130 results match your criteria Peroneal Tendon Syndromes


Refractory peroneal spastic flat foot successfully treated with a cast in a girl.

BMJ Case Rep 2022 Mar 9;15(3). Epub 2022 Mar 9.

Department of Orthopaedic Surgery, Jikei University School of Medicine, Tokyo, Japan.

An 11-year-old girl presented with pain in the sinus tarsi and a foot deformity after spraining her left foot. She had flat foot due to spasticity of the peroneal tendon, which was difficult to correct manually. An imaging study revealed an accessory anterolateral talar facet (AALTF) and bone marrow oedema at the lateral aspect of the posterior talocalcaneal joint. Read More

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COVID-19 Neuromuscular Involvement in Post-Acute Rehabilitation.

Brain Sci 2021 Dec 6;11(12). Epub 2021 Dec 6.

Unit of Neurophysiology, Rehabilitation Department, Giuseppe Giglio Foundation, 90015 Cefalù, Italy.

Background: Coronavirus disease 2019 (COVID-19) is associated with muscle and nerve injuries as a consequence of prolonged critical illness or the infection itself. In this study, we evaluated neuromuscular involvement in patients who underwent post-acute intensive rehabilitation after COVID-19.

Methods: Clinical and neurophysiological evaluations, including nerve conduction studies and electromyography, were performed on 21 consecutive patients admitted for rehabilitation after COVID-19. Read More

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December 2021

[A case of Guillain-Barré syndrome following hepatitis E virus infection].

Rinsho Shinkeigaku 2021 Dec 18;61(12):869-873. Epub 2021 Nov 18.

Department of Neurology, Faculty of Medicine and Graduate School of Medicine, Hokkaido University.

An 81-year-old man presented with limb weakness and dysesthesia approximately 10 days after eating pork liver. His neurological examination revealed muscle weakness predominantly centered in the lower limbs and absence of deep tendon reflex, and cerebrospinal fluid analysis showed elevated proteins with normal cell counts. Furthermore, his nerve conduction studies revealed distal motor latency prolongation and decreased motor nerve conduction velocities in the bilateral median, ulnar, tibial, and peroneal nerves. Read More

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December 2021

The painful lateral column of the foot: from back to front.

Authors:
Julia Crim

Skeletal Radiol 2022 Jun 13;51(6):1115-1125. Epub 2021 Oct 13.

University of Missouri, Hospital Drive, Columbia, MO, 65212, USA.

The purpose of this article is to focus attention on the abnormalities which the radiologist may encounter in patients presenting with lateral ankle or foot pain outside of the context of acute trauma. These include anterolateral impingement, subfibular impingement, subtalar instability and tarsal sinus syndrome, tarsal coalition, sural neuromas, peroneal tendon abnormalities, calcaneocuboid instability and occult cuboid fractures, and painful accessory ossicles. The expected and unexpected findings on radiographs, CT, US, and MRI are discussed. Read More

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[Peroneal tendon pathologies : From the diagnosis to treatment].

Orthopade 2021 Jul 23;50(7):589-604. Epub 2021 Jun 23.

Universitätsklinik für Orthopädie und Unfallchirurgie, Klinische Abteilung für Orthopädie, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090, Wien, Österreich.

Peroneal tendon pathologies are rare but often underdiagnosed. There may be an association with chronic lateral ankle instability as well as with varus hindfoot alignment. Pathologies of the tendons fall into three categories: tendinitis and tenosynovitis, tendon ruptures and tears, and tendon subluxation and dislocation. Read More

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Persistent Pain After Operative Treatment for Chronic Lateral Ankle Instability.

Orthop Res Rev 2021 19;13:47-56. Epub 2021 Apr 19.

Department of Orthopaedic Surgery, Chungbuk National University Hospital, Cheongju, South Korea.

A high frequency of associated injuries is seen in patients with chronic lateral ankle instability. Comorbidities include intraarticular pathologies (osteochondral lesion, soft tissue or bony impingement syndrome, loose body, synovitis, etc.), peroneal tendon pathologies, neural injuries, and other extraarticular pathologies. Read More

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Endoscopic lateral decompression of calcaneo-fibular impingement: Case Report and literature Review.

Int J Surg Case Rep 2021 Mar 17;80:105649. Epub 2021 Feb 17.

Faculty of Medicine of Tunis, University Tunis El Manar, Department of Orthopedic Surgery, Habib Bougatfa Hospital, Bizerte, Tunisia. Electronic address:

Introduction And Importance: The calcaneo-fibular impingement syndrome is frequent after calcaneal fracture. The impinging lesion could be in bone and/or in soft tissue. The operative treatment aims to remove the impinging lesions either by open or endoscopic surgery. Read More

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Pathologies of the Peroneals: A Review.

Foot Ankle Spec 2021 Apr 25;14(2):170-177. Epub 2020 Sep 25.

Department of Orthopaedic Surgery, Duke University Medical Center, Durham, North Carolina (AS, SGP).

