Peroneal tendonitis is a common source of lateral ankle pain that can be managed conservatively.
Peroneal tendonitis is a common source of lateral ankle pain that can be managed conservatively. Case Vignette You are evaluating a dancer with worsening lateral ankle pain. You suspect an overuse injury.
Repetitive friction of the peroneal brevis tendon can occur at what level of foot/ankle? A) Sustentaculum tali B) Retromalleolar groove C) Os naviculare D) Fifth metatarsal base Every differential for lateral ankle pain should include injury to the peroneal tendons. The peroneal complex is made up of the peroneus longus and peroneus brevis.
The two muscles make up the lateral compartment of the lower extremity. The peroneus brevis will insert at the lateral aspect of the fifth metatarsal base and the peroneus longus will insert on the medial cuneiform and base of the first metatarsal. The superior peroneal retinaculum, which is a stabilizing fascia, spans from the posterolateral surface of the fibula to the lateral calcaneus (1, 3).
Both tendons will run posterior to the fibula within the retromalleoluar sulcus as they make their way to their insertion. The peroneal tendons act to produce hindfoot eversion and also contribute to plantarflexion of the ankle. The peroneus brevis is at risk for tendinopathy, as it can become entrapped by the peroneus longus against the fibula or the calcaneus.
Both the peroneal brevis and longus are at risk for tendon tear. These tears can be acute or chronic in origin. The purpose of this review is to evaluate the non-traumatic overuse type injury of the peroneal tendons.
If you are experiencing symptoms that may be related to review on peroneal tendinopathy, it is important to see a sports medicine physician. Early evaluation and treatment typically lead to better outcomes. Do not ignore pain or symptoms that are limiting your activity.
*This article is for educational purposes only and does not substitute for professional medical advice. Always consult a qualified healthcare provider.*
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