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1

Sobel, Mark, Helene Pavlov, Mark J. Geppert, Francesca M. Thompson, Edward F. DiCarlo, and W. Hodges Davis. "Painful Os Peroneum Syndrome: A Spectrum of Conditions Responsible for Plantar Lateral Foot Pain." Foot & Ankle International 15, no. 3 (1994): 112–24. http://dx.doi.org/10.1177/107110079401500306.

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Plantar lateral foot pain may be caused by various entities and the painful os peroneum syndrome (a term coined by the authors) should be included in the differential diagnosis. Painful os peroneum syndrome results from a spectrum of conditions that includes one or more of the following: (1) an acute os peroneum fracture or a diastasis of a multipartite os peroneum, either of which may result in a discontinuity of the peroneus longus tendon; (2) chronic (healing or healed) os peroneum fracture or diastasis of a multipartite os peroneum with callus formation, either of which results in a stenos
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2

Verma, Poonam, and Anterpeet Arora. "COMPARATIVE ANATOMICAL STUDY AND INCIDENCE OF OS PERONEUM IN PERONEUS LONGUS TENDON AND ITS CLINICAL SIGNIFICANCE. Estudio anatómico comparativo e incidencia del os peroneum en el tendón de peroneo largo y su significación clínica." Revista Argentina de Anatomía Clínica 6, no. 1 (2016): 15–19. http://dx.doi.org/10.31051/1852.8023.v6.n1.14093.

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Introducción: El objetivo de nuestro estudio fue evaluar la tasa de incidencia del os peroneo (OP) en el tendón del peroneo lateral largo (PLT) y su importancia clínica. Métodos: La disección de 60 cadáveres embalsamados (56 hombres y 4 mujeres) del grupo de mediana edad se hizo para tener acceso a la tasa de incidencia del os peroneo en PLT. Resultados: En nuestro estudio se observó que la tasa de incidencia del os peroneo fue de 86,6% (52 extremidades). La ubicación del os peroneo es también un tema de controversia. La mayoría de los autores afirman que se relaciona con el hueso cuboides y d
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3

Wang, David J., Guy Harris, Jason J. Boubalos, et al. "Improving pre-operative MRI diagnosis of peroneal tendon tears with a new objective sign and assessing the value of peroneus brevis fatty atrophy." Indian Journal of Musculoskeletal Radiology 4 (June 23, 2022): 18–25. http://dx.doi.org/10.25259/ijmsr_8_2022.

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Objectives: We aimed to compare the diagnostic performance of an objective set of magnetic resonance imaging (MRI) criteria named the cleft sign with traditional reads for pre-operative diagnosis of peroneal tendon tears. We also investigated the relationship between peroneus brevis tendon tears and muscle quality. Material and Methods: Two blinded readers retrospectively and independently evaluated pre-operative ankle MRI studies of 38 patients who had undergone peroneal tendon surgery for peroneal tendon tears, peroneus brevis muscle quality, and the cleft sign. MRI examinations from 38 cont
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4

Jadhav, Surekha D., Shilpa N. Gosavi, and Balbhim R. Zambare. "STUDY OF PERONEUS DIGITI MINIMI QUINTI IN INDIAN POPULATION: A CADAVERIC STUDY. Estudio del peroneo dígiti minimi quinti en la población india: Un estudio cadavérico." Revista Argentina de Anatomía Clínica 5, no. 2 (2016): 67–72. http://dx.doi.org/10.31051/1852.8023.v5.n2.14060.

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Antecedentes: Peroneo meñique quinti es uno de los muchos músculos peroneos accesorios que por lo general se origina como un pequeño deslizamiento del tendón del peroneo lateral corto, alrededor del maléolo lateral, y se une a la aponeurosis dorsal del quinto dígito. No se conoce con precisión la prevalencia de la misma. Hay mucha confusión en la literatura, ya que existen múltiples clasificaciones superpuestas y una gran variedad de terminología descriptiva acerca de los músculos peroneos accesorios. Peroneo meñique quinti fue observado por algunos investigadores en la literatura, pero Macali
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5

Sobel, Mark, Mark J. Geppert, Eric J. Olson, Walther H. O. Bohne, and Steven P. Arnoczky. "The Dynamics of Peroneus Brevis Tendon Splits: A Proposed Mechanism, Technique of Diagnosis, and Classification of Injury." Foot & Ankle 13, no. 7 (1992): 413–22. http://dx.doi.org/10.1177/107110079201300710.

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The etiology of peroneus brevis splits is unclear. 16 , 26 Because longitudinal splits in the peroneus brevis tendon do not necessarily effect the integrity or strength of the tendon, it is difficult to ascertain whether or not injury to the peroneus brevis tendon is present. Recent clinical, anatomic, and histologic reports have suggested that the split develops from prolonged mechanical attrition within the fibular groove as a result of ankle trauma with resultant lateral ankle instability and incompetency of the superior peroneal retinaculum with resultant subluxation of the peroneal tendon
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6

Takada, Ryosuke, Song Ho Chang, Taro Kasai, et al. "Lateral Heel Pain Caused by Impingement of Hypertrophic Peroneal Tubercle and Os Peroneum." Case Reports in Orthopedics 2021 (January 8, 2021): 1–6. http://dx.doi.org/10.1155/2021/6621539.

