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Conservative Treatment of Peroneal Tendon Injuries: Peroneal Tendon Sheath Ultrasound-Guided Corticosteroid Injection

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The Peroneal Tendons

Abstract

Peroneal tendon pathology has multiple etiologies and is a common cause of lateral ankle pain. Despite being the initial treatment directive, conservative modalities are few and often have a limited ability to affect the natural history of the unique tendon pathology. While corticosteroid injections are frequently used in musculoskeletal care, it has recently been determined that ultrasound-guided peroneal tendon sheath corticosteroid injections are a reliable and safe alternative and/or adjunct, when other modalities have failed.

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References

  1. Wang XT, Rosenberg ZS, Mechlin MB, Schweitzer ME. Normal variants and diseases of the peroneal tendons and superior peroneal retinaculum: MR imaging features. Radiographics. 2005;25(3):587–602.

    Article  Google Scholar 

  2. Muir JJ, Curtiss HM, Hollman J, Smith J, Finnoff JT. The accuracy of ultrasound-guided and palpation-guided peroneal tendon sheath injections. Am J Phys Med Rehabil. 2011;90(7):564–71.

    Article  Google Scholar 

  3. Resnick D, Goergen TG. Peroneal tenography in previous calcaneal fractures. Radiology. 1975;115(1):211–3.

    Article  CAS  Google Scholar 

  4. van Dijk PA, Miller D, Calder J, DiGiovanni CW, Kennedy JG, Kerkhoffs GM, et al. The ESSKA-AFAS international consensus statement on peroneal tendon pathologies. Knee Surg Sports Traumatol Arthrosc. 2018;26(10):3096–107.

    Article  Google Scholar 

  5. Smith AG, Kosygan K, Williams H, Newman RJ. Common extensor tendon rupture following corticosteroid injection for lateral tendinosis of the elbow. Br J Sports Med. 1999;33(6):423–4. discussion 4-5

    Article  CAS  Google Scholar 

  6. Borland S, Jung S, Hugh IA. Complete rupture of the peroneus longus tendon secondary to injection. Foot (Edinb). 2009;19(4):229–31.

    Article  Google Scholar 

  7. Madsen BL, Noer HH. Simultaneous rupture of both peroneal tendons after corticosteroid injection: operative treatment. Injury. 1999;30(4):299–300.

    Article  CAS  Google Scholar 

  8. Simpson MR, Howard TM. Tendinopathies of the foot and ankle. Am Fam Physician. 2009;80(10):1107–14.

    PubMed  Google Scholar 

  9. Cigna E, Ozkan O, Mardini S, Chiang PT, Yang CH, Chen HC. Late spontaneous rupture of the extensor pollicis longus tendon after corticosteroid injection for flexor tenosynovitis. Eur Rev Med Pharmacol Sci. 2013;17(6):845–8.

    CAS  PubMed  Google Scholar 

  10. Fram BR, Rogero R, Fuchs D, Shakked RJ, Raikin SM, Pedowitz DI. Clinical outcomes and complications of peroneal tendon sheath ultrasound-guided corticosteroid injection. Foot Ankle Int. 2019;40(8):888–94.

    Article  Google Scholar 

  11. Johnson JE, Klein SE, Putnam RM. Corticosteroid injections in the treatment of foot & ankle disorders: an AOFAS survey. Foot Ankle Int. 2011;32(4):394–9.

    Article  Google Scholar 

  12. Coombes BK, Bisset L, Vicenzino B. Efficacy and safety of corticosteroid injections and other injections for management of tendinopathy: a systematic review of randomised controlled trials. Lancet. 2010;376(9754):1751–67.

    Article  CAS  Google Scholar 

  13. Green DP. Diagnostic and therapeutic value of carpal tunnel injection. J Hand Surg Am. 1984;9(6):850–4.

    Article  CAS  Google Scholar 

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Pedowitz, D.I., Shakked, R., Fuchs, D.J., Roedl, J.B. (2020). Conservative Treatment of Peroneal Tendon Injuries: Peroneal Tendon Sheath Ultrasound-Guided Corticosteroid Injection. In: Sobel, M. (eds) The Peroneal Tendons. Springer, Cham. https://doi.org/10.1007/978-3-030-46646-6_8

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  • DOI: https://doi.org/10.1007/978-3-030-46646-6_8

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-46645-9

  • Online ISBN: 978-3-030-46646-6

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