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Ultrasound and MRI of the peroneal tendons and associated pathology

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Abstract

Lateral ankle pain is common with overuse and sports-related injuries and may cause considerable morbidity. The differential diagnosis of lateral ankle pain is extensive. Disorders of the peroneal tendons should be an important consideration during interpretation of a routine ankle magnetic resonance imaging (MRI) or ultrasound (US). This article presents a review of the common causes of peroneal tendon pathology with particular reference to anatomy, US, and MRI features. The importance of dynamic evaluation with ultrasound is also emphasized.

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References

  1. Freire V, Guerini H, Campagna R, Moutounet L, Dumontier C, Feydy A, et al. Imaging of hand and wrist cysts: a clinical approach. AJR Am J Roentgenol. 2012;199(5):W618–28.

    Article  PubMed  Google Scholar 

  2. Yablon CM. Ultrasound-guided interventions of the foot and ankle. Semin Musculoskelet Radiol. 2013;17(1):60–8.

    Article  PubMed  Google Scholar 

  3. 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  PubMed  Google Scholar 

  4. Bruce WD, Christofersen MR, Phillips DL. Stenosing tenosynovitis and impingement of the peroneal tendons associated with hypertrophy of the peroneal tubercle. Foot Ankle Int. 1999;20(7):464–7.

    Article  PubMed  CAS  Google Scholar 

  5. Sobel M, Levy ME, Bohne WH. Congenital variations of the peroneus quartus muscle: an anatomic study. Foot Ankle. 1990;11(2):81–9.

    Article  PubMed  CAS  Google Scholar 

  6. Rademaker J, Rosenberg ZS, Beltran J, Colon E. Alterations in the distal extension of the musculus peroneus brevis with foot movement. AJR Am J Roentgenol. 1997;168(3):787–9.

    Article  PubMed  CAS  Google Scholar 

  7. Sobel M, Pavlov H, Geppert MJ, Thompson FM, DiCarlo EF, Davis WH. Painful os peroneum syndrome: a spectrum of conditions responsible for plantar lateral foot pain. Foot Ankle Int. 1994;15(3):112–24.

    Article  PubMed  CAS  Google Scholar 

  8. Brigido MK, Fessell DP, Jacobson JA, Widman DS, Craig JG, Jamadar DA, et al. Radiography and US of os peroneum fractures and associated peroneal tendon injuries: initial experience. Radiology. 2005;237(1):235–41.

    Article  PubMed  Google Scholar 

  9. Clarke HD, Kitaoka HB, Ehman RL. Peroneal tendon injuries. Foot Ankle Int. 1998;19(5):280–8.

    Article  PubMed  CAS  Google Scholar 

  10. Bianchi S, Delmi M, Molini L. Ultrasound of peroneal tendons. Semin Musculoskelet Radiol. 2010;14(3):292–306.

    Article  PubMed  Google Scholar 

  11. Philbin TM, Landis GS, Smith B. Peroneal tendon injuries. J Am Acad Orthop Surg. 2009;17(5):306–17.

    PubMed  Google Scholar 

  12. Rosenberg ZS, Beltran J, Cheung YY, Colon E, Herraiz F. MR features of longitudinal tears of the peroneus brevis tendon. AJR Am J Roentgenol. 1997;168(1):141–7.

    Article  PubMed  CAS  Google Scholar 

  13. Butler BW, Lanthier J, Wertheimer SJ. Subluxing peroneals: a review of the literature and case report. J Foot Ankle Surg. 1993;32(2):134–9.

    PubMed  CAS  Google Scholar 

  14. Davis WH, Sobel M, Deland J, Bohne WH, Patel MB. The superior peroneal retinaculum: an anatomic study. Foot Ankle Int. 1994;15(5):271–5.

    Article  PubMed  CAS  Google Scholar 

  15. Oden RR. Tendon injuries about the ankle resulting from skiing. Clin Orthop Relat Res. 1987;216:63–9.

    PubMed  Google Scholar 

  16. Raikin SM, Elias I, Nazarian LN. Intrasheath subluxation of the peroneal tendons. J Bone Joint Surg Am. 2008;90(5):992–9.

    Article  PubMed  Google Scholar 

  17. Weishaupt D, Schweitzer ME, Morrison WB, Haims AH, Wapner K, Kahn M. MRI of the foot and ankle: prevalence and distribution of occult and palpable ganglia. J Magn Reson Imaging. 2001;14(4):464–71.

    Article  PubMed  CAS  Google Scholar 

  18. Costa CR, Morrison WB, Carrino JA, Raiken SM. MRI of an intratendinous ganglion cyst of the peroneus brevis tendon. AJR Am J Roentgenol. 2003;181(3):890–1.

    Article  PubMed  Google Scholar 

  19. Nahra ME, Bucchieri JS. Ganglion cysts and other tumor related conditions of the hand and wrist. Hand Clin. 2004;20(3):249–60. v.

    Article  PubMed  Google Scholar 

  20. Teefey SA, Dahiya N, Middleton WD, Gelberman RH, Boyer MI. Ganglia of the hand and wrist: a sonographic analysis. AJR Am J Roentgenol. 2008;191(3):716–20.

    Article  PubMed  Google Scholar 

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Conflict of interest

The authors declare that they have no conflicts interest.

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Authors and Affiliations

  1. Department of Radiology, University of Michigan Medical Center, Ann Arbor, MI, USA

    Sun Joo Lee, Jon A. Jacobson, Sung-Moon Kim, David Fessell, Yebin Jiang, Qian Dong & Yoav Morag

  2. Department of Radiology, Inje University College of Medicine, Busan Paik Hospital, 633-165 Kaegum-dong, Busanjin-gu, Busan, 614-735, Korea

    Sun Joo Lee & Hye Jung Choo

  3. Department of Radiology, Keimyung University Dongsan Medical Center, Daegu, Korea

    Sung-Moon Lee

Authors
  1. Sun Joo Lee
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  2. Jon A. Jacobson
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  3. Sung-Moon Kim
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  4. David Fessell
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  5. Yebin Jiang
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  6. Qian Dong
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  7. Yoav Morag
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  8. Hye Jung Choo
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  9. Sung-Moon Lee
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Corresponding author

Correspondence to Sun Joo Lee.

Additional information

This work was supported by a grant from Inje University, 2011, and Pusan Paik Hospital Imaging Research Institute.

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Lee, S.J., Jacobson, J.A., Kim, SM. et al. Ultrasound and MRI of the peroneal tendons and associated pathology. Skeletal Radiol 42, 1191–1200 (2013). https://doi.org/10.1007/s00256-013-1631-6

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  • DOI: https://doi.org/10.1007/s00256-013-1631-6

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