Peroneal tendon tears: a retrospective review

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Presentation transcript:

Peroneal tendon tears: a retrospective review Michael F Dombek, DPM, Bradley M Lamm, DPM, Karl Saltrick, DPM, Robert W Mendicino, DPM, Alan R Catanzariti, DPM The Journal of Foot and Ankle Surgery Volume 42, Issue 5, Pages 250-258 (September 2003) DOI: 10.1016/S1067-2516(03)00314-4

FIGURE 1 The angles as well as the distances measured on a lateral weightbearing radiograph of the foot, ankle, and leg are shown. The following angles were measured: anatomic posterior proximal tibial angle (A) (normal, 81°), aADTA (B) (normal, 80°), talar declination (normal, 21°) and talo-first metatarsal angle (D) (normal, 0°), and calcaneal inclination (E) (normal, 21°). Anterior or posterior distance between the extended mid-diaphyseal line of the tibia and the lateral process of the talus (C) was also measured (normal, 0 mm). In addition, the angle between the mid-diaphyseal line of the tibia and the plantar aspect of the foot is measured (normal, 90°). The Journal of Foot and Ankle Surgery 2003 42, 250-258DOI: (10.1016/S1067-2516(03)00314-4)

FIGURE 2 The angles as well as the distances measured on an anteroposterior weightbearing radiograph of the foot, ankle, and leg are shown. The following angles were measured: anatomic medial proximal tibial angle (A) (normal, 87°), anatomic lateral distal tibial angle (B) (normal, 89°), talocalcaneal angle (D) (normal, 21°), and talo-first metatarsal angle (E) (normal, 0°). Medial or lateral distance between the mid-diaphyseal line of the tibial and the center of the talar dome (C) is also measured (normal, 0 mm). The Journal of Foot and Ankle Surgery 2003 42, 250-258DOI: (10.1016/S1067-2516(03)00314-4)

FIGURE 3 The angles measured on an axial weightbearing radiograph of the foot, ankle, and leg are shown. The angle between the mid-diaphyseal line of the tibia (A) to the calcaneal bisection line (D) is measured (normal, 0° to 2° valgus). Similar to the anteroposterior radiograph of the ankle, the center of the talar dome (C), the mid-diaphyseal line of the tibia (A), and the center of the tibial plafond (B) should all coincide. The Journal of Foot and Ankle Surgery 2003 42, 250-258DOI: (10.1016/S1067-2516(03)00314-4)

FIGURE 4 An anomalous peroneus quartus tendon (A) with a ruptured peroneus brevis tendon (B) and a normal peroneus longus tendon (C). The quartus tendon was not included in this study. The Journal of Foot and Ankle Surgery 2003 42, 250-258DOI: (10.1016/S1067-2516(03)00314-4)

FIGURE 5 A partial tear of the peroneus brevis tendon. The Journal of Foot and Ankle Surgery 2003 42, 250-258DOI: (10.1016/S1067-2516(03)00314-4)

FIGURE 6 Surgical repair of a peroneus brevis tendon tear via tubularization. The Journal of Foot and Ankle Surgery 2003 42, 250-258DOI: (10.1016/S1067-2516(03)00314-4)

FIGURE 7 A low-lying peroneus brevis muscle belly (A), causing encroachment. The Journal of Foot and Ankle Surgery 2003 42, 250-258DOI: (10.1016/S1067-2516(03)00314-4)

FIGURE 8 A lateral weightbearing radiograph in normal angle and base of gait that shows a procurvatum ankle and a high calcaneal inclination angle, indicating a high-arch foot type. The Journal of Foot and Ankle Surgery 2003 42, 250-258DOI: (10.1016/S1067-2516(03)00314-4)

FIGURE 9 Long-leg calcaneal axial view showing a varus heel and a prominent peroneal tubercle. The Journal of Foot and Ankle Surgery 2003 42, 250-258DOI: (10.1016/S1067-2516(03)00314-4)