Chronic disorders of the peroneal tendons are a common cause of posterolateral ankle pain, including tendinopathy, tendon instability, and chronic tendon tears. They are often preceded by ligamentous instability or predisposing anatomic abnormalities such as a shallow fibular groove or a cavovarus foot deformity. Given the substantial disability associated with chronic peroneal tendon disorders, it is important for orthopaedic surgeons to optimize the diagnostic and treatment strategies of these entities based on contemporary studies. This article reviews both classic and recent scientific evidence regarding the diagnosis and treatment of patients with chronic peroneal tendon disorders.
From the Department of Orthopaedic Surgery, Foot and Ankle Service, Massachusetts General Hospital, Boston, MA (Dr. van Dijk and Dr. DiGiovanni), the Department of Orthopaedic Surgery and Orthopaedic Research Center Amsterdam, Academic Medical Center, University of Amsterdam, the Netherlands (Dr. van Dijk and Dr. Kerkhoffs), the Academic Center for Evidence based Sports Medicine (ACES) (Dr. van Dijk and Dr. Kerkhoffs), the Amsterdam Collaboration on Health and Safety in Sports (ACHSS) (Dr. van Dijk and Dr. Kerkhoffs), the Department of General Surgery, OLVG Hospital, Amsterdam, the Netherlands, (Dr. van Dijk) the Department of Orthopedic Surgery, Foot and Ankle Service, Brigham and Woman’s Hospital, Boston, MA (Dr. Chiodo), and the Department of Orthopaedic Surgery, Newton-Wellesley Hospital, Foot and Ankle Service, Newton, MA (Dr. DiGiovanni).
None of the following authors or any immediate family member has received anything of value from or has stock or stock options held in a commercial company or institution related directly or indirectly to the subject of this article: Dr. van Dijk, Dr. Kerkhoffs, Dr. Chiodo, and Dr. DiGiovanni.