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Hypertrophic peroneal tubercle (HPT) is an overgrowth of the peroneal tubercle located on the lateral aspect of the hindfoot, which could cause tenosynovitis of the peroneus longus tendon. Os peroneum (OP) is an accessory ossicle that exists in the peroneus longus tendon at the lateral aspect of the calcaneocuboid joint. Both HPT and OP can cause lateral foot pain and occasionally require surgical treatment. We encountered a case of lateral foot pain of HPT coexisting with OP. Careful preoperative magnetic resonance imaging, dynamic ultrasonographic image, and block injection suggested an impi
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7

Takada, Ryosuke, Song Ho Chang, Taro Kasai, et al. "Lateral Heel Pain Caused by Impingement of Hypertrophic Peroneal Tubercle and Os Peroneum." Case Reports in Orthopedics 2021 (January 8, 2021): 1–6. http://dx.doi.org/10.1155/2021/6621539.

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Hypertrophic peroneal tubercle (HPT) is an overgrowth of the peroneal tubercle located on the lateral aspect of the hindfoot, which could cause tenosynovitis of the peroneus longus tendon. Os peroneum (OP) is an accessory ossicle that exists in the peroneus longus tendon at the lateral aspect of the calcaneocuboid joint. Both HPT and OP can cause lateral foot pain and occasionally require surgical treatment. We encountered a case of lateral foot pain of HPT coexisting with OP. Careful preoperative magnetic resonance imaging, dynamic ultrasonographic image, and block injection suggested an impi
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8

Kouchtir, N., J. F. Perrier, D. Zytnicki, and L. Jami. "Contraction-induced excitation in cat peroneal motoneurons." Journal of Neurophysiology 73, no. 3 (1995): 974–82. http://dx.doi.org/10.1152/jn.1995.73.3.974.

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1. Motoneurons innervating peroneal muscles were recorded intracellularly in anesthetized cats during sustained submaximal isometric contractions of peroneus brevis produced by repetitive electrical stimulation of motor axons in the distal portion of cut ventral root filaments. 2. In contrast with the inhibition previously observed during contractions of gastrocnemius medialis muscle in triceps surae motoneurons, the afferent input generated by peroneus brevis contraction elicited excitatory potentials in nearly all motoneurons supplying peroneus brevis, peroneus tertius, or peroneus longus mu
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9

Sobel, Mark, Mark J. Geppert, Jo A. Hannafin, Walther H. O. Bohne, and Steven P. Arnoczky. "Microvascular Anatomy of the Peroneal Tendons." Foot & Ankle 13, no. 8 (1992): 469–72. http://dx.doi.org/10.1177/107110079201300807.

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The etiology of longitudinal splitting of the peroneus brevis tendon is unclear. It has been hypothesized that compressive load applied to the tendon as it passes through the fibular groove may compromise the vascularity of the tendon with resultant inhibition of the repair response and degeneration of tendon structure. To investigate this possibility, a study of the microvascularity of the peroneal tendons was undertaken. Twelve fresh, frozen cadaveric limbs were injected with India ink. The vascularity of the peroneal tendons was examined in situ and the tendons were harvested and cleared us
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10

Carlis, Scott, Daniel Pollack, Shaylyn McTeague, and Greg Khaimov. "Peroneus Quartus Muscle Autograft." Journal of the American Podiatric Medical Association 107, no. 1 (2017): 76–79. http://dx.doi.org/10.7547/15-080.

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This case report highlights a novel approach to strengthening the repair of a split peroneus brevis tendon tear with a peroneus quartus muscle autograft. We describe a 51-year-old woman with a longitudinal split tear of the peroneus brevis tendon confirmed by magnetic resonance imaging. Intraoperatively, a peroneus quartus muscle was appreciated, resected, and used as an autograft in the repair of the peroneus brevis tendon. Use of a peroneus quartus muscle as an autograft in peroneal tendon repair has not been documented in the literature, to our knowledge.
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11

Evers, Julia, Dirk Wähnert, Niklas Grüneweller, Michael J. Raschke, and Sabine Ochman. "Delayed Surgical Reconstruction of a Peroneal Tendon Rupture in an Accessory Os Peroneum." Journal of the American Podiatric Medical Association 106, no. 6 (2016): 439–44. http://dx.doi.org/10.7547/15-092.

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A fracture of the os peroneum is a rare cause of ankle and foot pain and is often overlooked and not assumed. Only a few case reports have discussed the different etiologies, options for diagnosis, and therapeutic interventions for acute cases. We present a case of delayed diagnosis of an os peroneum fracture due to a distortion of the ankle that occurred during air sports. Initial diagnostic testing with magnetic resonance imaging demonstrated a rupture of the peroneus longus tendon with no pathologic abnormalities at the peroneus brevis tendon. During surgery, a combination of an os peroneum
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12

Hull, Michael, John T. Campbell, Clifford L. Jeng, R. Frank Henn, and Rebecca A. Cerrato. "Measuring Visualized Tendon Length in Peroneal Tendoscopy." Foot & Ankle International 39, no. 8 (2018): 990–93. http://dx.doi.org/10.1177/1071100718768506.

