Skip to main content
SpringerLink
Log in

Peroneal Tendon Injuries

  • Chapter
  • First Online:
Sports Injuries of the Foot and Ankle

Abstract

This chapter provides an overview of the anatomy, patient history, clinical examination, diagnostics, and treatment of peroneal tendon injuries. Moreover, it provides a step-by-step description of the peroneal tendoscopy procedure.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. DiGiovanni BF, et al. Associated injuries found in chronic lateral ankle instability. Foot Ankle Int. 2000;21(10):809–15.

    Article  CAS  PubMed  Google Scholar 

  2. Krause JO, Brodsky JW. Peroneus brevis tendon tears: pathophysiology, surgical reconstruction, and clinical results. Foot Ankle Int. 1998;19(5):271–9.

    Article  CAS  PubMed  Google Scholar 

  3. Redfern D, Myerson M. The management of concomitant tears of the peroneus longus and brevis tendons. Foot Ankle Int. 2004;25(10):695–707.

    Article  PubMed  Google Scholar 

  4. Otis JC, et al. Peroneus brevis is a more effective evertor than peroneus longus. Foot Ankle Int. 2004;25(4):242–6.

    Article  PubMed  Google Scholar 

  5. Edwards M. The relations of the peroneal tendons to the fibula, calcaneus, and cuboideum. Am J Anat. 1928;42:213–53.

    Article  Google Scholar 

  6. Freccero DM, Berkowitz MJ. The relationship between tears of the peroneus brevis tendon and the distal extent of its muscle belly: an MRI study. Foot Ankle Int. 2006;27(4):236–9.

    Article  PubMed  Google Scholar 

  7. Saupe N, et al. Anatomic variants associated with peroneal tendon disorders: MR imaging findings in volunteers with asymptomatic ankles. Radiology. 2007;242(2):509–17.

    Article  PubMed  Google Scholar 

  8. Mota J, Rosenberg ZS. Magnetic resonance imaging of the peroneal tendons. Top Magn Reson Imaging. 1998;9(5):273–85.

    Article  CAS  PubMed  Google Scholar 

  9. Sobel M, et al. Painful os peroneum syndrome: a spectrum of conditions responsible for plantar lateral foot pain. Foot Ankle Int. 1994;15(3):112–24.

    Article  CAS  PubMed  Google Scholar 

  10. Stockton KG, Brodsky JW. Peroneus longus tears associated with pathology of the os peroneum. Foot Ankle Int. 2014;35(4):346–52.

    Article  PubMed  Google Scholar 

  11. Scholten PE, van Dijk CN. Tendoscopy of the peroneal tendons. Foot Ankle Clin. 2006;11(2):415–20.

    Article  PubMed  Google Scholar 

  12. van Dijk PA, et al. Peroneal tendons well vascularized: results from a cadaveric study. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):1140–7.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Petersen W, et al. Blood supply of the peroneal tendons: injection and immunohistochemical studies of cadaver tendons. Acta Orthop Scand. 2000;71(2):168–74.

    Article  CAS  PubMed  Google Scholar 

  14. Molloy R, Tisdel C. Failed treatment of peroneal tendon injuries. Foot Ankle Clin. 2003;8(1):115–29.

    Article  PubMed  Google Scholar 

  15. Sammarco GJ, DiRaimondo CV. Chronic peroneus brevis tendon lesions. Foot Ankle. 1989;9(4):163–70.

    Article  CAS  PubMed  Google Scholar 

  16. Borton DC, et al. Operative reconstruction after transverse rupture of the tendons of both peroneus longus and brevis. Surgical reconstruction by transfer of the flexor digitorum longus tendon. J Bone Joint Surg Br. 1998;80(5):781–4.

    Article  CAS  PubMed  Google Scholar 

  17. Brandes CB, Smith RW. Characterization of patients with primary peroneus longus tendinopathy: a review of twenty-two cases. Foot Ankle Int. 2000;21(6):462–8.

    Article  CAS  PubMed  Google Scholar 

  18. Rosenberg ZS, et al. Peroneal tendon injury associated with calcaneal fractures: CT findings. AJR Am J Roentgenol. 1987;149(1):125–9.

    Article  CAS  PubMed  Google Scholar 

  19. Truong DT, Dussault RG, Kaplan PA. Fracture of the os peroneum and rupture of the peroneus longus tendon as a complication of diabetic neuropathy. Skelet Radiol. 1995;24(8):626–8.

    Article  CAS  Google Scholar 

  20. Vainio K. The rheumatoid foot. A clinical study with pathological and roentgenological comments. 1956. Clin Orthop Relat Res. 1991;(265):4–8.

    Google Scholar 

  21. Wright DG, Sangeorzan BJ. Calcaneal fracture with peroneal impingement and tendon dysfunction. Foot Ankle Int. 1996;17(10):650.

