequence for the magnetic resonance imaging (MRI) assessment of peroneal tendon pathologies.

Materials And Methods: Two radiologists interpreted 180 ankle MRI examinations using standard sequences alone and then in combination with an axial oblique sequence. The readers indicated how likely a peroneal pathology was present using a five-level confidence scale. Read More

Clin Case Rep 2020 Mar 11;8(3):527-530. Epub 2020 Feb 11.

Clinic for Traumatology, Orthopedics and Hand Surgery Spital Laufenburg Laufenburg Switzerland.

Calcific tendinitis is a common pathology in the shoulder but is uncommon in the peroneus longus tendon, which is considered when patient presents with a palpable tenderness without signs of inflammation. Differential diagnosis is important, as the condition is often overlooked. Conservative treatment has proven successful, though surgery might be an alternative. Read More

Mil Med 2020 01;185(Suppl 1):420-422

Naval Medical Center San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134.

Introduction: The purpose of this study was to identify the location of the peroneal tendons in relationship to the fibular groove in an asymptomatic population of elite U.S. Military Service members. Read More

Arthroscopy 2020 06 13;36(6):1649-1654. Epub 2020 Feb 13.

Twin Cities Orthopedics, Edina, Minnesota, U.S.A.. Electronic address:

Purpose: To assess the most common presenting symptoms, clinical outcomes, and satisfaction after anatomic reconstruction of the proximal tibiofibular joint (PTFJ) with a free semitendinosus autograft.

Methods: Consecutive patients with minimum 2-year follow-up after isolated anatomic PTFJ reconstruction were retrospectively reviewed. Patients were evaluated with the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score and Lysholm Knee Survey score along with a simple numeric patient satisfaction score (0-10, with 10 rated as perfect). Read More

Acta Med Okayama 2019 Dec;73(6):533-536

Department of Orthopedic Surgery, Nihon University School of Medicine, Itabashi-ku, Tokyo 173-8610, Japan.

The patient was a 40-year-old female who had been treated at our hospital for left peroneal tendonitis due to an ankle sprain 2 years earlier. She re-injured that ankle while dancing. The pain in the lateral left foot soon improved, but she had difficulty standing with the left foot in equinus. Read More

Clin Neurophysiol 2020 01 22;131(1):160-166. Epub 2019 Nov 22.

Departments of Neurology, Medical College of Wisconsin, Milwaukee, WI, USA.

Objective: When the compound muscle action potential (CMAP) is recorded in motor nerve conduction studies, the reference (E2) electrode can make a significant contribution to the CMAP. This study investigates the E2 recorded signal and its effect on CMAP measurements when E2 electrode is placed at different sites.

Methods: The CMAP was recorded using the active electrode on the muscle belly and 4 different E2 electrodes placed at distal and proximal sites. Read More

Orthop Clin North Am 2020 Jan;51(1):121-130

Foot and Ankle Surgery Division; The Orthopedic Institute of North Texas, PA, Baylor Frisco - Professional Building #1, 5575 Warren Parkway, #115, Frisco, TX 75034, USA; Orthopaedics, Texas A&M University HSC, College of Medicine. Electronic address:

Peroneal tendon pathology is becoming an increasingly recognized source of lateral-sided ankle pain. High clinical suspicion, along with judicious physical examination coupled with confirmatory advanced imaging modalities, are necessary to make an accurate diagnosis and aid in guiding treatment. Peroneal pathology encompasses several distinct conditions. Read More

Anat Cell Biol 2019 Sep 26;52(3):344-348. Epub 2019 Aug 26.

School of Health and Rehabilitations Sciences, The Ohio State University College of Medicine, Columbus, OH, USA.

This study describes five bilateral anatomical variations in the feet of a 97-year-old male cadaver. Following routine dissection, all variants were measured and documented. Three accessory tendons and two accessory ossicles were identified. Read More

J Am Podiatr Med Assoc 2019 Sep 24. Epub 2019 Sep 24.

Foot and Ankle Center of Nebraska.

