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Update on diseases and treatment of the peroneal tendon, including peroneal tendon tear, subluxing peroneal tendon, and tendinosis

Steensma, Matthew R; Anderson, John G; Bohay, Donald R

Current Opinion in Orthopaedics: April 2005 - Volume 16 - Issue 2 - pp 60-64
Ankle and foot

Purpose of review: The understanding of peroneal tendon pathology continues to evolve. Within the last year, several publications have highlighted these clinical problems. A cogent management approach has been developed; however, gaps in the knowledge base exist. Recent clinical and radiographic investigations are summarized in a review of the previous year's literature contributions.

Recent findings: The subjects covered include the management of peroneal tendon dislocations, tears and tendonitis. Surgical techniques are also described. In addition, the utility of magnetic resonance imaging and ultrasonography in diagnosing peroneal abnormalities is evaluated.

Summary: Treatment outcomes continue to improve. Emphasis rests on the timely and accurate identification of peroneal disorders, particularly in the setting of concomitant lateral ankle conditions. Missed lesions can result in a frustrating treatment scenario with additional technical challenges in surgery.

Grand Rapids Orthopaedic Residency Program, Grand Rapids Medical Education and Research Center, Grand Rapids, Michigan, USA

Correspondence to Matthew R. Steensma, 1007 Northpointe Drive, Byron Center, MI 49315, USA

Tel: 616 531 5844; e-mail: mattsteensma@yahoo.com

© 2005 Lippincott Williams & Wilkins, Inc.