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Background: Despite multiple studies outlining peroneal tendoscopy, no study exists to evaluate how effective tendoscopy is at visualizing the peroneal tendons without missing a lesion. We sought to measure the length of the peroneal tendons that could be visualized using tendoscopy. Methods: Ten fresh cadaveric specimens were evaluated using standard peroneal tendoscopy techniques. Peroneus longus and brevis tendons were pierced percutaneously with Kirschner wires at the edge of what could be seen through the camera. The tendon sheaths were then dissected and the distances from anatomic landm
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13

Grumbine, NA, RE Van Enoo, and JP Santoro. "Peroneal tendon balance procedure." Journal of the American Podiatric Medical Association 79, no. 1 (1989): 15–23. http://dx.doi.org/10.7547/87507315-79-1-15.

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The authors introduce the peroneal tendon balance procedure and discuss normal and hypermobile function of the first ray. The procedure is based on the theory that the peroneus longus tendon is a primary retrograde stabilizer of the proximal portion of the first ray. The theory emphasizes that abnormal pronation results in a positional weakness of the peroneus longus tendon, which induces first ray hypermobility. This surgical procedure involves an anastomosis of the peroneus longus to the peroneus brevis tendon. It is designed to increase the force of the peroneus longus tendon in order to re
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14

Major, Nancy M., Clyde A. Helms, Russell C. Fritz, and Kevin P. Speer. "The MR Imaging Appearance of Longitudinal Split Tears of the Peroneus Brevis Tendon." Foot & Ankle International 21, no. 6 (2000): 514–19. http://dx.doi.org/10.1177/107110070002100612.

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Purpose Longitudinal split tears of the peroneus brevis tendon have been increasingly reported as a source of lateral ankle pain and disability. MR imaging is useful in identifying the appearance of longitudinal split tears of the peroneus brevis tendon to differentiate this entity from other causes of chronic lateral ankle pain. We observed variations in anatomy associated with these tears. MATERIALS AND METHODS Twenty-two patients (eleven males, eleven females) were identified as having longitudinal split tears of the peroneus brevis tendon. These cases were reviewed retrospectively to evalu
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15

Shazadeh Safavi, Kiya, Saruthija Ratnasingam, and Cory F. Janney. "Chronic Peroneal Tendon Dislocation: A Case Report." Military Medicine 185, no. 9-10 (2020): e1882-e1886. http://dx.doi.org/10.1093/milmed/usaa093.

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Abstract We present a unique case of chronic peroneal tendon dislocation in a 47-year-old active duty military member with a 2-mo history of acute onset lateral ankle pain due to sports injury. Magnetic resonance imaging revealed superficial peroneal retinaculum (SPR) disruption, a flattened retrofibular groove, dislocation of the peroneus longus tendon, and a tear of the peroneus brevis tendon. The patient was managed operatively with fibular groove deepening, SPR reconstruction, peroneus brevis debridement, and peroneus longus tubulurization. No complications were observed during the intra-
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16

Gumber, Tamanna, Vikash Bhatnagar, Sandeep Madhukar Lahange, Shailza Bhatnagar, and Anjali Sharma. "AN ANATOMICAL VARIATION OF THE PERONEUS QUARTUS MUSCLE: A CASE STUDY." International Ayurvedic Medical Journal 11, no. 12 (2024): 3122–25. http://dx.doi.org/10.46607/iamj2511122023.

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The peroneus quartus (PQ), an extraneous assessory muscle of the ankle, is found in the lateral compartment of the leg. It is the most frequent source of genesis and its insertion is along the peroneus brevis muscle into the calcaneo retrotrochlear prominence. We noticed a peculiar variation of the muscle that arises from the lateral surface of the fibula in between the two peroneal muscles. A lateral malleolus that was protruding from the skin was crammed with tendons. The muscle was discovered to be attached to the peroneal trochlea. The peroneus quartus is found with a frequency varying fro
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17

Chagas-Neto, Francisco Abaete, Barbara Nogueira Caracas de Souza, and Marcello Henrique Nogueira-Barbosa. "Painful Os Peroneum Syndrome: Underdiagnosed Condition in the Lateral Midfoot Pain." Case Reports in Radiology 2016 (2016): 1–4. http://dx.doi.org/10.1155/2016/8739362.

