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. 2012 Apr 1;1(4):153-60.
Print 2011 Oct.

Peroneus longus tear and its relation to the peroneal tubercle: A review of the literature

Ezequiel Palmanovich  1 , Lior Laver, Yaron S Brin, Evgeny Kotz, Iftach Hetsroni, Gideon Mann, Meir Nyska
Affiliations

Peroneus longus tear and its relation to the peroneal tubercle: A review of the literature

Ezequiel Palmanovich et al. Muscles Ligaments Tendons J. .

Abstract

Tear of the peroneal tendon may occur in different anatomical sites. The most prevalent site is around the lateral malleolus. Tear of the peroneus longus at the level of the peroneal tubercle is unusual. Anatomically, the lateral surface of the calcaneous can be divided into thirds. The middle third includes the peroneal tubercle, which separates the peroneus longus tendon from the peroneus brevis. An anatomic variation of the peroneal tubercle may lead to chronic irritation of the peroneus longus tendon that could ultimately cause a longitudinal tear. We conducted this review aiming to clarify the anatomy, biomechanics of the tendon, and the clinical features of tear of the peroneus longus tendon on the lateral surface of the calcaneous due to an enlarged peroneal tubercle. In addition, we reviewed the diagnostic and treatment options of peroneal tendon tears at this site.

Keywords: calcaneous; peroneal tubecle; peroneus longus tear.

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Figures

Figure 1
Figure 1
Digital reconstruction of calcaneous.
Figure 2
Figure 2
Hypertrophic peroneal tubercle and the thickened peroneus longus with sinovitis around the tendon.
Figure 3
Figure 3
CT showing the enlarged peroneal tubercle and the eminentia retrotrochearis in the axillary view.
Figure 4
Figure 4
MRI showing the sinovytic thickened peroneus longus and bone marrow edema.
Figure 5
Figure 5
Lateral approach showing the enlarged peroneal tendons and tear of the peroneus longus.
Figure 6
Figure 6
Showing tear of the peroneus longus just over the peroneal tubercle.
Figure 7
Figure 7
Excision of the tubercle and suture of the peroneus longus.
See this image and copyright information in PMC

References

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