Abstract
We present the case of a 15-year-old teenager who sustained an ankle inversion injury while playing American football, which yielded only minimal pain, but also foot numbness and a lateral leg bulge. Magnetic resonance imaging evaluation revealed a proximal peroneal tear. These rare injuries are often associated with compartment syndrome, a surgical emergency, which was ultimately excluded clinically in this patient. Relevant anatomy, mechanism of injury, and clinical manifestations are discussed.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Roster B, Michelier P, Giza E. Peroneal tendon disorders. Clin Sports Med. 2015;34(4):625–41.
Squires N, Myerson MS, Gamba C. Surgical treatment of peroneal tendon tears. Foot Ankle Clin. 2007;12(4):675–95. vii.
Arciero RA, Shishido NS, Parr TJ. Acute anterolateral compartment syndrome secondary to rupture of the peroneus longus muscle. Am J Sports Med. 1984;12:366–7.
Davies JA. Peroneal compartment syndrome secondary to rupture of the peroneus longus. a case report. J Bone Joint Surg Am. 1979;61:783–4.
Else B, Emel TJ, Kern T, Cavanagh LE, Allen TW. Peroneus longus rupture at its origin managed with platelet rich plasma. J Am Osteopath Assoc. 2015;115(10):622–4.
Hiramatsu K, Yonetani Y, Kinugasa K, Nakamura N, Yamamoto K, Yoshikawa H, et al. Deep peroneal nerve palsy with isolated lateral compartment syndrome secondary to peroneus longus tear: a report of two cases and a review of the literature. J Orthop Traumatol. 2016;17(2):181–5.
Lee RY, Colville JM, Schuberth JM. Acute compartment syndrome of the leg with avulsion of the peroneus longus muscle: a case report. J Foot Ankle Surg. 2009;48:365–7.
Mendelson S, Mendelson A, Holmes J. Compartment syndrome after acute rupture of the peroneus longus in a high school football player: a case report. Am J Orthop (Belle Mead NJ). 2003;32(10):510–2.
Merriman J, Villacis D, Kephart C, Yi A, Romano R, Hatch 3rd GF. Acute compartment syndrome after non-contact peroneus longus muscle rupture. Clin Orthop Surg. 2015;7(4):527–30.
Rehman S, Joglekar SB. Acute isolated lateral compartment syndrome of the leg after a noncontact sports injury. Orthopedics. 2009;32(7):523.
Slabaugh M, Oldham J, Krause J. Acute isolated lateral leg compartment syndrome following a peroneus longus muscle tear. Orthopedics. 2008;31(3):272.
Benchortane M, Collado H, Coudreuse JM, Desnuelle C, Viton JM, Delarque A. Chronic ankle instability and common fibular nerve injury. Joint Bone Spine. 2011;78(2):206–8.
Draghi F, Zacchino M, Canepari M, Nucci P, Alessandrino F. Muscle injuries: ultrasound evaluation in the acute phase. J Ultrasound. 2013;16(4):209–14.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflicts of interest
The authors declare that they have no conflicts of interest.
Rights and permissions
About this article
Cite this article
Winfeld, M., Chauvin, N. Proximal peroneus longus tear: rare case in a teenage athlete and review of the literature. Skeletal Radiol 46, 1007–1009 (2017). https://doi.org/10.1007/s00256-017-2636-3
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00256-017-2636-3