Peroneal tendon disorders remain an often overlooked source of lateral hindfoot pain and tenderness. Medical professionals who specialize in foot and ankle care are still far more likely to diagnose a peroneal tendon disorder as an ankle injury. In fact, acute peroneal dislocations are misdiagnosed in up to 40% of cases. Read More

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[Effectiveness of tibialis posterior tendon transfer for foot drop secondary to peroneal nerve palsy].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2020 May;34(5):591-595

Department of Foot and Ankle Surgery, Honghui Hospital, Xi'an Jiaotong University, Xi'an Shaanxi, 710054, P.R.China.

Objective: To investigate the effectiveness of tibialis posterior tendon transfer for foot drop secondary to peroneal nerve palsy.

Methods: The clinical data of 21 patients with unilateral foot drop secondary to peroneal nerve palsy between October 2009 and September 2016 was retrospectively analyzed. There were 12 males and 9 females with an average age of 32. Read More

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Endoscopic Approach to Posterior Ankle via Lateral Portals.

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

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Endoscopic Resection of Peroneus Quartus.

Arthrosc Tech 2020 Jan 12;9(1):e35-e38. Epub 2019 Dec 12.

Department of Orthopaedics and Traumatology, Kwong Wah Hospital, Yau Ma Tei, China.

The peroneus quartus is the most common supernumerary muscle of the foot and ankle. It can be symptomatic and associated with splits or tears in the peroneus brevis, subluxation or dislocation of the peroneal tendon, tendinous calcification, chronic peroneal compartment syndrome, and painful hypertrophy of the retrotrochlear eminence. The purpose of this Technical Note was to describe the details of endoscopic resection of the peroneus quartus. Read More

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January 2020

Extensor Tendon Transfers for Treatment of Foot Drop in Charcot-Marie-Tooth Disease: A Biomechanical Evaluation.

Foot Ankle Int 2020 04 15;41(4):449-456. Epub 2020 Jan 15.

Cedars-Sinai Medical Center, Los Angeles, CA, USA.

Background: In Charcot-Marie-Tooth (CMT) disease, selective weakness of the tibialis anterior muscle often leads to recruitment of the long toe extensors as secondary dorsiflexors, with subsequent clawing of the toes. Extensor hallucis longus (EHL) and extensor digitorum longus (EDL) tendon transfers offer the ability to augment ankle dorsiflexion and minimize claw toe deformity. The preferred site for tendon transfer remains unknown. Read More

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A cadaveric study using the ultra-minimally invasive thread transection technique to decompress the superficial peroneal nerve in the lower leg.

Acta Neurochir (Wien) 2019 10 23;161(10):2133-2139. Epub 2019 May 23.

Department of Neurosurgery, Stanford University, 300 Pasteur Dr, Palo Alto, CA, 94304, USA.

Background: After successful applications of the ultra-minimally invasive thread transecting technique (Guo Technique) for both thread carpal tunnel release and thread trigger finger release, we hypothesized that this technique could be used for superficial peroneal nerve release in the lower leg by selective crural fasciectomy. This study is aimed at testing the operative feasibility of performing the thread superficial peroneal nerve release (TSPNR) procedure in cadavers.

Methods: The TSPNR procedure was performed on 15 fresh frozen cadaveric lower-extremity specimens under ultrasound guidance. Read More

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October 2019

The management of dorsal peroneal nerve compression in the midfoot.

Foot (Edinb) 2018 Jun 28;35:1-4. Epub 2017 Dec 28.

Guy's and St Thomas' NHS Foundation Trust, Great Maze Pond, London, SE1 9RT, United Kingdom. Electronic address:

The foot and ankle specialist will frequently encounter patients with dorsal midfoot pain in clinic. In the presence of midfoot pain and/or paraesthesia, nerve entrapment must be considered. The authors report the outcome of a case series of patients who underwent surgical release of the DPN. Read More

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Progressive retraction of a fractured os peroneum suggesting repetitive injury to the peroneus longus tendon.

Radiol Case Rep 2018 Feb 9;13(1):216-219. Epub 2017 Dec 9.

Department of Radiology, University of Washington, 4245 Roosevelt Way NE, Box 354755, Seattle, WA 98105, USA.

The os peroneum is an accessory ossicle within the peroneus longus tendon. Prior reports have discussed fracture of the os peroneum with associated tears of the peroneus longus tendon. When the ossicle fractures, there can be varying degrees of retraction of the tendon, which can be diagnosed by malposition of the ossicle or the ossicle fragments. Read More

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February 2018

Operative treatment algorithm for foot deformities in Charcot-Marie-Tooth disease.

Authors:
J W K Louwerens

Oper Orthop Traumatol 2018 Apr 7;30(2):130-146. Epub 2018 Feb 7.

Foot and Ankle Reconstruction Unit, St Maartenskliniek, Postbox 9011, 6500 GM, Nijmegen, The Netherlands.