Background: A survey of pathology present in the subtalar joint by means of subtalar arthroscopy with anterolateral and middle portals has not been extensively explored in current literature. The focus of our study was to identify pathology in the subtalar joint at the time of subtalar joint arthroscopy using this approach. We also compare our arthroscopic findings to those reported in the literature. Read More

Med Ultrason 2019 Aug;21(3):265-272

"Dr. Ion Stoia" Clinical Centre of Rheumatic Diseases (Bucharest).

Aim: To evaluate the frequency of tibiotalar and subtalar joints together with extensor, flexor and peroneal tendons inflammatory lesions in rheumatoid arthritis (RA) patients by using ultrasound (US) and magnetic resonance imaging (MRI).

Material And Methods: Fifty RA patients and 25 healthy subjects were prospectively included. All patients and controlsunderwent clinical examination (to screen for swollen and/or tender ankles) and ankle US and MRI (to screen for synovialhypertrophy - SH, tenosynovitis and power Doppler - PD signals). Read More

Indian J Plast Surg 2019 Jan 24;52(1):100-108. Epub 2019 May 24.

Institute for Craniofacial Aesthetic and Plastic Surgery, SRM Institute for Medical Sciences, Chennai, Tamil Nadu, India.

The common peroneal nerve is the most commonly injured nerve in the lower extremity. Peroneal nerve pathology results in loss of dorsiflexion at the tibiotalar joint, loss of eversion at the subtalar joint, and loss of extension of toes resulting in foot drop. The varied etiology of the problem is discussed. Read More

J Foot Ankle Surg 2019 Sep 24;58(5):969-973. Epub 2019 Jul 24.

Consultant, European SportsCare Network, Zentrum für Sportorthopädie, Wiesbaden-Nordenstadt, Germany; Orthopedic surgeon, European SportsCare Network, Zentrum für Sportorthopädie, Wiesbaden-Nordenstadt, Germany; Medical director, Lilium Klinik, Wiesbaden-Nordenstadt, Germany; Professor, Department for Sports and Sport Science, Albert-Ludwigs-Universität Freiburg im Breisgau, Freiburg, Germany. Electronic address:

Peroneal tendon injuries at the peroneal tubercle are rare. No systematic research regarding this pathology is currently available. In this systematic literature review, the author evaluated the present knowledge about peroneal tendon lesions at the lateral calcaneal wall. Read More

Clin Rheumatol 2019 Oct 2;38(10):2891-2895. Epub 2019 Apr 2.

Clínica Reumatológica, Università Politecnica delle Marche, Ospedale "Carlo Urbani", Via Aldo Moro 25, 60035, Jesi Ancona, Italy.

To describe the prevalence and distribution of clinical and ultrasound (US) pathological findings at ankle level and to compare them, in patients with rheumatoid arthritis (RA). This is a descriptive, cross-sectional study assessing patients diagnosed with RA according to the 2010 ACR criteria, who were recruited consecutively and independently of disease status or treatment and of the presence of pain at ankle level. Clinical and US findings were acquired by two independent rheumatologists. Read More

Arthrosc Tech 2019 Jan 3;8(1):e11-e16. Epub 2018 Dec 3.

Department of Orthopaedics, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand.

Tendoscopy of the peroneal tendon is a promising procedure for the treatment of peroneal tendon pathology and its disorders. This procedure is minimally invasive with less physical morbidity and early functional rehabilitation. The present report demonstrates the techniques of peroneal tendoscopic debridement and endoscopic groove deepening in the prone position to treat peroneal tenosynovitis and low-lying muscle belly of peroneus brevis with a shallow and flat surface of the retro-malleolar groove. Read More

Knee Surg Sports Traumatol Arthrosc 2020 Jan 19;28(1):70-78. Epub 2019 Mar 19.

Laboratory of Arthroscopic and Surgical Anatomy, Department of Pathology and Experimental Therapeutics (Human Anatomy Unit), University of Barcelona, Barcelona, Spain.

Purpose: Tendon grafts are often utilized for reconstruction of the lateral ligaments unamenable to primary repair. However, tendon and ligaments have different biological roles. The anterior tibiofibular ligament's (ATiFL) distal fascicle may be resected without compromising the stability of the ankle joint. Read More

Knee Surg Sports Traumatol Arthrosc 2020 Jan 7;28(1):79-85. Epub 2019 Feb 7.

