Peroneal Tendinosis and Subluxation

Clin Sports Med. 2020 Oct;39(4):845-858. doi: 10.1016/j.csm.2020.07.005. Epub 2020 Aug 14.

Abstract

Peroneal tendinosis and subluxation are lifestyle-limiting conditions that can worsen if not properly diagnosed and treated. Adequate knowledge of ankle anatomy and detailed history and comprehensive physical examination is essential for diagnosis. Peroneal tendinopathy is likely to result from overuse, whereas subluxation often precipitates from forceful contraction of peroneals during sudden dorsiflexion while landing or abruptly stopping. In athletes, conservative measures remain first-line treatment of tendinopathy, but surgery is often immediately indicated in cases of recurrent symptomatic subluxation or dislocation. Surgical technique varies on the type, mechanism, and severity of injury, but most procedures have a high success rate.

Keywords: Peroneal tendons; Rehabilitation; Subluxation; Tendinosis; Tenosynovitis; Treatment.

Publication types

  • Review

MeSH terms

  • Ankle Injuries / diagnosis*
  • Ankle Injuries / physiopathology
  • Ankle Injuries / therapy*
  • Ankle Joint / anatomy & histology
  • Ankle Joint / physiology
  • Ankle Joint / physiopathology
  • Athletic Injuries / diagnosis
  • Athletic Injuries / physiopathology
  • Athletic Injuries / therapy
  • Conservative Treatment / methods
  • Humans
  • Joint Dislocations / diagnosis*
  • Joint Dislocations / physiopathology
  • Joint Dislocations / therapy*
  • Orthopedic Procedures / methods*
  • Tendinopathy / diagnosis
  • Tendinopathy / physiopathology
  • Tendinopathy / therapy
  • Tendon Injuries / diagnosis*
  • Tendon Injuries / physiopathology
  • Tendon Injuries / therapy*
  • Tendons / anatomy & histology
  • Tendons / physiology
  • Tendons / physiopathology
  • Treatment Outcome