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.
Keywords
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
DiGiovanni BF, et al. Associated injuries found in chronic lateral ankle instability. Foot Ankle Int. 2000;21(10):809–15.
Krause JO, Brodsky JW. Peroneus brevis tendon tears: pathophysiology, surgical reconstruction, and clinical results. Foot Ankle Int. 1998;19(5):271–9.
Redfern D, Myerson M. The management of concomitant tears of the peroneus longus and brevis tendons. Foot Ankle Int. 2004;25(10):695–707.
Otis JC, et al. Peroneus brevis is a more effective evertor than peroneus longus. Foot Ankle Int. 2004;25(4):242–6.
Edwards M. The relations of the peroneal tendons to the fibula, calcaneus, and cuboideum. Am J Anat. 1928;42:213–53.
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.
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.
Mota J, Rosenberg ZS. Magnetic resonance imaging of the peroneal tendons. Top Magn Reson Imaging. 1998;9(5):273–85.
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.
Stockton KG, Brodsky JW. Peroneus longus tears associated with pathology of the os peroneum. Foot Ankle Int. 2014;35(4):346–52.
Scholten PE, van Dijk CN. Tendoscopy of the peroneal tendons. Foot Ankle Clin. 2006;11(2):415–20.
van Dijk PA, et al. Peroneal tendons well vascularized: results from a cadaveric study. Knee Surg Sports Traumatol Arthrosc. 2016;24(4):1140–7.
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.
Molloy R, Tisdel C. Failed treatment of peroneal tendon injuries. Foot Ankle Clin. 2003;8(1):115–29.
Sammarco GJ, DiRaimondo CV. Chronic peroneus brevis tendon lesions. Foot Ankle. 1989;9(4):163–70.
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.
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.
Rosenberg ZS, et al. Peroneal tendon injury associated with calcaneal fractures: CT findings. AJR Am J Roentgenol. 1987;149(1):125–9.
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.
Vainio K. The rheumatoid foot. A clinical study with pathological and roentgenological comments. 1956. Clin Orthop Relat Res. 1991;(265):4–8.
Wright DG, Sangeorzan BJ. Calcaneal fracture with peroneal impingement and tendon dysfunction. Foot Ankle Int. 1996;17(10):650.
Younger AS, Hansen ST Jr. Adult cavovarus foot. J Am Acad Orthop Surg. 2005;13(5):302–15.
van Dijk PA, et al. The ESSKA-AFAS international consensus statement on peroneal tendon pathologies. Knee Surg Sports Traumatol Arthrosc. 2018;
van Dijk CN. Hindfoot endoscopy for posterior ankle pain. Instr Course Lect. 2006;55:545–54.
Khan KM, et al. Histopathology of common tendinopathies. Update and implications for clinical management. Sports Med. 1999;27(6):393–408.
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.
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.
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.
Heckman DS, et al. Operative treatment for peroneal tendon disorders. J Bone Joint Surg Am. 2008;90(2):404–18.
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.
Dombek MF, et al. Peroneal tendon tears: a retrospective review. J Foot Ankle Surg. 2003;42(5):250–8.
Arrowsmith SR, Fleming LL, Allman FL. Traumatic dislocations of the peroneal tendons. Am J Sports Med. 1983;11(3):142–6.
Eckert WR, Davis EA Jr. Acute rupture of the peroneal retinaculum. J Bone Joint Surg Am. 1976;58(5):670–2.
Oden RR. Tendon injuries about the ankle resulting from skiing. Clin Orthop Relat Res. 1987;216:63–9.
Raikin SM, Elias I, Nazarian LN. Intrasheath subluxation of the peroneal tendons. J Bone Joint Surg Am. 2008;90(5):992–9.
Philbin TM, Landis GS, Smith B. Peroneal tendon injuries. J Am Acad Orthop Surg. 2009;17(5):306–17.
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.
Church CC. Radiographic diagnosis of acute peroneal tendon dislocation. AJR Am J Roentgenol. 1977;129(6):1065–8.
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.
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.
Rosenberg ZS, et al. MR features of longitudinal tears of the peroneus brevis tendon. AJR Am J Roentgenol. 1997;168(1):141–7.
Schweitzer ME, et al. Using MR imaging to differentiate peroneal splits from other peroneal disorders. AJR Am J Roentgenol. 1997;168(1):129–33.
Marmotti A, et al. Peroneal tendoscopy. Curr Rev Musculoskelet Med. 2012;5(2):135–44.
van Dijk CN. Ankle arthroscopy: techniques developed by the Amsterdam foot and ankle school. Berlin Heidelberg: Springer; 2014.
Squires N, Myerson MS, Gamba C. Surgical treatment of peroneal tendon tears. Foot Ankle Clin. 2007;12(4):675–95, vii.
Porter D, et al. Peroneal tendon subluxation in athletes: fibular groove deepening and retinacular reconstruction. Foot Ankle Int. 2005;26(6):436–41.
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.
Sammarco VJ. Peroneal tendoscopy: indications and techniques. Sports Med Arthrosc Rev. 2009;17(2):94–9.
Vega J, et al. Tendoscopic treatment of intrasheath subluxation of the peroneal tendons. Foot Ankle Int. 2011;32(12):1147–51.
Jerosch J, Aldawoudy A. Tendoscopic management of peroneal tendon disorders. Knee Surg Sports Traumatol Arthrosc. 2007;15(6):806–10.
Lui TH. Endoscopic management of recalcitrant retrofibular pain without peroneal tendon subluxation or dislocation. Arch Orthop Trauma Surg. 2012;132(3):357–61.
van Dijk CN, Kort N. Tendoscopy of the peroneal tendons. Arthroscopy. 1998;14(5):471–8.
Vega J, et al. Tendoscopic procedure associated with peroneal tendons. Tech Foot Ankle Surg. 2013;12(1):39–48.
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.
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.
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.
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.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 ISAKOS
About this chapter
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)