Human Anatomy and Embryology Unit, Department of Pathology and Experimental Therapeutics, University of Barcelona, Barcelona, Spain.

Purpose: To assess the effectiveness of cadaveric ankle arthroscopy courses in reducing iatrogenic injuries.

Methods: A total of 60 novice surgeons enrolled in a basic cadaveric ankle arthroscopy course were divided into two groups. Group A (n = 32) was lectured on portal placement and use of the arthroscope, whereas group B (n = 28) was in addition lectured on specific portal-related complications. Read More

Skeletal Radiol 2019 Aug 6;48(8):1221-1231. Epub 2019 Feb 6.

Department of Radiology, Gazi University Faculty of Medicine, Ankara, Turkey.

Objective: To evaluate anatomical variations in the lateral ankle and their relationships with pathological conditions of the peroneal tendon on magnetic resonance imaging (MRI) in symptomatic patients.

Materials And Methods: Sixty-nine ankles MRIs of 60 adult patients with symptomatic ankles were included. The presence and sizes of peroneal tubercle and retrotrochlear eminence (RTE), the prevalence of peroneus quartus (PQ), os peroneum, and boomerang-shaped peroneus brevis (PB) tendon, the shape of the retromalleolar fibular groove (RMFG), and the location of the PB muscle-tendon junction were evaluated. Read More

Acta Biomed 2018 12 19;90(1-S):154-157. Epub 2018 Dec 19.

Orthopaedic and Traumatology Department, Hospital Santa Maria delle Croci, Ravenna, Italy.

Background: The annular ligament has a crucial role in the radial head stability and  it is critical to the proper functioning of the proximal  radio-capitellar joint. Its chronic injury may lead to radial head instability, elbow pain with decrease in motion and valgus deformity. Method: We present the case of a 53-year-old heavy laborer who reported a complex trauma of the right upper limb with a Floating Elbow Injury, associated to an open Monteggia fracture-dislocation. Read More

World J Orthop 2019 Jan 18;10(1):45-53. Epub 2019 Jan 18.

Department of Orthopaedic Surgery, Singapore General Hospital, Singapore 169856, Singapore.

Background: Peroneal tendinopathies are an under-diagnosed and potentially under-treated pathology. If left untreated it can be a cause of chronic lateral hindfoot pain. Its diagnosis is challenging owing to its low incidence and vague clinical presentation. Read More

Orthop Traumatol Surg Res 2019 02 24;105(1):153-158. Epub 2018 Dec 24.

Université Lille-Nord-de-France, Lille, France; Service d'orthopédie B, hôpital Salengro, CHRU de Lille, place de Verdun, 59037 Lille cedex, France; Laboratoire d'anatomie, faculté de médecine Henri-Warembourg, université de Lille 2, 59045 Lille cedex, France.

Background: Tibialis posterior transfer (TPT) is the treatment most widely used to palliate foot drop due to dorsiflexor palsy. TPT has been extensively studied in patients with peripheral neurological causes of foot drop. In contrast, data are scarce on central foot drop, in which TPT is often blamed for causing flattening of the arches. Read More

Foot Ankle Spec 2019 Dec 19;12(6):513-517. Epub 2018 Dec 19.

Imperial Healthcare NHS Trust, St Mary's Hospital, London, UK.

Introduction: Peroneal tendon disorders pose a diagnostic conundrum to the clinician. Magnetic resonance imaging (MRI) is widely used to assess tendon pathology. A recognized artifact of MRI, the magic angle effect (MAE), can lead to spurious results and inappropriate management. Read More

J Foot Ankle Surg 2019 Mar 13;58(2):208-212. Epub 2018 Dec 13.

Assistant Professor, Department of Surgery, Division of Orthopaedics, University of Alabama at Birmingham, Birmingham, AL. Electronic address:

The purpose of our study was to examine the preoperative clinical factors and magnetic resonance imaging (MRI) findings associated with peroneal pathology in chronic lateral ankle instability patients, as well as the clinical factors associated with peroneal lesions being detected on MRI. Peroneal pathology was determined from intraoperative findings. Patients with/without peroneal pathology were compared regarding their preoperative clinical findings. Read More

Foot Ankle Int 2019 Mar 22;40(3):356-363. Epub 2018 Nov 22.

