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J Am Acad Orthop Surg, Vol 17, No 5, May 2009, 306-317.
© 2009 the American Academy of Orthopaedic Surgeons
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Peroneal Tendon Injuries

Terrence M. Philbin, DO, Geoffrey S. Landis, DO and Bret Smith, DO

Dr. Philbin is Fellowship Director, Orthopedic Foot and Ankle Center, Columbus, OH. Dr. Landis is Attending Surgeon, Tucson Orthopaedic Institute, Tucson, AZ. Dr. Smith is Attending Surgeon, Moore Orthopaedic Clinic, Columbia, SC.

None of the following authors or a member of their immediate families has received anything of value from or owns stock in a commercial company or institution related directly or indirectly to the subject of this article: Dr. Philbin, Dr. Landis, and Dr. Smith.

Reprint requests: Dr. Philbin, Orthopedic Foot and Ankle Center, 6200 Cleveland Avenue, Columbus, OH 43235.

Peroneal tendon injuries are underdiagnosed and should be considered in every patient who presents with chronic lateral ankle pain. Ankle sprains are common, and up to 40% of affected individuals experience subsequent chronic ankle pain. Identifying the source of chronic ankle pain can be difficult because of the large number of possible causes. The peroneal tendons are the primary evertors of the foot and function as lateral ankle stabilizers. A careful physical examination, along with a thorough patient history and imaging studies, are critical in arriving at an accurate diagnosis. Understanding the anatomy of the peroneal tendons and knowledge of current treatment approaches for peroneal tendon tears, subluxation and dislocation of the tendons, and peroneal tenosynovitis are of great importance in achieving a favorable outcome. Low-demand patients do well with a nonsurgical approach; high-demand patients may benefit from surgery.






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Copyright © 2009 by the American Academy of Orthopaedic Surgeons.