Isolated inferior peroneal retinculum tear in professional soccer players

Silva, Mario; Bakota, Bore; Japjec, Mladen; Čuljak, Vencel; Žgaljardić, Ivonne; Sebecic, Bozidar

doi:10.1016/s0020-1383(13)70202-x

Cited by 14 publications

(16 citation statements)

References 22 publications

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“…Injury of the IPR resulted in distal subluxation of the peroneal tendon was reported in the professional soccer players, which was treated by peroneal tubercle removal and relocation of the PL tendon together with suturing of the IPR [11]. The morphometric data found in this study can be beneficial in surgical repair of the injured IPR into its anatomical position to prevent residual instability or stenosis of the peroneal tendon.…”

Section: Discussionmentioning

confidence: 54%

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Morphometric study of inferior peroneal retinaculum and contents of inferior peroneal tunnel

et al. 2019

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Section: Discussionmentioning

confidence: 54%

“…Distal peroneal subluxation following IPR injury has been reported [7,11]. The mechanism of injury was dorsiflexion with internal rotation of the foot and iatrogenic injury after surgical repair of fractured os peroneum.…”

Section: Introductionmentioning

confidence: 99%

Morphometric study of inferior peroneal retinaculum and contents of inferior peroneal tunnel

et al. 2019

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“…MRI is again useful in detecting any peroneal pathology and dynamic ultrasound can be a useful adjunct in detecting subtle peroneal injury [26,27] . The so called "low ankle sprain" or pain in the sinus tarsi secondary to a torn interosseous ligament in the acute phase and scar formation in the chronic phase can be examined by direct local pressure in the sinus tarsi while inverting the mid-tarsal joint.…”

Section: Instabilitymentioning

confidence: 99%

“…Return to high contact sport was allowed six months postoperatively. Fifty-eight percent of patients returned to their pre-injury level of activity, 16% decreased their Figure 5 Illustration of the hybrid anatomic lateral ligament reconstruction [27] . A tendon autograft taken from the peroneus longus has been docked in the talus and distal fibula and remaining anterior talofibular ligament fibers have been sutured over the reconstruction, theoretically allowing proprioceptive fibers to aid in regaining functional stability.…”

mentioning

confidence: 99%

Football injuries of the ankle: A review of injury mechanisms, diagnosis and management

Walls

Ross

Fraser

et al. 2016

WJO

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Football is the most popular sport worldwide and is associated with a high injury rate, most of which are the result of trauma from player contact. Ankle injuries are among the most commonly diagnosed injuries in the game. The result is reduced physical activity and endurance levels, lost game time, and considerable medical cost. Sports medicine professionals must employ the correct diagnostic tools and effective treatments and rehabilitation protocols to minimize the impact of these injuries on the player. This review examines the diagnosis, treatment, and postoperative rehabilitation for common football injuries of the ankle based on the clinical evidence provided in the current literature.

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“…In 2011 another, very rare cause of lateral rearfoot pain was introduced in the literature, resulting from dislocation of the peroneus longus tendon at the peroneal tubercle [9]. Since that case description, only four more cases have been published in two papers to describe this very rare entity [10,11].…”

Section: Introductionmentioning

confidence: 99%

Successful reconstruction of distal peroneus longus tendon dislocation associated with a split lesion – a case report

Lohrer

2020

BMC Musculoskelet Disord

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Background Peroneal tendon injuries are one of the differential diagnoses in lateral ankle and rearfoot pain. While partial tears are not uncommon, peroneal tendon dislocation at the peroneal tubercle is very rare. Until now, only three papers have been published, presenting five cases of peroneus longus tendon dislocation over the peroneal tubercle. This report adds a previously undescribed case of a peroneus longus tendon split tear that was partially dislocated and entrapped over the peroneal tubercle. The respective operative approach and the outcome are described. Case presentation A 25-year-old international top-level speed skater developed a painful mass over the lateral calcaneal wall. There was no specific inducing injury in his medical history. In contrast to previous reports, according to the patient’s history, a snapping phenomenon was not present. Conservative treatment was not effective. By inspection and palpation an enlarged peroneal tubercle was assumed. During operative exploration, we found an incomplete longitudinal split tear of the peroneus longus tendon, which was partially dislocated and entrapped over the peroneal tubercle. This mimicked an enlarged peroneal tubercle. A portion of the split tendon was resected. A deepening procedure of the flat groove of the peroneus longus tendon below the peroneal tubercle and a transosseous reconstruction of the avulsed inferior peroneal retinaculum were performed. After six months, the patient had completely reintegrated into his elite sport and has been free of symptoms since then. Conclusions From the presented case it can be speculated that the inferior peroneal retinaculum was overused, worn out, detached, or ruptured due to overpronation and friction the lateral edge of the low-cut speed skating shoe. Then the peroneus longus tendon experienced substantial friction with the peroneal tubercle with possible dislocation during ankle motion. This frictional contact may have finally led to further degeneration and a longitudinal tear of the tendon. Obviously, dislocations can develop insidiously resulting in lesions of the peroneus longus tendon at the peroneal tubercle, ultimately leading to a tendon entrapment. This mimics an enlarged tubercle. The pathology is very rare and can be successfully addressed surgically.

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Isolated inferior peroneal retinculum tear in professional soccer players

Cited by 14 publications

References 22 publications

Morphometric study of inferior peroneal retinaculum and contents of inferior peroneal tunnel

Morphometric study of inferior peroneal retinaculum and contents of inferior peroneal tunnel

Football injuries of the ankle: A review of injury mechanisms, diagnosis and management

Successful reconstruction of distal peroneus longus tendon dislocation associated with a split lesion – a case report

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