6 School of Medicine, Department of Hand Surgery, Uludag University, Bursa, Turkey.

Background:: The aim of this study was to evaluate the role of tendoscopy in the diagnosis and treatment of peroneal tendon (PT) pathologies, and to evaluate the results of our technical modification.

Methods:: Twenty ankles of 18 patients with retrofibular pain, operated on between 2006 and 2012, were included in this study. Peroneal tendoscopy was performed diagnostically for the patients who were diagnosed as having "peroneal tendinopathy" with physical examination, x-ray, or magnetic resonance imaging (MRI). Read More

Surg Radiol Anat 2019 Jan 8;41(1):75-85. Epub 2018 Nov 8.

Department of Orthopaedic Surgery, University of Southern California, Los Angeles, CA, USA.

Purpose: Fibular (peroneal) groove morphology may influence fibularis tendon pathology, including tendinosis, tears, and luxation. The study goal was to evaluate the inter-reader agreement of morphologic characterization and measures of the fibular groove at two different levels on MRI and correlation with fibularis tendon pathology.

Materials And Methods: 47 ankle MRIs in patients without lateral ankle pain were reviewed by two musculoskeletal radiologists. Read More

Foot Ankle Surg 2019 Oct 23;25(5):636-639. Epub 2018 Jul 23.

Department of Orthopedics, Clinica Del Remei, Department of Anatomy and Human Embryology, Faculty of Medicine, University of Barcelona, Barcelona, Spain.

Background: Peroneal Tendon (PT) complex is formed by the Peroneus Longus Tendon (PLT) and Peroneus Brevis Tendon (PBT), their synovial sheath, the superior and inferior retinaculum, and the Os Peroneum (OP). Their insertion is associated with some anatomic variability. Knowing these variants helps to understand the PT pathology and it may support the decision-making concerning the operative approach. Read More

Arthrosc Tech 2018 Aug 23;7(8):e859-e862. Epub 2018 Jul 23.

Department of Orthopaedic Surgery, University of Virginia, Charlottesville, Virginia, U.S.A.

Snapping biceps femoris is a rare phenomenon in which the biceps femoris tendon subluxates over the fibular head when the leg is brought into deep flexion. Two primary pathologies have been identified: biceps insertion tears/anatomic variants and/or an enlarged fibular head. Often, it can be treated nonoperatively; however, if symptoms are severe enough and refractory to conservative treatments, the underlying pathology can be corrected surgically to alleviate symptoms. Read More

J Am Acad Orthop Surg 2018 Nov;26(22):809-815

From the Department of Orthopaedic Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA (Mr. Res, Dr. Dixon, Dr. Lubberts, Dr. Vicentini, Dr. Hosseini, Dr. Guss, and Dr. DiGiovanni), and Orthopedic Research Department, Academisch Medisch Centrum, Universiteit van Amsterdam, Amsterdam, the Netherlands (Dr. van Dijk).

Introduction: The purpose of this study was to determine whether tears of the peroneus brevis (PB) tendon correlate with increased fatty infiltration of the PB muscle on MRI compared with musculature without clinical evidence of peroneal pathology.

Methods: Ankle MRI scans of patients with PB tendon tearing (tear group) were compared with those of patients without clinical evidence of peroneal pathology (control group). Two reviewers graded the PB muscle belly according to the Goutallier classification. Read More

Medicine (Baltimore) 2018 Aug;97(31):e11351

Department of Orthopedics, Shengjing Hospital of China Medical University, Shenyang, China.

Repairing soft tissue loss in feet's anterior and middle parts has become a problem, especially for children. We observed the feasibility and clinical effects of superficial peroneal fasciocutaneous flap pedicled with terminal perforating branches of peroneal artery for repairing children's feet.Between January 2015 and December 2016, soft tissue loss in anterior and middle regions of feet were repaired using superficial peroneal fasciocutaneous flap pedicled with terminal perforating branches of peroneal artery in 8 children with a median age of 6. Read More

AJR Am J Roentgenol 2018 10 31;211(4):867-871. Epub 2018 Jul 31.

