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Longitudinal split of peroneus brevis tendon. A report on two cases
J Leppilahti1, T Flinkkilä, P Hyvönen
1Department of Orthopaedics, Oulu University Hospital, Finland.
Annales Chirurgiae Et Gynaecologiae
|May 3, 2000
Summary
Peroneus brevis split, often misdiagnosed, requires consideration in ankle injuries and inflammatory conditions. Surgical treatment for this tendon tear generally yields positive outcomes.
Area of Science:
- Orthopedic Surgery
- Sports Medicine
- Radiology
Background:
- Peroneus brevis split is a challenging diagnosis often overlooked in clinical practice.
- It can occur secondary to ankle trauma or chronic inflammatory conditions like rheumatoid arthritis.
Observation:
- Two cases illustrate longitudinal peroneus brevis tendon splits presenting with persistent lateral ankle pain and swelling.
- Magnetic Resonance Imaging (MRI) proved crucial for accurate diagnosis in one case, while ultrasonography revealed tenosynovial effusion in the other.
Findings:
- Surgical repair, including side-to-side suturing or debridement and revision, was performed in both cases.
- Postoperative immobilization and rehabilitation led to satisfactory outcomes, despite some residual pain or complications requiring reoperation.
Implications:
- Early recognition and accurate diagnosis, particularly with MRI, are vital for effective management of peroneus brevis splits.
- Surgical intervention offers a favorable prognosis for patients experiencing debilitating symptoms from this condition.