Journal of Ultrasound

, Volume 17, Issue 2, pp 125–134 | Cite as

US in peroneal tendon tear

  • Lucio MoliniEmail author
  • Stefano Bianchi


Peroneal tendon injuries are common also due to the recent increase in sports participants involved in amateur activities. Clinical evaluation generally provides a diagnosis, but diagnostic imaging is often required to confirm a clinical suspicion and make correct management decisions. Ultrasound (US) imaging is the method of choice in the study of peroneal tendon injuries due to the high resolution of the images and the possibility of performing dynamic studies. US is furthermore non-invasive and inexpensive and provides the possibility of performing US-guided steroid infiltration of the tendon sheath or the surrounding tissues. The present paper will address the normal anatomy of the peroneal tendons and related structures, US imaging techniques and the various conditions and injuries which may affect this anatomic region. Also more expensive imaging techniques, such as computed tomography and magnetic resonance imaging, will be mentioned as well as their indications; however, they are required only in rare cases in which diagnosis remains uncertain or for pre-operative assessment.


Peroneal tendons Ankle Ultrasound 


Le lesioni dei tendini peronei sono di frequente riscontro, anche per il recente aumento dell’attività sportiva amatoriale. La valutazione clinica generalmente permette la diagnosi, ma spesso è necessario uno studio di imaging per confermare l’ipotesi clinica e per instaurare una terapia corretta. L’ecografia è indagine di prima istanza per lo studio dei tendini peronei, in virtù dell’alta risoluzione, non invasività, bassi costi, possibilità di realizzare uno studio dinamico, oltre alla possibilità di effettuare, sotto controllo real time, delle infiltrazioni della guaina tendinea o nei tessuti peritendinei. Nel presente articolo vengono esaminati l’anatomia normale dei tendini peronei e delle strutture ad essi connesse, la tecnica di studio ecografica e le varie patologie. Si fa cenno alla realizzazione di altre tecniche di imaging più costose (TC, RM) e alle loro indicazioni, peraltro limitate ai rari casi in cui la diagnosi resti incerta con l’ecografia, alla valutazione pre-operatoria.


Conflict of interest

Lucio Molini and Stefano Bianchi declare that they have no conflict of interest related to this paper.

Human and animal studies

The study described in this article does not include any procedures involving humans or animals.


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Copyright information

© Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB) 2014

Authors and Affiliations

  1. 1.Department of RadiodiagnosticsGalliera HospitalGenoaItaly
  2. 2.Cabinet Imagerie Médicale-CIM SAGenevaSwitzerland

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