1 Department of Radiology, Seoul National University College of Medicine, 101 Daehak-ro Jongno-gu, Seoul 110-744, Korea.

Objective: The aim of this study was to describe cuboid pulley lesions and associated abnormalities on the basis of clinical findings and the results of MRI examinations of the ankle.

Materials And Methods: A retrospective search was performed to identify patients who had a cuboid pulley lesion during a 10-year period. A cuboid pulley lesion was defined as bone marrow edema in the lateroplantar ridge of the cuboid that was shown to be wrapped by the peroneus longus tendon on MRI of the ankle. Read More

Clin Podiatr Med Surg 2018 Jul 4;35(3):331-342. Epub 2018 May 4.

Division of Podiatric Surgery, Department of Surgery, Cambridge Health Alliance, Harvard Medical School, 1493 Cambridge Street, Floor 2, Cambridge, MA 02139, USA.

Surgical repair of tendons of the foot and ankle is performed utilizing various methods, including autografts, allografts, and synthetic grafts. Artelon is a synthetic biomaterial that is fabricated from wet-spun fibers of PCL-based polyurethane urea, and has, optimal mechanical properties compared with other grafting options. Because of excellent results of Artelon in ACL reconstruction, its use was explored in 3 foot and ankle cases: repair of Achilles, posterior tibial, and peroneal tendons. Read More

Knee Surg Sports Traumatol Arthrosc 2018 10 16;26(10):3096-3107. Epub 2018 May 16.

Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands.

Introduction: Peroneal tendon injuries are a significant cause of lateral ankle symptoms in the active population. Accurate diagnosis and prompt treatment is important for minimizing the risk of long-term sequelae associated with chronic peroneal tendinopathy. Although several studies have been published on diagnostic strategies and treatment outcomes, there is no consensus on the optimal management of peroneal tendon pathologies. Read More

Radiologe 2018 May;58(5):415-421

Klinik für Radiologie, Isarklinikum München, München, Deutschland.

Injuries of the ligaments and tendons of the ankle and foot are among the most common musculoskeletal injuries. A correct and precise description of the pathology and possible accompanying injuries is essential for treatment planning by trauma and orthopedic surgeons. While X‑ray is used to exclude fractures, ultrasound is a very useful tool to assess the ligaments and tendons. Read More

Orthop Traumatol Surg Res 2018 06 3;104(4):511-517. Epub 2018 Apr 3.

Université Lille-Hauts de France, 59000 Lille, France; Service de Chirurgie Orthopédique et de Traumatologie, Hôpital Salengro, CHRU de Lille, rue Emile-Laisne, 59037 Lille, France.

Introduction: Peroneal tendinopathy is an under-diagnosed pathology, mainly triggered by ankle sprain. Failure of medical treatment often leads to surgery, with modalities adapted to the lesion type. The present study aimed to assess clinical and functional results of tendon repair and to analyze the influence of hindfoot alignment on quality of outcome. Read More

Foot Ankle Int 2018 05 29;39(5):542-550. Epub 2018 Mar 29.

3 Laboratory of Arthroscopic and Surgical Anatomy, Department of Pathology and Experimental Therapeutics (Human Anatomy Unit), University of Barcelona, Barcelona, Spain.

Background: Snapping peroneal tendons is a rare cause of lateral ankle pain. Two subgroups have been described: chronic subluxation with superior peroneal retinaculum (SPR) injury and intrasheath subluxation with SPR intact. The aim of the study was to report the tendoscopic findings and results in patients affected by snapping peroneal tendons without evident dislocation. Read More

World J Surg Oncol 2018 Mar 27;16(1):65. Epub 2018 Mar 27.

Department of Orthopaedics, Xiangya Hospital, Central South University, Xiangya Road 87#, Changsha, 410008, Hunan, People's Republic of China.