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Os peroneum is an accessory ossicle located within the peroneus longus tendon. The painful os peroneum syndrome (POPS) results from a wide spectrum of conditions, including fractures, diastases, and other causes. POPS can result in tenosynovitis or discontinuity of the peroneus longus tendon with a clinical presentation of pain in the lateral aspect of the midfoot. Authors report a typical case of POPS, illustrating this entity through different imaging methods (radiographs, ultrasound, and magnetic resonance imaging). We emphasize the prevalence of this ossicle and discuss painful complicatio
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18

Nguyen Hoang, Quan, and Khanh Nguyen Manh. "Anatomical and Biomechanical Characteristics of Peroneus Longus Tendon: Applications in Knee Cruciate Ligament Reconstruction Surgery." Advances in Orthopedics 2023 (June 27, 2023): 1–7. http://dx.doi.org/10.1155/2023/2018363.

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Introduction. The peroneus longus tendon is used in many orthopedic surgeries to regenerate the external ligaments of the knee. This study aims to evaluate some anatomical, biomechanical, and load-bearing properties of the peroneus longus tendon for use in cruciate ligament reconstruction. Materials and Methods. The study design is a cross-sectional description. The study subjects were 20 samples of the peroneus longus tendon from fresh carcasses. The leg is still intact, not crushed, is well preserved, and it has never been used in research. Results. The average length of the peroneus longus
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Hammerschlag, Warren A., and J. Leonard Goldner. "Chronic Peroneal Tendon Subluxation Produced by an Anomalous Peroneus Brevis: Case Report and Literature Review." Foot & Ankle 10, no. 1 (1989): 45–47. http://dx.doi.org/10.1177/107110078901000110.

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Although congenital anomalies of the peroneal muscles have been well documented from anatomical studies, only a single clinically symptomatic case has been previously reported. In the present report, a previously unreported variation of the peroneus brevis, a bifid peroneus brevis, is described. This variation contributed to chronic subluxation of the peroneal tendons. Diagnosis was made at the time of operation, and resection of the duplicated tendon and reinforcement of the peroneal retinaculum relieved the symptoms of the patient.
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Hull, Michael, John T. Campbell, Rebecca Cerrato, Clifford Jeng, and R. Frank Henn. "Measuring Visualized Tendon Length in Peroneal Tendoscopy." Foot & Ankle Orthopaedics 2, no. 3 (2017): 2473011417S0002. http://dx.doi.org/10.1177/2473011417s000206.

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Category: Arthroscopy, Sports Introduction/Purpose: Tendoscopy is a relatively new method of evaluating for tendon lesions in foot and ankle surgery. Despite multiple studies describing peroneal tendoscopy use, no study exists to determine the efficacy of tendoscopy at visualizing the entire length of the peroneal tendons. The purpose of this cadaver study was to measure the length of the peroneal tendons that could be visualized using tendoscopy Methods: Ten (10) fresh cadaveric specimens, complete above- or through-knee specimens, were evaluated. Peroneal Tendoscopy was performed with routin
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21

Da Rocha Macedo, Rafael, Rui Dos Santos Barroco, Bruno Rodrigues de Miranda, et al. "PO 18072 - Peroneus longus tendon injury associated with the presence of peroneum." Scientific Journal of the Foot & Ankle 13, Supl 1 (2019): 8S. http://dx.doi.org/10.30795/scijfootankle.2019.v13.987.

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Introduction: The os peroneum is a round or oval sesamoid bone located distally within the substance of the peroneus longus tendon near the cuboid bone. Peacock et al. suggested that the presence of the os peroneum might be associated with tendon rupture due to friction at the junction with the bone; in turn, Brigido et al. developed radiographic criteria that associate sesamoid fracture with mechanical failure of the peroneus longus tendon. Objective: To report an unusual case of peroneus longus tendon injury associated with the presence of os peroneum in a patient with hindfoot varus. Method
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22

Clement, Cory P., Ronald Guberman, Edward Lee, and Lady P. DeJesus. "Use of Cadaveric Graft in Reconstruction of Peroneus Brevis Rupture and Lateral Ankle Instability." Journal of the American Podiatric Medical Association 109, no. 1 (2019): 70–74. http://dx.doi.org/10.7547/17-113.

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This case study presents a novel technique of end-to-end implantation of cadaver graft for the repair of a complete transversely torn peroneus brevis tendon and partially torn peroneus longus tendon in a 58-year-old woman with chronic lateral ankle instability and associated lateral collateral tears. She had a history of multiple ankle sprains and had previously undergone a failed peroneus brevis tendon retubularization procedure. The use of cadaver graft is well documented in the literature for tendon repairs but not well documented in end-to-end repair of the peroneal tendons. A review of th
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Wilson, Katharine J., Rachel K. Surowiec, Nicholas S. Johnson, Carly A. Lockard, Thomas O. Clanton, and Charles P. Ho. "T2* Mapping of Peroneal Tendons Using Clinically Relevant Subregions in an Asymptomatic Population." Foot & Ankle International 38, no. 6 (2017): 677–83. http://dx.doi.org/10.1177/1071100717693208.

