Ankle and Foot Conditions

A. Douglas Spitalny, DPM

Peroneal Tendon

Peroneal tendon pathology is far more common then reported.  Tendon pathology can range from tenosynovitis, low riding peroneal muscle, tendonosis, tendon tear (split) and peroneal tendon subluxation.

Much of peroneal tendons pathology is rarely isolated, but in conjunction with ankle instability or varus deformities: cavus, calcaneal varus and/or ankle varus.

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Peroneus quatrus muscle

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Tenosynovitis is the yellowish tissue around the tendons

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Intra-tendinous ganglion

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Prior to eversion

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Tendons are subluxing anteriorly due to insufficient superior retinaculum

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MRI shows that the osteochondral lip and retinaculum are insufficient showing fluid all along the anterior half of the fibula

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Small tear

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Large tear which also is subluxating

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Multi-focal tear