Abstract
The calcaneus is the most frequently fractured tarsal bone. The majority of calcaneal fractures are intra-articular and are due to high-energy mechanisms that may cause additional concomitant injuries. Although the literature commonly lists associated injuries such as spinal trauma and contralateral calcaneus fractures, peroneal tendon displacement (PTD) is often overlooked and untreated despite a prevalence of 28%. It is widely accepted that untreated isolated PTD may result in persistent lateral ankle pain and functional deficits. Although outcome studies are lacking, it can be assumed that patient outcomes may be similar or worse with untreated PTD in the setting of intra-articular calcaneus fractures. Surgeons must have a heightened index of suspicion for the diagnosis and treatment of PTD.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Change history
21 October 2020
Correction to: M. Sobel (ed.), The Peroneal Tendons, https://doi.org/10.1007/978-3-030-46646-6_24
References
Tresley J, Subhawong TK, Singer AD, Clifford PD. Incidence of tendon entrapment and dislocation with calcaneus and pilon fractures on CT examination. Skelet Radiol. 2016;45(7):977–88.
Heckman DS, Reddy S, Pedowitz D, Wapner KL, Parekh SG. Operative treatment for peroneal tendon disorders. JBJS. 2008;90(2):404–18.
Mahmoud K, Mekhaimar MM, Alhammoud A. Prevalence of peroneal tendon instability in calcaneus fractures: a systematic review and meta-analysis. J Foot Ankle Surg. 2018;57:572–8.
Toussaint RJ, Lin D, Ehrlichman LK, Ellington JK, Strasser N, Kwon JY. Peroneal tendon displacement accompanying intra-articular calcaneal fractures. JBJS. 2014 Feb 19;96(4):310–5.
O'connell F, Mital MA, Rowe CR. Evaluation of modern management of fractures of the os calcis. Clin Orthop Relat Res. 1972 Mar 1;83:214–23.
Rosenberg ZS, Feldman F, Singson RD. Intra-articular calcaneal fractures: computed tomographic analysis. Skelet Radiol. 1987 Feb 1;16(2):105–13.
Wong-Chung J, Marley WD, Tucker A, O'Longain DS. Incidence and recognition of peroneal tendon dislocation associated with calcaneal fractures. Foot Ankle Surg. 2015 Dec 1;21(4):254–9.
Mitchell M, Sartoris DJ. Magnetic resonance imaging of the foot and ankle: an updated pictorial review. J Foot Ankle Surg. 1993 May-Jun;32(3):311–42.
Ho RT, Smith D, Escobedo E. Peroneal tendon dislocation: CT diagnosis and clinical importance. Am J Roentgenol. 2001 Nov;177(5):1193.
Ketz JP, Maceroli M, Shields E, Sanders RW. Peroneal tendon instability in intra-articular calcaneus fractures: a retrospective comparative study and a new surgical technique. J Orthop Trauma. 2016 Mar 1;30(3):e82–7.
Selmani E, Gjata V, Gjika E. Current concepts review: peroneal tendon disorders. Foot Ankle Int. 2006 Mar;27(3):221–8.
Porter D, McCarroll J, Knapp E, Torma J. Peroneal tendon subluxation in athletes: fibular groove deepening and retinacular reconstruction. Foot Ankle Int. 2005 Jun;26(6):436–41.
Kelly RE. An operation for the chronic dislocation of the peroneal tendons. Br J Surg. 1920;7:502–4.
Mason RB, Henderson JP. Traumatic peroneal tendon instability. Am J Sports Med. 1996 Sep-Oct;24(5):652–8.
Micheli LJ, Waters PM, Sanders DP. Sliding fibular graft repair for chronic dislocation of the peroneal tendons. Am J Sports Med. 1989 Jan-Feb;17(1):68–71.
Ogawa BK, Thordarson DB, Zalavras C. Peroneal tendon subluxation repair with an indirect fibular groove deepening technique. Foot Ankle Int. 2007;28(11):1194–7.
Stein RE. Reconstruction of the superior peroneal retinaculum using a portion of the peroneus brevis tendon. A case report. J Bone Joint Surg Am. 1987 Feb;69(2):298–9.
Walther M, Morrison R, Mayer B. Retromalleolar groove impaction for the treatment of unstable peroneal tendons. Am J Sports Med. 2009 Jan;37(1):191–4.
Borrelli J Jr, Lashgari C. Vascularity of the lateral calcaneal flap: a cadaveric injection study. J Orthop Trauma. 1999 Feb 1;13(2):73–7.
Ehrlichman LK, Toussaint RJ, Kwon JY. Surgical relocation of peroneal tendon dislocation with calcaneal open reduction and internal fixation: technique tip. Foot Ankle Int. 2014 Sep;35(9):938–42.
Clare MP. Acute and chronic peroneal tendon dislocations. Tech Foot Ankle. 2009;8:112–8.
Mak MF, Tay GT, Stern R, Assal M. Dual-incision approach for repair of peroneal tendon dislocation associated with fractures of the calcaneus. Orthopedics. 2014 Feb;37(2):96–100.
Rosenberg ZS, Feldman F, Singson RD, Price GJ. Peroneal tendon injury associated with calcaneal fractures: CT findings. AJR Am J Roentgenol. 1987;149(1):125–9.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2020 Springer Nature Switzerland AG
About this chapter
Cite this chapter
Toussaint, R.J., Fethiere, N.P., Montas, D. (2020). Peroneal Tendon Pathology Associated with Calcaneus Fractures. In: Sobel, M. (eds) The Peroneal Tendons. Springer, Cham. https://doi.org/10.1007/978-3-030-46646-6_23
Download citation
DOI: https://doi.org/10.1007/978-3-030-46646-6_23
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-46645-9
Online ISBN: 978-3-030-46646-6
eBook Packages: MedicineMedicine (R0)