The present article presents a short summary concerning the pathomechanisms and clinical presentation of foot deformities in Charcot-Marie-Tooth syndrome. Furthermore, a classification system is introduced and based on a recently performed review of the literature an operative treatment algorithm is provided. The operative technique of the following surgical procedures is described in more detail: 1. Read More

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Mid-foot retinaculum: an unrecognized entity.

Anat Cell Biol 2017 Sep 20;50(3):171-174. Epub 2017 Sep 20.

Department of Anatomy, All India Institute of Medical Sciences, Bhopal, India.

Retinacula are thickenings of deep fascia in the region of joints that hold down the tendons preventing them from bowing out of position. In the region of ankle, number of such retinacula have been described. Retinacula like superior and inferior extensor retinacula have been described which hold down the tendons of leg muscles passing to the foot beneath them. Read More

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September 2017

Proximal peroneus longus tear: rare case in a teenage athlete and review of the literature.

Skeletal Radiol 2017 Jul 5;46(7):1007-1009. Epub 2017 Apr 5.

Children's Hospital of Philadelphia, Philadelphia, USA.

We present the case of a 15-year-old teenager who sustained an ankle inversion injury while playing American football, which yielded only minimal pain, but also foot numbness and a lateral leg bulge. Magnetic resonance imaging evaluation revealed a proximal peroneal tear. These rare injuries are often associated with compartment syndrome, a surgical emergency, which was ultimately excluded clinically in this patient. Read More

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[Minimally invasive treatment of calcaneal fractures by subtalar arthroscopy with posterior approach].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 01;31(1):36-41

The Second Department of Orthopaedics, the First Affiliated Hospital, University of Guangxi Traditional Chinese Medicine, Nanning Guangxi, 530000,

Objective: To evaluate the results of arthroscopically-assisted closed reduction and percutaneous screw fixation by posterior approach to subtalar joint for calcaneal fractures of Essex-Lopresti tongue type, Sanders IIA, IIB, and IIIAB.

Methods: Sixteen patients with unilateral calcaneal fracture were treated with arthroscopically-assisted closed reduction and percutaneous screw fixation by posterior approach to subtalar joint between June 2012 and June 2015. There were 13 males and 3 females with an average age of 37. Read More

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January 2017

MR imaging as a problem solving tool in posterior ankle pain: A review.

Eur J Radiol 2016 Dec 17;85(12):2238-2256. Epub 2016 Oct 17.

Department of Radiology, Changi General Hospital, 2 Simei Street 3, 529889, Singapore. Electronic address:

Posterior ankle pain is a cause of chronic pain and disability, afflicting a wide range of individuals. While proper identification of the cause is essential for timely and adequate treatment, identifying the cause and excluding mimickers is often challenging for the physician due to the complex nature of the joint. In addition, pathology that can cause posterior ankle pain may occur on their own or in co-existence. Read More

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December 2016

CT and MR Imaging of the Postoperative Ankle and Foot.

Radiographics 2016 Oct;36(6):1828-1848

From the Department of Radiology, Florida Hospital, 601 E Rollins St, Orlando, FL 32803 (G.M.L., K.F.S., D.R.W., C.W.W., C.R.P., L.W.B.); Department of Radiology, University of Washington, Seattle, Wash (M.L.R., J.A.P.); Department of Podiatry, University of Central Florida, Orlando, Fla (G.L.); and Department of Podiatry, Florida Foot and Ankle Specialist, Lake Mary, Fla (C.C.M.).

A variety of surgical procedures exist for repair of both traumatic and degenerative osseous and soft-tissue pathologic conditions involving the foot and ankle. It is necessary for the radiologist to be familiar with these surgical procedures, so as to assess structural integrity, evaluate for complicating features, and avoid diagnostic pitfalls. Adequate interpretation of postoperative changes often requires access to surgical documentation to evaluate not only the surgery itself but the expected timeline for resolution of normal postoperative changes versus progressive disease. Read More

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October 2016

Peroneal Nerve Palsy: Evaluation and Management.

J Am Acad Orthop Surg 2016 Jan;24(1):1-10

Peroneal nerve palsy is the most common entrapment neuropathy of the lower extremity. Numerous etiologies have been identified; however, compression remains the most common cause. Although injury to the nerve may occur anywhere along its course from the sciatic origin to the terminal branches in the foot and ankle, the most common site of compressive pathology is at the level of the fibular head. Read More

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January 2016

Peroneal Tendon Disorders.

Clin Sports Med 2015 Oct 31;34(4):625-41. Epub 2015 Jul 31.

Department of Orthopaedic Surgery, University of California Davis, 4860 Y Street, Suite 3800, Sacramento, CA 95817, USA.

Peroneal tendon pathology is often found in patients complaining of lateral ankle pain and instability. Conditions encountered include tendinosis; tendinopathy; tenosynovitis; tears of the peroneus brevis, peroneus longus, and both tendons; subluxation and dislocation; and painful os peroneum syndrome. Injuries can be acute as a result of trauma or present as chronic problems, often in patients with predisposing structural components such as hindfoot varus, lateral ligamentous instability, an enlarged peroneal tubercle, and a symptomatic os peroneum. Read More

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October 2015