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Enlarged peroneal process with peroneus longus tendon entrapment
M A Boles1, L M Lomasney, T C Demos
1Department of Radiology, Loyola University Medical Center, Maywood, Illinois 60153, USA.
Skeletal Radiology
|May 1, 1997
Summary
Chronic ankle pain in a 50-year-old man was linked to enlarged peroneal processes. Imaging revealed tendon issues, including tendinitis and partial tears, associated with these bony abnormalities.
Area of Science:
- Orthopedics
- Radiology
- Sports Medicine
Background:
- Chronic bilateral ankle pain can stem from various etiologies.
- Conservative management is often the initial approach for persistent ankle discomfort.
Observation:
- A 50-year-old male presented with long-standing bilateral ankle pain.
- Radiographs revealed enlarged bilateral peroneal processes.
- Advanced imaging (CT and MRI) provided detailed visualization of these anatomical variations.
Findings:
- The peroneal processes were significantly enlarged.
- Peroneus longus tendons were isolated.
- Associated tendinitis and partial tears of the peroneus longus tendons were identified.
Implications:
- Enlarged peroneal processes may contribute to chronic ankle pain.
- These bony anomalies can lead to secondary peroneal tendon pathology.
- Understanding this association is crucial for accurate diagnosis and targeted treatment of ankle pain.