Download PDF
Semin Musculoskelet Radiol 2012; 16(03): 233-240
DOI: 10.1055/s-0032-1320123
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Postsurgical Imaging of the Peroneal Tendons

James W. Brodsky
1   Department of Orthopaedic Surgery, Baylor University Medical Center, Dallas, Texas
,
Anthony Toppins
2   Department of Radiology, Baylor University Medical Center, Dallas, Texas
› Author Affiliations
Further Information

Publication History

Publication Date:
31 July 2012 (online)

Also available at
    Permissions and Reprints

Abstract

Peroneal tendon problems are most often related to two pathologies: dislocation or subluxation at the superior peroneal retinaculum and longitudinal split tears of the tendons themselves. The interpretation of postsurgical imaging is enhanced by understanding the surgical procedures performed to treat these. Imaging of the peroneal tendons is best done with combined anatomical and fluid-sensitive sequences, and it is especially improved by images done in a para-axial plane to accommodate the sharp curve in the tendons at the lateral malleolus. Use of a reduced field of view enhances spatial resolution.

Keywords

peroneal tendons - tendon tear - magnetic resonance imaging - postsurgical and/or postoperative - tendon subluxation - tendon reconstruction
 

  • References

  • 1 Slater HK. Acute peroneal tendon tears. Foot Ankle Clin 2007; 12 (4) 659-674 , vii vii
    CrossrefPubMedGoogle Scholar
  • 2 Krause JO, Brodsky JW. Peroneus brevis tendon tears: pathophysiology, surgical reconstruction, and clinical results. Foot Ankle Int 1998; 19 (5) 271-279
    CrossrefPubMedGoogle Scholar
  • 3 Raikin SM, Elias I, Nazarian LN. Intrasheath subluxation of the peroneal tendons. J Bone Joint Surg Am 2008; 90 (5) 992-999
    CrossrefPubMedGoogle Scholar
  • 4 Petersen W, Bobka T, Stein V, Tillmann B. Blood supply of the peroneal tendons: injection and immunohistochemical studies of cadaver tendons. Acta Orthop Scand 2000; 71 (2) 168-174
    CrossrefPubMedGoogle Scholar
  • 5 Hyer CF, Dawson JM, Philbin TM, Berlet GC, Lee TH. The peroneal tubercle: description, classification, and relevance to peroneus longus tendon pathology. Foot Ankle Int 2005; 26 (11) 947-950
    PubMedGoogle Scholar
  • 6 Heckman DS, Reddy S, Pedowitz D, Wapner KL, Parekh SG. Operative treatment for peroneal tendon disorders. J Bone Joint Surg Am 2008; 90 (2) 404-418
    CrossrefPubMedGoogle Scholar
  • 7 Micheli LJ, Waters PM, Sanders DP. Sliding fibular graft repair for chronic dislocation of the peroneal tendons. Am J Sports Med 1989; 17 (1) 68-71
    CrossrefPubMedGoogle Scholar
  • 8 Adachi N, Fukuhara K, Kobayashi T, Nakasa T, Ochi M. Morphologic variations of the fibular malleolar groove with recurrent dislocation of the peroneal tendons. Foot Ankle Int 2009; 30 (6) 540-544
    CrossrefPubMedGoogle Scholar
  • 9 Ogawa BK, Thordarson DB, Zalavras C. Peroneal tendon subluxation repair with an indirect fibular groove deepening technique. Foot Ankle Int 2007; 28 (11) 1194-1197
    CrossrefPubMedGoogle Scholar
  • 10 Porter D, McCarroll J, Knapp E, Torma J. Peroneal tendon subluxation in athletes: fibular groove deepening and retinacular reconstruction. Foot Ankle Int 2005; 26 (6) 436-441
    PubMedGoogle Scholar
  • 11 Sarmiento A, Wolf M. Subluxation of peroneal tendons. Case treated by rerouting tendons under calcaneofibular ligament. J Bone Joint Surg Am 1975; 57 (1) 115-116
    PubMedGoogle Scholar
  • 12 Steinböck G, Pinsger M. Treatment of peroneal tendon dislocation by transposition under the calcaneofibular ligament. Foot Ankle Int 1994; 15 (3) 107-111
    CrossrefPubMedGoogle Scholar
  • 13 Rapley JH, Crates J, Barber A. Mid-substance peroneal tendon defects augmented with an acellular dermal matrix allograft. Foot Ankle Int 2010; 31 (2) 136-140
    CrossrefPubMedGoogle Scholar
  • 14 Zammit J, Singh D. The peroneus quartus muscle. Anatomy and clinical relevance. J Bone Joint Surg Br 2003; 85 (8) 1134-1137
    CrossrefPubMedGoogle Scholar
  • 15 Chien AJ, Jacobson JA, Jamadar DA, Brigido MK, Femino JE, Hayes CW. Imaging appearances of lateral ankle ligament reconstruction. Radiographics 2004; 24 (4) 999-1008
    CrossrefPubMedGoogle Scholar
  • 16 Saupe N, Mengiardi B, Pfirrmann CWA, Vienne P, Seifert B, Zanetti M. Anatomic variants associated with peroneal tendon disorders: MR imaging findings in volunteers with asymptomatic ankles. Radiology 2007; 242 (2) 509-517
    CrossrefPubMedGoogle Scholar
  • 17 Brigido MK, Fessell DP, Jacobson JA , et al. Radiography and US of os peroneum fractures and associated peroneal tendon injuries: initial experience. Radiology 2005; 237 (1) 235-241
    CrossrefPubMedGoogle Scholar
  • 18 Bergin D, Kearns S, Cullen E. Postoperative imaging of the ankle and foot. Semin Musculoskelet Radiol 2011; 15 (4) 408-424
    Article in Thieme ConnectPubMedGoogle Scholar
  • 19 Khoury NJ, el-Khoury GY, Saltzman CL, Kathol MH. Peroneus longus and brevis tendon tears: MR imaging evaluation. Radiology 1996; 200 (3) 833-841
    PubMedGoogle Scholar
  • 20 Rademaker J, Rosenberg ZS, Delfaut EM, Cheung YY, Schweitzer ME. Tear of the peroneus longus tendon: MR imaging features in nine patients. Radiology 2000; 214 (3) 700-704
    PubMedGoogle Scholar
  • 21 Bassett III FH, Gates III HS, Billys JB, Morris HB, Nikolaou PK. Talar impingement by the anteroinferior tibiofibular ligament. A cause of chronic pain in the ankle after inversion sprain. J Bone Joint Surg Am 1990; 72 (1) 55-59
    PubMedGoogle Scholar
  • 22 Schweitzer ME, Eid ME, Deely D, Wapner K, Hecht P. Using MR imaging to differentiate peroneal splits from other peroneal disorders. AJR Am J Roentgenol 1997; 168 (1) 129-133
    CrossrefPubMedGoogle Scholar