21 Fracture of the Os Peroneum

Grisolia, Andres

doi:10.1097/00003086-196300280-00022

Cited by 3 publications

(2 citation statements)

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“…). The variety of pathological entities described in this area include fracture of the os peroneum (Stropeni, ; Hadley, ; Brav & Chewning, ; Grisolia, ; Peacock et al. ; Wilson & Moyles, ; Cachia et al.…”

Section: Discussionmentioning

confidence: 99%

“…The use of magnetic resonance imaging (MRI), singlephoton emission computed tomography (SPECT), scintigraphy or ultrasound has proven useful in imaging this area and for differential diagnosis (Crain & El-Khoury, 1989;Lazos, 1995;Rademaker et al 2000;Okazaki et al 2003;Brigido et al 2005;Wang et al 2005;Zgonis et al 2005;Fernandes et al 2007;Sammarco et al 2010;Sofka et al 2010;Chadwick et al 2011). The variety of pathological entities described in this area include fracture of the os peroneum (Stropeni, 1920;Hadley, 1942;Brav & Chewning, 1949;Grisolia, 1963;Peacock et al 1986;Wilson & Moyles, 1987;Cachia et al 1988;Pessina, 1988;Hogan, 1989;Peterson & Stinson, 1992;Wander et al 1994;MacDonald & Wertheimer, 1997;Bessette & Hodge, 1998;Requejo et al 2000;Okazaki et al 2003;Smith et al 2011), hypothetical fracture of the cuboid bone (Haguier, 1937;Ginieys, 1939), peroneus longus tendon rupture (Burman, 1956;Evans, 1966;Davies, 1979;Peacock et al 1986;Thompson & Patterson, 1989, 1990Pai & Lawson, 1995;Sammarco, 1995;Truong et al 1995;…”

Section: Discussionmentioning

confidence: 99%

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The peroneocuboid joint: morphogenesis and anatomical study

et al. 2014

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The peroneocuboid joint, between the peroneus longus tendon and the cuboid bone, has not been anatomically well-defined and no embryological study has been published. Furthermore, the ossification of the os peroneum (a sesamoid inside the peroneus longus tendon) and its associated pathology has been considered to be generated by orthostatic and/or mechanical loads. A light microscopy analysis of serially sectioned human embryonic and fetal feet, the analysis of human adult feet by means of standard macroscopic dissection, X-ray and histological techniques have been carried out. The peroneus longus tendon was fully visible until its insertion in the 1st metatarsal bone already at embryonic stage 23 (56-57 days). The peroneocuboid joint cavity appeared at the transition of the embryonic to the fetal period (8-9th week of gestation) and was independent of the proximal synovial sheath. The joint cavity extended from the level of the calcaneocuboid joint all the way to the insertion of the peroneus longus tendon in the 1st metatarsal bone. The frenular ligaments, fixing the peroneus longus tendon to the 5th metatarsal bone or the long calcaneocuboid ligament, developed in the embryonic period. The peroneus longus tendon presented a thickening in the area surrounding the cuboid bone as early as the fetal period. This thickening may be considered the precursor of the os peroneum and was similar in shape and in size relation to the tendon, to the os peroneum observed in adults. To the best of our knowledge, this is the first study to show that the os peroneum, articular facets of the peroneus longus tendon and cuboid bone, the peroneocuboid joint and the frenular ligaments appear during the embryonic/fetal development period and therefore they can not be generated exclusively by orthostatic and mechanical forces or pathological processes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The peroneocuboid joint: morphogenesis and anatomical study

et al. 2014

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Lateral midfoot pain

Habib

2014

Skeletal Radiol

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Management of Foot Pain Associated With Accessory Bones of the Foot: Two Clinical Case Reports

Requejo

Kulig²,

Thordarson³

2000

J Orthop Sports Phys Ther

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Study Design: Case study. Objectives: To discuss the differential diagnosis, the nonsurgical and postoperative management of common accessory bones of the foot. Background: Accessory bones of the foot that are formed during abnormal ossification are commonly found in asymptomatic feet. Two of the most common accessory bones are the accessory navicular and the os peroneum. Their painful presence must be considered in the differential diagnosis of any acute or chronic foot pain. The optimal treatment for the conservative and postoperative management of painful os peroneum and accessory navicular bones remains undefined. Methods and Measures: Therapeutic management of the fractured os peroneum included bracing, taping, and foot orthotics to allow healing of involved tissues, and stretching. The focus of the postoperative management of the accessory navicular was joint mobilization and progressive strengthening. Dependent variables included level of pain with provocation and alleviation tests of joint and soft tissue; girth and sensory tests of the foot and ankle; goniometric measures of foot and ankle; strength of ankle and hip muscles; functional tests; and patient's self-reported pain status. Results:The patient with the fractured os peroneum was treated in 13 visits for 10 weeks. At discharge from physical therapy, the patient had the following outcomes relative to the noninvolved side: 1 W / o return of normal sensation tested by light touch and vibration; pain decreased from 6/10 to 1/10; 1 W h reduction of swelling with ankle girth to normal; ~W/O range of motion of ankle and subtalar joints. Strength in plantar flexion and ewrsion remained 20% impaired (80"/0 retum to normal) secondary to pain. Upon discharge, he still reported mild pain when walking but was able to return to previous leisure activities. The second patient with the accessory navicular was treated in 18 visits over 9 weeks. Relative to the uninvolved side, she was discharged with the following: 70% return of range of motion in the foot and ankle, 1 W / 0 of strength in hip and ankle, and ~W/O retum of balance. She could squat and jump without pain and she returned to full premorbid activity level. Conclusiom: Rehabilitative management of both cases addressed specific impairments and was successful in improving the patients' activity limitation. Clinicians should be aware that these accessory bones are possible sources of disability, secondary to foot pain. / Orthop Sports Phys Ther 2000;30:580-594.

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21 Fracture of the Os Peroneum

Cited by 3 publications

References 0 publications

The peroneocuboid joint: morphogenesis and anatomical study

The peroneocuboid joint: morphogenesis and anatomical study

Lateral midfoot pain

Management of Foot Pain Associated With Accessory Bones of the Foot: Two Clinical Case Reports

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