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Related Experiment Video

Updated: Jun 19, 2026

A Passive Ankle Dorsiflexion Testing System for an In Vivo Model of Overuse-induced Tendinopathy
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A Passive Ankle Dorsiflexion Testing System for an In Vivo Model of Overuse-induced Tendinopathy

Published on: March 1, 2024

Retained blackthorn causing peroneal tendonitis: a case report.

Alun Yewlett1, Jeremy Oakley, Nilesh Makwana

  • 1Wrexham Maelor Hospital, Orthopaedics, 141 Heol Isaf, Cardiff, United Kingdom. alunyewlett@doctors.org.uk

Foot and Ankle Surgery : Official Journal of the European Society of Foot and Ankle Surgeons
|October 21, 2009
PubMed
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A retained blackthorn foreign body caused peroneal tenosynovitis, leading to chronic pain and swelling. Prompt imaging and surgical exploration are crucial for diagnosing and treating such penetrating injuries.

Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Musculoskeletal Imaging

Background:

  • Penetrating injuries, particularly from plant material like blackthorn, can lead to complex musculoskeletal conditions.
  • Peroneal tenosynovitis, inflammation of the peroneal tendon sheath, typically presents with lateral ankle pain and swelling.
  • Delayed diagnosis of foreign bodies can result in chronic inflammation and persistent symptoms.

Observation:

  • A patient presented with four months of persistent lateral ankle pain and swelling after a penetrating injury.
  • Initial ultrasonography revealed subcutaneous fluid but no definitive foreign body.
  • Magnetic resonance imaging suggested peroneal sheath synovitis and a possible posterior foreign body.

Findings:

  • Surgical exploration identified a retained blackthorn fragment within the peroneal sheath.

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  • The foreign body caused marked synovitis and chronic inflammation of the peroneal sheath.
  • The blackthorn tip was located deep to the peroneus longus muscle.

    • Implications:

    • This case highlights the diagnostic challenges of retained blackthorn foreign bodies.
    • A high index of suspicion is necessary for penetrating injuries with persistent symptoms.
    • Further imaging and surgical intervention are vital when conservative management fails.