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Background: Peroneal tendon evaluation is particularly demanding using current magnetic resonance imaging (MRI) techniques because of their curving path around the lateral malleolus. Quantifiable, objective data on the health of the peroneal tendons could be useful for improving diagnosis of tendon pathology and tracking post-treatment responses. The purpose of this study was to establish a method and normative T2-star (T2*) values for the peroneal tendons in a screened asymptomatic cohort using clinically reproducible subregions, providing a baseline for comparison with peroneal tendon pathol
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Budhiparama, Nicolaas C., Sholahuddin Rhatomy, Krisna Yuarno Phatama, William Chandra, Asep Santoso, and Imelda Lumban-Gaol. "Peroneus Longus Tendon Autograft: A Promising Graft for ACL Reconstruction." Video Journal of Sports Medicine 1, no. 4 (2021): 263502542110098. http://dx.doi.org/10.1177/26350254211009888.

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Background: With the increasing use of hamstring tendon as an autograft in anterior cruciate ligament (ACL) reconstruction, some shortcomings have been found on the donor site. Therefore, an alternative autograft option with adequate strength and less donor site morbidity will be very valuable. Peroneus longus tendon has been found to be a promising option. Indication: Primary ACL reconstruction. Technique Description: Peroneus longus tendon graft is harvested with a longitudinal skin incision at 2 to 3 cm (2 finger-breadths) above and 1 cm (1 finger-breadth) behind the lateral malleolus, foll
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Sammarco, G. James. "Peroneus Longus Tendon Tears: Acute and Chronic." Foot & Ankle International 16, no. 5 (1995): 245–53. http://dx.doi.org/10.1177/107110079501600501.

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Tear of the peroneus longus tendon can be difficult to diagnose and treat. Fourteen cases of clinically proven tears are reported. Patients ranged in age from 31 to 63 years. There were 10 men and four women. The onset of symptoms was acute in eight cases. Chronic onset with slowly increasing pain occurred in six cases. Despite acute onset of symptoms, only one patient was diagnosed within 2 weeks of his injury. The others had symptom duration ranging from 7 to 48 months. Twelve tears were located distally as the tendon turned into the cuboid groove. An os peroneum visible on x-ray was present
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26

Miller, Matt, L. Daniel Latt, Aamir N. Ahmad, and Mihra S. Taljanovic. "Comparison of Ultrasound and MRI with Intraoperative Findings in the Diagnosis of Peroneal Tendinopathy, Tears, and Subluxation." Foot & Ankle Orthopaedics 7, no. 4 (2022): 2473011421S0080. http://dx.doi.org/10.1177/2473011421s00808.

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Category: Ankle Introduction/Purpose: Suspected peroneal tendinopathy, tears, and subluxation are often confirmed using magnetic resonance imaging (MRI) or diagnostic ultrasound (US). The choice between these two imaging modalities is commonly based on surgeon preference as the accuracy of these tests for the diagnosis of peroneal tendinopathy, tears, and subluxation is not known. The purpose of this study was to compare MRI and US to the intraoperative findings in patients who underwent surgery for the treatment of suspected peroneal tendinopathy, tears, and subluxations to determine the diag
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Chrea, Bopha, Stephanie K. Eble, Jonathan Day, et al. "Clinical and Patient Reported Outcomes Following Peroneus Brevis Reconstruction with Hamstring Tendon Autograft." Foot & Ankle Orthopaedics 7, no. 1 (2022): 2473011421S0014. http://dx.doi.org/10.1177/2473011421s00142.

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Category: Ankle; Other Introduction/Purpose: Peroneal tendon injuries are a common cause of lateral ankle pain and instability. While the use of hamstring autograft has been proposed as a viable surgical option for peroneus brevis reconstruction, reported outcomes with this technique are limited in the literature. We present patient-reported and clinical outcomes for patients who underwent peroneus brevis reconstruction with hamstring autograft. Methods: Thirty-one patients were retrospectively identified who underwent peroneus brevis reconstruction with hamstring autograft for peroneal tendin
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Grace, Sheela, Preethi Ramya T, and Anjana TSR. "AN ADAPTATIONAL CHANGE OF EVOLUTIONARY SIGNIFICANCE IN PERONEAL TENDONS: AN ANOMALOUS PERONEUS QUARTUS AND A PROXIMALLY MIGRATED PERONEUS BREVIS TENDON." International Journal of Anatomy and Research 4, no. 2 (2016): 2454–58. http://dx.doi.org/10.16965/ijar.2016.237.

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29

Robby, Aditya Fuad, Luthfi Hidayat, and Rahadyan Magetsari. "Correlation of Anthropometric Features with Peroneus Longus and Hamstring Tendons Graft Size for ACL reconstruction." Hip and Knee Journal 2, no. 1 (2021): 34–39. http://dx.doi.org/10.46355/hipknee.v2i1.52.

