Chronic ankle pain in a runner

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Presentation transcript:

Chronic ankle pain in a runner Case for small group discussion AOTrauma—Foot & Ankle Module 16: Sport injuries Michael Castro, US

Case description 20-year-old collegiate runner (1,500 m) 1-year history of painful “popping” left ankle Treated by trainer with taping/bolster

What is the problem?

What is the problem?

Associated conditions Tenosynovitis/tendinosis Tendon rupture—longitudinal split (mostly peroneus brevis) Ankle instability (anterior talofibular ligament, calcaneofibular ligament) Cavovarus deformity—congenital or acquired

Make room

Superior peroneal retinaculum (SPR) repair

Follow-up Back playing sport Stable peroneal tendons No pain Normal function

Take-home messages Recognize the potential for peroneal tendon injuries after ankle sprain The fibular rim fracture is usually diagnostic of a torn superior peroneal retinaculum Solid stable repair leads to good results