Background: Resection of proximal fibular osteosarcoma involving the posteromedial aspect of the fibula is challenging. Reconstruction using a gastrocnemius flap may result in significant lateral instability and abnormal knee movement. Furthermore, postoperative gait may be disturbed by foot drop resulting from scarification of the common peroneal nerve. Read More

Arthrosc Tech 2018 Jan 18;7(1):e45-e51. Epub 2017 Dec 18.

Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, NT, Hong Kong SAR, China.

Post-traumatic peroneal tendon subluxation or dislocation is most commonly due to injury to the superior peroneal retinaculum. Acute repair of the retinaculum is an option for active athletes who desire quick return of sport activity. In general, conventional open surgeries require extensive exposure of the injured superficial peroneal retinaculum and have potential risks of scar formation, sural nerve injury, limited range of movement, peroneal tendon re-subluxation, and tendon irritation. Read More

Arthrosc Tech 2017 Oct 4;6(5):e1489-e1493. Epub 2017 Sep 4.

Department of Orthopaedics and Traumatology, North District Hospital, Sheung Shui, NT, Hong Kong SAR, China.

Symptomatic hypertrophy of the peroneal tubercle can result in pain, clicking sensation, and limitation of ambulation. Surgical resection is indicated for symptomatic hypertrophied tubercle that is recalcitrant to conservative treatment. The purpose of this Technical Note is to report the details of tendoscopic resection of the hypertrophied peroneal tubercle. Read More

J Foot Ankle Surg 2018 Mar - Apr;57(2):296-300. Epub 2018 Jan 11.

Professor and Vice Chair and Director of Anatomy Division, Department of Pathology, Anatomy, and Laboratory Medicine, West Virginia University School of Medicine, Morgantown, WV.

Terminal branches of the superficial fibular nerve are at risk of iatrogenic damage during foot surgery, including hallux valgus rigidus correction, bunionectomy, cheilectomy, and extensor hallucis longus tendon transfer. One terminal branch, the dorsomedial cutaneous nerve of the hallux, is particularly at risk of injury at its intersection with the extensor hallucis longus tendon. Iatrogenic injuries of the dorsomedial cutaneous nerve of the hallux can result in sensory loss, neuroma formation, and/or debilitating causalgia. Read More

J Foot Ankle Surg 2018 May - Jun;57(3):478-483. Epub 2017 Dec 19.

Associate Professor, Department of Orthopaedic Surgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Republic of Korea. Electronic address:

Chronic peroneal tendon dislocation is an uncommon disorder that frequently presents with concomitant pathology. Posterior fibular groove deepening and retinaculum repair have been increasing in popularity for treatment of peroneal tendon dislocations. The purpose of the present study was to introduce a posterior fibular groove deepening procedure using low-profile snap-off screws to securely and simply fix the fibrocartilaginous flap to facilitate faster rehabilitation and to assess the clinical outcomes of patients with chronic peroneal tendon dislocation and associated pathologic features. Read More

Acta Orthop Traumatol Turc 2017 Dec 3;51(6):482-487. Epub 2017 Nov 3.

Cactus Healthcare, Istanbul, Turkey. Electronic address:

Objective: The aim of this study was to determine factors associated with the likelihood of a better clinical outcome after the peritendinous injection of PRP for the treatment of chronic tendinopathy and identify whether PRP represents an effective treatment option for chronic tendinopathies.

Methods: The study included 214 patients (86 males and 128 females; mean age: 39.3 (18-75) years) who received PRP injections for tendinopathy refractory to conventional treatments. Read More

J Foot Ankle Surg 2017 Nov - Dec;56(6):1323-1327

Orthopaedic Surgeon, FussZentrum Hirslanden Zuerich, Klinik Hirslanden, Zurich, Switzerland.

Subfibular impingement has been described in patients with flatfoot. It possibly occurs with valgus deformity associated with talocalcaneal coalition. We observed symptomatic unilateral fibular impingement initially on the left foot of an 11-year-old female with an otherwise asymptomatic bilateral talocalcaneal coalition. Read More

Unfallchirurg 2017 Dec;120(12):1020-1030

Klinik für Unfallchirurgie, Orthopädie und Handchirurgie, HELIOS Klinikum Erfurt, Nordhäuser Straße 74, Erfurt, Deutschland.

