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Peroneus longus tendon tears: acute and chronic

G J Sammarco1

  • 1University of Cincinnati Medical Center, Ohio, USA.

Foot & Ankle International
|May 1, 1995
PubMed
Summary

Diagnosing and treating peroneus longus tendon tears is challenging. Acute onset symptoms generally lead to better outcomes than chronic ones, even with delayed surgery.

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Area of Science:

  • Orthopedic Surgery
  • Sports Medicine
  • Foot and Ankle Surgery

Background:

  • Tears of the peroneus longus tendon present diagnostic and therapeutic difficulties.
  • This study examines clinical cases to improve understanding and management.

Purpose of the Study:

  • To analyze the characteristics, diagnosis, and treatment outcomes of peroneus longus tendon tears.
  • To identify factors influencing patient prognosis.

Main Methods:

  • Retrospective review of 14 clinically confirmed cases of peroneus longus tendon tears.
  • Analysis of patient demographics, symptom onset, diagnostic delays, tear location, associated pathologies, and surgical interventions.

Main Results:

  • Patients ranged from 31-63 years; 10 men, 4 women. Acute onset in 8 cases, chronic in 6. Diagnosis was often delayed (7-48 months).
  • Tears commonly occurred distally near the cuboid groove. Os peroneum involvement was noted in 3 cases. Associated peroneus brevis tears were frequent (9 cases).
  • Acute onset correlated with better outcomes. Associated peroneus brevis pathology seemed to improve surgical results, despite potentially masking diagnosis.

Conclusions:

  • Peroneus longus tendon tears require careful diagnosis, with delayed recognition being common.
  • Acute symptom onset and associated peroneus brevis tears are favorable prognostic indicators for surgical outcomes.

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