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Background: Reconstruction of the anterior cruciate ligament (ACL) is a commonly performed surgical procedure in recent years. Surgeons have to consider several factors including patient’s anthropometric variables to harvest the best graft. The hamstring tendon has its’ limitation, such as the tendon graft size deemed unfit especially for people of small statures. The peroneus longus tendon is a relatively new choice compared to hamstring. This study was conducted to know the correlation between anthropometric features with graft parameters or graft size in patients who underwent ACL reconstru
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Tynan, Martin C., Leslie Klenerman, T. R. Helliwell, R. H. T. Edwards, and Michael Hayward. "Investigation of Muscle Imbalance in the Leg in Symptomatic Forefoot Pes Cavus: A Multidisciplinary Study." Foot & Ankle 13, no. 9 (1992): 489–501. http://dx.doi.org/10.1177/107110079201300901.

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The cross-sectional areas of the peroneal and anterior muscle compartments at the same level in the upper leg were measured using magnetic resonance imaging in 41 cases of forefoot pes cavus. The pes cavus group included idiopathic cases and pes cavus associated with Charcot-Marie-Tooth disease, Friedreich's ataxia, cerebral palsy, status postpoliomyelitis, nerve trauma, and spinal cord tethering. Thirty-nine of these cases were symptomatic. The results were compared with studies of 11 normal controls. It was found that in the majority of cases of forefoot cavus, the peroneal compartment was e
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31

Hudson, Parke, Cesar de Cesar Netto, Ashish Shah, et al. "The Role of MRI in the Assessment of Chronic Lateral Ankle Instability." Foot & Ankle Orthopaedics 2, no. 3 (2017): 2473011417S0002. http://dx.doi.org/10.1177/2473011417s000203.

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Category: Ankle, Arthroscopy, Sports Introduction/Purpose: Chronic lateral ankle instability is a common problem in foot and ankle surgery, especially in patients with neutral or varus alignment of the hindfoot. Peroneal tendinopathy is a common associated condition with reported incidence as high as 77%. Not all surgical approaches allow for assessment of the peroneal tendons intraoperatively, and so physical exam and imaging, by either ultrasound or MRI, often plays an important role in pre-operative planning. We evaluated the usefulness of MRI reports in identifying peroneal tendon patholog
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Wagner, Emilio, Pablo Wagner, Diego Zanolli de Solminihac, et al. "Peroneal Tendon Tears." Foot & Ankle Orthopaedics 2, no. 3 (2017): 2473011417S0000. http://dx.doi.org/10.1177/2473011417s000080.

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Category: Ankle, Basic Sciences/Biologics, Sports Introduction/Purpose: Peroneus brevis tendon tears are frequently diagnosed when ankle instability is present. No clear guideline exists as to when to repair or resect peroneal tendon tears, as most of the available literature uses Meyer’s work published in 1924 where a risk of spontaneous rupture would exist when less than 50% of the tendon remains undamaged. Our objective was to analyze the mechanical behavior of cadaveric peroneal tendons subjected to an artificially made damage, compromising 66% of its visible width and tested in a cyclic a
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Donnelly, Lindsy, Luke Donovan, Joseph M. Hart, and Jay Hertel. "Eversion Strength and Surface Electromyography Measures With and Without Chronic Ankle Instability Measured in 2 Positions." Foot & Ankle International 38, no. 7 (2017): 769–78. http://dx.doi.org/10.1177/1071100717701231.

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Background: Individuals with chronic ankle instability (CAI) have demonstrated strength deficits compared to healthy controls; however, the influence of ankle position on force measures and surface electromyography (sEMG) activation of the peroneus longus and brevis has not been investigated. The purpose of this study was to compare sEMG amplitudes of the peroneus longus and brevis and eversion force measures in 2 testing positions, neutral and plantarflexion, in groups with and without CAI. Methods: Twenty-eight adults (19 females, 9 males) with CAI and 28 healthy controls (19 females, 9 male
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Hase, Charlotte, Leo Gotzen, and J�rg Petermann. "Ruptur der Peroneus-longus-Sehne bei Os peroneum." Unfallchirurgie 25, no. 5 (1999): 237–41. http://dx.doi.org/10.1007/bf00596733.

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Sugimoto, Kazuya, Yoshinori Takakura, Koujirou Okahashi, Yasuhito Tanaka, Manabu Ohshima, and Ryouji Kasanami. "Enlarged peroneal tubercle with peroneus longus tenosynovitis." Journal of Orthopaedic Science 14, no. 3 (2009): 330–35. http://dx.doi.org/10.1007/s00776-008-1326-3.

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Burkhard, Marco D., Stephan H. Wirth, Octavian Andronic, Arnd F. Viehöfer, Florian B. Imhoff, and Stefan Fröhlich. "Clinical and Functional Outcomes of Peroneus Longus to Brevis Tendon Transfer." Foot & Ankle International 42, no. 6 (2021): 699–705. http://dx.doi.org/10.1177/1071100720982592.

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Background: Peroneal tendon lesions can cause debilitating pain, but operative treatment remains controversial. Some studies recommend peroneal tenodesis or transfer if more than half of the tendon is affected. However, clinical outcomes and inversion/eversion motion after peroneal transfer have not been investigated yet. Methods: Patients who underwent distal peroneus longus to brevis transfer for major peroneus brevis tendon tears with a minimum follow-up of 2 years were included. Clinical outcome parameters included the American Orthopaedic Foot & Ankle Society (AOFAS) hindfoot score, t
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Scheidegger, Patric, Lukas Weisskopf, and Anja Hirschmüller. "Atraumatic bilateral rupture of the peroneus brevis tendon in recreational sport: A case report." SAGE Open Medical Case Reports 5 (January 1, 2017): 2050313X1774522. http://dx.doi.org/10.1177/2050313x17745225.

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Issue: Lower extremity tendon injuries often occur in physically active individuals. Most ruptures not involving great force are diagnosed in patients presenting underlying tendon degenerations. This also applies to patients taking medications because of a disease. We have observed several cases of bilateral Achilles tendon ruptures in patients who have been taking cortisone for a long period. We treated a healthy colleague (neurologist) in our clinic who sustained ruptures of the Achilles tendon on the left side (2012) and the peroneus brevis tendon on left side (2015) and right side (2016) a
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Taniguchi, Akira, Shannon F. Alejandro, Justin M. Kane, et al. "Association of Cavovarus Foot Alignment With Peroneal Tendon Tears." Foot & Ankle International 42, no. 6 (2021): 750–56. http://dx.doi.org/10.1177/1071100721990348.

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Background Although it is a widely accepted clinical principle that cavovarus deformity predisposes to peroneal tendon problems, there are limited data to support that assumption. This study tested the hypothesis that cavovarus is associated with peroneal tendon tears and evaluated which radiographic measures correlated with that association. Methods: A retrospective comparison of radiographic measures of cavovarus in 234 consecutive patients operatively treated for chronically symptomatic peroneal tendon tears was compared to a matched control group. Measures included calcaneal pitch, anterop
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Frinces, Hefson D., and Fahroni C. Winata. "Peroneal Tendon Dislocation Treated with Arthroscopic Approach: A Case Report." Orthopaedic Journal of Sports Medicine 11, no. 2_suppl (2023): 2325967121S0088. http://dx.doi.org/10.1177/2325967121s00885.

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Peroneal tendon dislocation is usually manifested as ankle instability and pain. Peroneal tendon dislocation is caused by ruptured of superior peroneal retinaculum (SPR) due to anatomical abnormality. SPR can be damaged due to excessive contraction force of dorsiflexion of the foot. The epidemiology of this pathology is also uncertain, because peroneal tendon dislocation is often mistaken for lateral ankle ligament sprain. The treatment should include conservative treatment and surgical treatment if it fails. A 20-year-old Indonesian Male attended orthopedic consultation with pain and snapping
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Forghany, Saeed, Richard Jones, Steve Preece, Chris Nester, and Sarah Tyson. "Early Observations of the Effects of Lateral Wedge Orthoses on Lower Limb Muscle Length and Potential for Exacerbating Spasticity." Prosthetics and Orthotics International 34, no. 3 (2010): 319–26. http://dx.doi.org/10.3109/03093646.2010.504976.

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Lateral wedge orthoses are often prescribed to correct varus deformity after stroke. Spasticity is implicated in varus deformity and is caused by velocity-related muscle length changes, so a lateral wedge may affect spasticity by manipulating foot and ankle kinematics which, in turn, may alter the length of these muscles. We sought to test this theory in healthy participants. Eight volunteers walked with no wedge and with lateral wedges of 5 and 8.5 degrees in both shoes. Qualysis motion capture system collected kinematic data and SIMM musculoskeletal modeling software calculated muscle tendon
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Teli, Chandrika G., and H. S. Kadlimattix. "Case of peroneus digiti quinti muscle." National Journal of Clinical Anatomy 7, no. 03 (2018): 157–59. http://dx.doi.org/10.1055/s-0040-1701731.

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AbstractLateral compartment muscles of the leg have shown variations like peroneus accessorius, peroneus quartus or peroneus digiti quinti with varied incidences and varied insertions. Here we report a case of peroneus digiti quinti which arose from peroneus brevis tendon and sheath covering it. The small belly moved forwards, diverting from peroneus brevis, midway between peroneus brevis and peroneus tertius, finally inserting on the dorsal digital expansion of fifth toe. Length of muscle belly and tendon were 2.01 cm and 6.5 cm respectively. It was also observed that when traction was applie
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Peterson, Jeffrey J., and Laura W. Bancroft. "Os Peroneal Fracture with Associated Peroneus Longus Tendinopathy." American Journal of Roentgenology 177, no. 1 (2001): 257–58. http://dx.doi.org/10.2214/ajr.177.1.1770257a.

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Boles, M. A., Laurie M. Lomasney, Terrence C. Demos, and Ronald A. Sage. "Enlarged peroneal process with peroneus longus tendon entrapment." Skeletal Radiology 26, no. 5 (1997): 313–15. http://dx.doi.org/10.1007/s002560050243.

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Tahoun, Marwan, Abdul-Hadi Kafagi, Rana Tahoun, et al. "Investigation and Management of Painful Os Peroneum Syndrome: A Narrative Review of the Current Literature." Osteology 5, no. 1 (2025): 7. https://doi.org/10.3390/osteology5010007.

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Painful Os Peroneum Syndrome (POPS) is a rare cause of lateral midfoot pain due to pathologies involving the os peroneum, an accessory ossicle within the peroneus longus tendon. POPS may result from fractures, tendon tears, tenosynovitis, or degenerative changes. This review evaluates outcomes of conservative and surgical management of POPS based on the current literature. A comprehensive review of published case reports, series, and relevant studies on POPS management was conducted. Clinical outcomes, radiographic findings, and complications following conservative and surgical interventions w
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Kilger, Robert, Markus Knupp, and Beat Hintermann. "Peroneus Longus to Peroneus Brevis Tendon Transfer." Techniques in Foot & Ankle Surgery 8, no. 3 (2009): 146–49. http://dx.doi.org/10.1097/btf.0b013e3181b37c61.

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Goral, Kıvanç, and Tania Marur. "A unique variation of the common peroneal nerve: a case report." Anatomy 18, no. 1 (2024): 30–34. http://dx.doi.org/10.2399/ana.23.1455446.

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This variation was observed in the left lower extremity of a 75-year-old male cadaver fixed with formalin, ethanol and glycerol solution. The common peroneal nerve was divided into six terminal branches. These branches were identified as deep peroneal nerve, superficial peroneal nerve, two muscular branches to the tibialis anterior and two muscular branches to the peroneus longus. Knowledge of the variations of the common peroneal nerve and its branches is important in knee and proximal leg operations.
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Henry, Benjamin, Todd McLoda, Carrie L. Docherty, and John Schrader. "The Effect of Plyometric Training on Peroneal Latency." Journal of Sport Rehabilitation 19, no. 3 (2010): 288–300. http://dx.doi.org/10.1123/jsr.19.3.288.

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Context:Peroneal reaction to sudden inversion has been determined to be too slow to overcome the joint motion. A focused plyometric training program may decrease the muscle's reaction time.Objective:To determine the effect of a 6-wk plyometric training program on peroneus longus reaction time.Design:Repeated measures.Setting:University research laboratory.Participants:48 healthy volunteers (age 20.0 ± 1.2 y, height 176.1 ± 16.9 cm, weight 74.5 ± 27.9 kg) from a large Midwestern university. Subjects were randomly assigned to either a training group or a control group.Interventions:Independent v
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Han, KyungMo, and Mark D. Ricard. "Effects of 4 Weeks of Elastic-Resistance Training on Ankle-Evertor Strength and Latency." Journal of Sport Rehabilitation 20, no. 2 (2011): 157–73. http://dx.doi.org/10.1123/jsr.20.2.157.

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Context:Several researchers have suggested that improving evertor strength and peroneus longus reaction time may help alleviate the symptoms of chronic ankle instability and reduce the rate of recurrent ankle sprains.Objectives:To determine the effectiveness of a 4-wk elastic-resistance exercise-training program on ankle-evertor strength and peroneus longus latency in subjects with and without a history of ankle sprains (HAS).Design:Randomized controlled clinical trial.Participants:40 subjects (20 male, 20 female; 20 HAS, 20 healthy). Ten subjects (5 male and 5 female) from each of the HAS and
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Chinitz, Noah, Daniel D. Bohl, Manoj Reddy, Shay Tenenbaum, Scott Coleman, and James W. Brodsky. "Preoperative Gait Analysis of Peroneal Tendon Tears." Foot & Ankle International 43, no. 2 (2021): 233–43. http://dx.doi.org/10.1177/10711007211036876.

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Background: Little is known regarding the impact of peroneal tendon tears on function. This study quantifies gait changes associated with operatively-confirmed peroneal tendon tears. Methods: Sixty-five patients with unilateral peroneal tendon tears were prospectively evaluated using preoperative 3D multisegment gait analysis of both limbs. Data were analyzed according to pattern/severity of tears, as confirmed surgically: peroneus brevis tears, reparable (PBR); peroneus brevis tears, irreparable (PBI); peroneus longus tears, irreparable (PLI); and concomitant irreparable tears of both tendons
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Ieong, Edmund, Michael Rafferty, Monica Khanna, Miny Walker, and Peter Rosenfeld. "Use of Fat-Suppressed T2-Weighted MRI Images to Reduce the Magic Angle Effect in Peroneal Tendons." Foot & Ankle Specialist 12, no. 6 (2018): 513–17. http://dx.doi.org/10.1177/1938640018819783.

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Introduction. Peroneal tendon disorders pose a diagnostic conundrum to the clinician. Magnetic resonance imaging (MRI) is widely used to assess tendon pathology. A recognized artifact of MRI, the magic angle effect (MAE), can lead to spurious results and inappropriate management. The aim of this study is to assess whether T2 fat-suppressed sequences (T2FSs) reduce the frequency of MAE compared with proton density fat-suppressed (PDFS) images. Methods. MRI scans of 18 patients were prospectively assessed for MAE. The peroneal tendons were assessed at 5 defined levels on PDFS and T2FS images. Th
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