    Article  CAS  PubMed  Google Scholar 

  22. Younger AS, Hansen ST Jr. Adult cavovarus foot. J Am Acad Orthop Surg. 2005;13(5):302–15.

    Article  PubMed  Google Scholar 

  23. van Dijk PA, et al. The ESSKA-AFAS international consensus statement on peroneal tendon pathologies. Knee Surg Sports Traumatol Arthrosc. 2018;

    Google Scholar 

  24. van Dijk CN. Hindfoot endoscopy for posterior ankle pain. Instr Course Lect. 2006;55:545–54.

    PubMed  Google Scholar 

  25. Khan KM, et al. Histopathology of common tendinopathies. Update and implications for clinical management. Sports Med. 1999;27(6):393–408.

    Article  CAS  PubMed  Google Scholar 

  26. Wang XT, et al. Normal variants and diseases of the peroneal tendons and superior peroneal retinaculum: MR imaging features. Radiographics. 2005;25(3):587–602.

    Article  PubMed  Google Scholar 

  27. Miura K, et al. Split lesions of the peroneus brevis tendon in the Japanese population: an anatomic and histologic study of 112 cadaveric ankles. J Orthop Sci. 2004;9(3):291–5.

    Article  PubMed  Google Scholar 

  28. Sobel M, Bohne WH, Levy ME. Longitudinal attrition of the peroneus brevis tendon in the fibular groove: an anatomic study. Foot Ankle. 1990;11(3):124–8.

    Article  CAS  PubMed  Google Scholar 

  29. Heckman DS, et al. Operative treatment for peroneal tendon disorders. J Bone Joint Surg Am. 2008;90(2):404–18.

    Article  PubMed  Google Scholar 

  30. Sobel M, et al. Longitudinal splitting of the peroneus brevis tendon: an anatomic and histologic study of cadaveric material. Foot Ankle. 1991;12(3):165–70.

    Article  CAS  PubMed  Google Scholar 

  31. Dombek MF, et al. Peroneal tendon tears: a retrospective review. J Foot Ankle Surg. 2003;42(5):250–8.

    Article  PubMed  Google Scholar 

  32. Arrowsmith SR, Fleming LL, Allman FL. Traumatic dislocations of the peroneal tendons. Am J Sports Med. 1983;11(3):142–6.

    Article  CAS  PubMed  Google Scholar 

  33. Eckert WR, Davis EA Jr. Acute rupture of the peroneal retinaculum. J Bone Joint Surg Am. 1976;58(5):670–2.

    Article  CAS  PubMed  Google Scholar 

  34. Oden RR. Tendon injuries about the ankle resulting from skiing. Clin Orthop Relat Res. 1987;216:63–9.

    Google Scholar 

  35. Raikin SM, Elias I, Nazarian LN. Intrasheath subluxation of the peroneal tendons. J Bone Joint Surg Am. 2008;90(5):992–9.

    Article  PubMed  Google Scholar 

  36. Philbin TM, Landis GS, Smith B. Peroneal tendon injuries. J Am Acad Orthop Surg. 2009;17(5):306–17.

    Article  PubMed  Google Scholar 

  37. Safran MR, O’Malley D Jr, Fu FH. Peroneal tendon subluxation in athletes: new exam technique, case reports, and review. Med Sci Sports Exerc. 1999;31(7 Suppl):487–92.

    Article  Google Scholar 

  38. Church CC. Radiographic diagnosis of acute peroneal tendon dislocation. AJR Am J Roentgenol. 1977;129(6):1065–8.

    Article  CAS  PubMed  Google Scholar 

  39. Park HJ, et al. Reliability of MRI findings of peroneal tendinopathy in patients with lateral chronic ankle instability. Clin Orthop Surg. 2010;2(4):237–43.

    Article  PubMed  PubMed Central  Google Scholar 

  40. Kennedy JG, et al. Functional outcomes after peroneal tendoscopy in the treatment of peroneal tendon disorders. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):1148–54.

    Article  PubMed  Google Scholar 

  41. Rosenberg ZS, et al. MR features of longitudinal tears of the peroneus brevis tendon. AJR Am J Roentgenol. 1997;168(1):141–7.

    Article  CAS  PubMed  Google Scholar 

  42. Schweitzer ME, et al. Using MR imaging to differentiate peroneal splits from other peroneal disorders. AJR Am J Roentgenol. 1997;168(1):129–33.

    Article  CAS  PubMed  Google Scholar 

  43. Marmotti A, et al. Peroneal tendoscopy. Curr Rev Musculoskelet Med. 2012;5(2):135–44.

    Article  PubMed  PubMed Central  Google Scholar 

  44. van Dijk CN. Ankle arthroscopy: techniques developed by the Amsterdam foot and ankle school. Berlin Heidelberg: Springer; 2014.

