scholarly journals Isolated Peroneus Longus Tear - Commonly Missed Diagnosis of Lateral Ankle Pain: A Case Report

2020 ◽  
Vol 14 (2) ◽  
pp. 130-133
Author(s):  
Abd-Rasid AF ◽  
Bajuri MY
Author(s):  
Mahendra Kathole ◽  
Krishna S Patil ◽  
Shobhit Raizaday ◽  
Sadiq Syed

Introduction: The development of limb musculature takes place between the fifth and seventh weeks of intrauterine life. The genes MYO-D and MYF5 regulate the limb musculature development and any defect in these may lead to either a partial or complete loss or an addition to the normal muscle morphology. This case report presents the observation of an accessory tendon of the Peroneus brevis muscle in the left lower limb of a 70 year old male cadaver during the routine dissection for undergraduate students at Government Medical College, Miraj. The variant insertion of the Peroneus brevis tendon on the calcaneal tubercle is clinically important to note in cases of lateral ankle pain and instability. The presence of an accessory tendon of the peroneus brevis muscle may also be a cause of the longitudinal splitting of the muscle which should be taken into consideration while making a diagnosis and planning surgeries around the lateral aspect of the ankle.


2013 ◽  
Vol 7 (2) ◽  
pp. 113-118 ◽  
Author(s):  
Dariusch Arbab ◽  
Markus Tingart ◽  
Daniel Frank ◽  
Mona Abbara-Czardybon ◽  
Hazibullah Waizy ◽  
...  

Background. Isolated peroneus longus tendon tears are rare and represent a frequently overlooked source of lateral ankle pain and dysfunction. Only few cases of isolated peroneus longus tendon tears have been reported and a common treatment algorithm does not exist. The purpose of this study was to give an overview of the literature and to present our experience of 6 consecutive cases that have been treated successfully by operation and immobilizing cast. Methods. A comprehensive chart review was performed to compile each patient’s age, sex, onset of symptoms, time between first symptoms and diagnosis, surgical findings, surgical treatment, length of follow-up, and outcome. The average patient age was 48 years (range 20-63 years). Results. Acute tears occurred in 4 cases, and 2 patients reported about a chronic onset of symptoms. The cause for acute tears was an acute inversion ankle sprain in all cases. Diagnosis was made after an average of 11 months (range 0.75-24 months). There were 2 complete tears, and other 4 were incomplete. An os peroneum was present in 2 cases. In 5 of 6 cases, the results after surgical treatment were excellent or good after a mean follow-up of 28.6 months (range 12-78 months). Conclusion. This study indicates that lateral ankle pain may be due to isolated acute or chronic peroneus longus tendon tears. Thorough clinical and radiological diagnosis is necessary to detect this uncommon injury in time. Patients with acute onset of symptoms and short time between symptoms and diagnosis tend to fare better than the chronic tears and delayed diagnosis. Surgical intervention yields successful and predictable results. Level of Evidence: Level III: Retrospective comparative study


2012 ◽  
Vol 33 (11) ◽  
pp. 1024-1026 ◽  
Author(s):  
Mansoor Mohammed Kassim ◽  
Peter Rosenfeld
Keyword(s):  

Foot & Ankle ◽  
1993 ◽  
Vol 14 (5) ◽  
pp. 284-288 ◽  
Author(s):  
David A. Peterson ◽  
Warren Stinson ◽  
John Carter

Four young adults (average age 24 years) presented with complaints of posterior ankle pain after running. Bilateral accessory soleus muscles were diagnosed using magnetic resonance imaging or CT scan. Symptoms were present an average of 3 years before diagnosis. Two patients had previous surgery (ankle arthroscopy, tarsal tunnel release, and leg compartment release) before diagnosis and treatment. Obliteration of Kager's triangle (posterior ankle fat pad) was present on six out of eight lateral ankle radiographs. Posteromedial prominence was present on four out of eight ankles. Operative exploration confirmed the presence of five muscles and fasciectomy was performed. Follow-up (17 to 29 months) showed good relief of symptoms in all patients and return to long-distance running for three patients. Dissection of 47 preserved cadavers revealed three accessory soleus muscles in the 94 extremities (two muscles were bilateral in one cadaver).


2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Song Ho Chang ◽  
Takumi Matsumoto ◽  
Koichi Okajima ◽  
Masashi Naito ◽  
Jun Hirose ◽  
...  

Heterotopic ossification (HO) is an ectopic formation of the lamellar bone in the soft tissues. Some authors have previously reported HO or calcific tendinitis of the peroneus longus tendon at the level of the cuboid bone, while the HO of the peroneus longus tendon in the retromalleolar portion has not been reported. The purpose of this report is to describe clinical, radiological, and histological features of this rare ossification and its treatment. To the best of our knowledge, this is the first report presenting a case of HO of the peroneus longus tendon, which developed in the retromalleolar portion.


Cureus ◽  
2016 ◽  
Author(s):  
Edward Derrick ◽  
Miguel Flores ◽  
Kurt Scherer ◽  
Laura Bancroft
Keyword(s):  

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