Clinical Issue: Injuries of the peroneal tendons are rare and often overlooked. Typical pathologies are tendinitis, tears and dislocation. Accompanying injuries are fractures. Read More

Ultrasound Med Biol 2017 11 29;43(11):2537-2545. Epub 2017 Jul 29.

Medical Ultrasound Imaging Center (MUSIC), Department of Radiology and Nuclear Medicine, Radboud university medical center, Nijmegen, The Netherlands; Physics of Fluids Group, MESA+ Institute for Nanotechnology and MIRA Institute for Biomedical Technology and Technical Medicine, University of Twente, Enschede, The Netherlands.

A need exists for biomarkers to diagnose, quantify and longitudinally follow facioscapulohumeral muscular dystrophy (FSHD) and many other neuromuscular disorders. Furthermore, the pathophysiological mechanisms leading to muscle weakness in most neuromuscular disorders are not completely understood. Dynamic ultrasound imaging (B-mode image sequences) in combination with speckle tracking is an easy, applicable and patient-friendly imaging tool to visualize and quantify muscle deformation. Read More

EFORT Open Rev 2017 Jun 22;2(6):281-292. Epub 2017 Jun 22.

Department of Foot & Ankle Surgery, Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, HA7 4LP, UK.

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. Read More

Skeletal Radiol 2017 Oct 28;46(10):1441-1446. Epub 2017 Jun 28.

Department of Radiology, University of California San Diego Medical Center, 200 West Arbor Drive, Mail Code 8756, San Diego, CA, 92103, USA.

Synovial lipoma arborescens is a rare and benign fatty proliferative lesion of the synovium that is most commonly seen within the suprapatellar pouch of the knee, but increasingly reported to involve tendon sheaths, including those of the ankle. We present the third known case of tenosynovial lipoma arborescens isolated to the peroneal tendon sheath without ankle joint involvement. To our knowledge, this is the first to report this entity utilizing a unique combination of radiographic, sonographic, and MR imaging, along with intraoperative and histologic correlation. Read More

J Foot Ankle Surg 2017 Nov - Dec;56(6):1316-1319. Epub 2017 Jun 21.

Assistant Professor, Department of Orthopaedic Surgery, Stony Brook University School of Medicine, Stony Brook, NY. Electronic address:

Heterotopic ossification (HO) is abnormal formation of mature lamellar bone in soft tissues. HO is most commonly diagnosed in the setting of localized trauma, which results in improper differentiation of progenitor cells, leading to aberrant tissue formation. In the pediatric population, nongenetic causes of HO have rarely been reported, especially HO involving the tendons of the ankle. Read More

Eur J Radiol 2017 Jul 10;92:132-144. Epub 2017 May 10.

Musculoskeletal Radiology, UT Southwestern Medical Center, TX, USA; Orthopaedic Surgery, UT Southwestern Medical Center, TX, USA. Electronic address:

Peroneal tendon pathology is an important cause of lateral ankle pain and instability. Typical peroneal tendon disorders include tendinitis, tenosynovitis, partial and full thickness tendon tears, peroneal retinacular injuries, and tendon subluxations and dislocations. Surgery is usually indicated when conservative treatment fails. Read More

Instr Course Lect 2017 Feb;66:301-312

Orthopaedic Surgery Foot and Ankle Fellow, Department of Orthopaedic Surgery, Cedars-Sinai Medical Center, Los Angeles, California.

Surgeons should understand the anatomic, vascular, biomechanical, and predisposing factors related to lateral ankle instability and peroneal tendon injuries, including peroneal tendinitis and tenosynovitis, peroneal tendon tears and ruptures, as well as peroneal tendon subluxation and dislocation. Surgeons should understand the treatment options and recommendations for patients who have lateral ankle instability and peroneal tendon injuries from the perspective of a sports medicine foot and ankle specialist. In addition, surgeons should be aware of arthroscopic approaches and an algorithm for the treatment of patients who have lateral ankle instability and peroneal tendon injuries. Read More