    Book  Google Scholar 

  45. Squires N, Myerson MS, Gamba C. Surgical treatment of peroneal tendon tears. Foot Ankle Clin. 2007;12(4):675–95, vii.

    Article  PubMed  Google Scholar 

  46. Porter D, et al. Peroneal tendon subluxation in athletes: fibular groove deepening and retinacular reconstruction. Foot Ankle Int. 2005;26(6):436–41.

    Article  PubMed  Google Scholar 

  47. van Dijk PA, et al. Return to sports and clinical outcomes in patients treated for peroneal tendon dislocation: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2015;24(4):1155–64.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Sammarco VJ. Peroneal tendoscopy: indications and techniques. Sports Med Arthrosc Rev. 2009;17(2):94–9.

    Article  PubMed  Google Scholar 

  49. Vega J, et al. Tendoscopic treatment of intrasheath subluxation of the peroneal tendons. Foot Ankle Int. 2011;32(12):1147–51.

    Article  PubMed  Google Scholar 

  50. Jerosch J, Aldawoudy A. Tendoscopic management of peroneal tendon disorders. Knee Surg Sports Traumatol Arthrosc. 2007;15(6):806–10.

    Article  PubMed  Google Scholar 

  51. Lui TH. Endoscopic management of recalcitrant retrofibular pain without peroneal tendon subluxation or dislocation. Arch Orthop Trauma Surg. 2012;132(3):357–61.

    Article  PubMed  Google Scholar 

  52. van Dijk CN, Kort N. Tendoscopy of the peroneal tendons. Arthroscopy. 1998;14(5):471–8.

    Article  PubMed  Google Scholar 

  53. Vega J, et al. Tendoscopic procedure associated with peroneal tendons. Tech Foot Ankle Surg. 2013;12(1):39–48.

    Article  Google Scholar 

  54. Bruce WD, Christofersen MR, Phillips DL. Stenosing tenosynovitis and impingement of the peroneal tendons associated with hypertrophy of the peroneal tubercle. Foot Ankle Int. 1999;20(7):464–7.

    Article  CAS  PubMed  Google Scholar 

  55. Chilvers M, Manoli A 2nd. The subtle cavus foot and association with ankle instability and lateral foot overload. Foot Ankle Clin. 2008;13(2):315–24, vii.

    Article  PubMed  Google Scholar 

  56. De Leeuw PAJ, Golano P, van Dijk CN. A 3-portal endoscopic groove deepening technique for recurrent peroneal tendon dislocation. Tech Foot Ankle Surg. 2008;7(4):250–6.

    Article  Google Scholar 

  57. van Dijk PA, et al. Rehabilitation after surgical treatment of peroneal tendon tears and ruptures. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):1165–74.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, OLVG, Amsterdam, The Netherlands

    P. A. D. van Dijk

  2. Academic Center for Evidence Based Sports Medicine (ACES), Amsterdam, The Netherlands

    P. A. D. van Dijk & G. M. M. J. Kerkhoffs

  3. Amsterdam Collaboration for Health and Safety in Sports (ACHSS), Amsterdam, The Netherlands

    P. A. D. van Dijk & G. M. M. J. Kerkhoffs

  4. Department of Orthopedic Surgery, Academic Medical Center, Amsterdam, The Netherlands

    G. M. M. J. Kerkhoffs & C. N. van Dijk

  5. FIFA Medical Center of Excellence, Madrid, Spain

    C. N. van Dijk

Authors
  1. P. A. D. van Dijk
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. G. M. M. J. Kerkhoffs
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. C. N. van Dijk
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to C. N. van Dijk .

Editor information

Editors and Affiliations

  1. Centre of Sports Traumatology Koelliker Hospital, Torino, Italy

    Gian Luigi Canata

  2. Department of Orthopaedic Surgery, Aspetar Hospital, Doha, Qatar

    Pieter d'Hooghe

  3. Department of Orthopedics, University of Colorado Hospital, Aurora, CO, USA

    Kenneth J. Hunt

  4. Department of Orthopedic Surgery, University of Amsterdam Academic Medical Center, Amsterdam Zuidoost, Noord-Holland, The Netherlands

    Gino M.M.J. Kerkhoffs

  5. Orthopaedics and Traumatology Unit, University Campus Bio medico, Rome, Italy

    Umile Giuseppe Longo

Rights and permissions

Reprints and permissions

Copyright information

© 2019 ISAKOS

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

van Dijk, P.A.D., Kerkhoffs, G.M.M.J., van Dijk, C.N. (2019). Peroneal Tendon Injuries. In: Canata, G., d'Hooghe, P., Hunt, K., Kerkhoffs, G., Longo, U. (eds) Sports Injuries of the Foot and Ankle. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-58704-1_28

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-58704-1_28

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-58703-4

  • Online ISBN: 978-3-662-58704-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation