Nonoperative Treatment of an Os Peroneum Fracture in a High-level Athlete: A Case Report

Smith, Jeremy T.; Johnson, Anne H.; Heckman, James D.

doi:10.1007/s11999-011-1812-3

Cited by 19 publications

(4 citation statements)

References 19 publications

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“…; Smith et al. ), hypothetical fracture of the cuboid bone (Haguier, ; Ginieys, ), peroneus longus tendon rupture (Burman, ; Evans, ; Davies, ; Peacock et al. ; Thompson & Patterson, , ; Pai & Lawson, ; Sammarco, ; Truong et al.…”

Section: Discussionmentioning

confidence: 99%

“…The use of magnetic resonance imaging (MRI), singlephoton emission computed tomography (SPECT), scintigraphy or ultrasound has proven useful in imaging this area and for differential diagnosis (Crain & El-Khoury, 1989;Lazos, 1995;Rademaker et al 2000;Okazaki et al 2003;Brigido et al 2005;Wang et al 2005;Zgonis et al 2005;Fernandes et al 2007;Sammarco et al 2010;Sofka et al 2010;Chadwick et al 2011). The variety of pathological entities described in this area include fracture of the os peroneum (Stropeni, 1920;Hadley, 1942;Brav & Chewning, 1949;Grisolia, 1963;Peacock et al 1986;Wilson & Moyles, 1987;Cachia et al 1988;Pessina, 1988;Hogan, 1989;Peterson & Stinson, 1992;Wander et al 1994;MacDonald & Wertheimer, 1997;Bessette & Hodge, 1998;Requejo et al 2000;Okazaki et al 2003;Smith et al 2011), hypothetical fracture of the cuboid bone (Haguier, 1937;Ginieys, 1939), peroneus longus tendon rupture (Burman, 1956;Evans, 1966;Davies, 1979;Peacock et al 1986;Thompson & Patterson, 1989, 1990Pai & Lawson, 1995;Sammarco, 1995;Truong et al 1995;…”

Section: Discussionmentioning

confidence: 99%

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The peroneocuboid joint: morphogenesis and anatomical study

et al. 2014

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The peroneocuboid joint, between the peroneus longus tendon and the cuboid bone, has not been anatomically well-defined and no embryological study has been published. Furthermore, the ossification of the os peroneum (a sesamoid inside the peroneus longus tendon) and its associated pathology has been considered to be generated by orthostatic and/or mechanical loads. A light microscopy analysis of serially sectioned human embryonic and fetal feet, the analysis of human adult feet by means of standard macroscopic dissection, X-ray and histological techniques have been carried out. The peroneus longus tendon was fully visible until its insertion in the 1st metatarsal bone already at embryonic stage 23 (56-57 days). The peroneocuboid joint cavity appeared at the transition of the embryonic to the fetal period (8-9th week of gestation) and was independent of the proximal synovial sheath. The joint cavity extended from the level of the calcaneocuboid joint all the way to the insertion of the peroneus longus tendon in the 1st metatarsal bone. The frenular ligaments, fixing the peroneus longus tendon to the 5th metatarsal bone or the long calcaneocuboid ligament, developed in the embryonic period. The peroneus longus tendon presented a thickening in the area surrounding the cuboid bone as early as the fetal period. This thickening may be considered the precursor of the os peroneum and was similar in shape and in size relation to the tendon, to the os peroneum observed in adults. To the best of our knowledge, this is the first study to show that the os peroneum, articular facets of the peroneus longus tendon and cuboid bone, the peroneocuboid joint and the frenular ligaments appear during the embryonic/fetal development period and therefore they can not be generated exclusively by orthostatic and mechanical forces or pathological processes.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

The peroneocuboid joint: morphogenesis and anatomical study

et al. 2014

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“…Hier kommt zunächst eine Ruhigstellung im Gips oder in einer Orthese für drei bis vier Wochen zum Tragen, womit meist eine Verbesserung der Symptome erreicht werden kann. Smith et al [20] zeigten eine solche erfolgreiche konservative Therapie eines 41-jährigen professionellen Tennistrainers, der nach einem Umknicktrauma mit seinem rechten Fuß radiologisch eine wenig dislozierte Fraktur eines Os peroneums aufwies. Unter Ruhigstellung und Entlastung des rechten Fußes für zwei Wochen und anschließender frühfunktioneller Therapie konnte ein gutes funktionelles Ergebnis erreicht werden.…”

Section: Therapieunclassified

Painful Os Peroneum Syndrom (POPS)

Willauschus¹,

Rieger

Freyschmidt

2015

Fuß & Sprunggelenk

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“…Patients who are able to relate an initiating injury are defined as acute; whilst patients who were unable to are classified as chronic[6,10]. Non-surgical management rarely yield acceptable outcomes[11,12]. Due to the PLT’s role in mid and hindfoot stability, surgical correction is often warranted with most authors achieving reproducible results.…”

Section: Introductionmentioning

confidence: 99%

Peroneus longus tendon rupture: A case report

Koh

Liow

Cheah

et al. 2019

WJO

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BACKGROUNDPeroneal tendinopathies are an under-diagnosed and potentially under-treated pathology. If left untreated it can be a cause of chronic lateral hindfoot pain. Its diagnosis is challenging owing to its low incidence and vague clinical presentation.CASE SUMMARYWe share a case of a patient who experienced a chronic lateral ankle pain exacerbated after alighting from a bus. This patient came to our attention only after failing conservative management on two separate occasions. Plain radiographs and magnetic resonance imaging revealed rupture of the peroneus longus tendon (PLT). Findings were confirmed intra-operatively and tenodesis of the PLT to the peroneus brevis was performed. Patient was kept non-weight-bear with his foot everted and in plantarflexion before being converted to an off-loading boot at two weeks. Patient was started on a progressive rehabilitation programme at six weeks and was able to return to work shortly after with excellent outcomes.CONCLUSIONWe aim to share our experience in managing this patient and propose some pointers guided by available literature to avoid missing this commonly overlooked pathology.

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Nonoperative Treatment of an Os Peroneum Fracture in a High-level Athlete: A Case Report

Cited by 19 publications

References 19 publications

The peroneocuboid joint: morphogenesis and anatomical study

The peroneocuboid joint: morphogenesis and anatomical study

Painful Os Peroneum Syndrom (POPS)

Peroneus longus tendon rupture: A case report

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