Peroneus longus tendon rupture: A case report

Koh, Dow Rhoon; Liow, Lincoln; Cheah, Joseph My; Koo, Kevin

doi:10.5312/wjo.v10.i1.45

Cited by 5 publications

(3 citation statements)

References 27 publications

(54 reference statements)

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“…And the PL is essential for maintaining ankle stability and plays an important role in the push-off stage. The PL origins at the proximal tibia and fibula, and inserts at the first metatarsal and medial cuneiform [ 32 ]. Except for contributing to 63% of eversion strength, the PL is helpful to initiate pronation and stabilize first ray during propulsion phases of gait [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Clinical assessments and gait analysis for patients with Trimalleolar fractures in the early postoperative period

Zhu

Wang

Tian

et al. 2022

BMC Musculoskelet Disord

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Background Trimalleolar fracture is a common ankle fracture with serious complications and costly healthcare problem. Most studies used clinical assessments to evaluate the functional status of the patients. Although clinical assessments are valid, they are static and subjective. Dynamic, objective and precise evaluations such as gait analysis are needed. Ankle biomechanics studies on gait in patients with trimalleolar fractures are still rare. This study aimed to investigate the clinical outcomes and gait biomechanics in patients with trimalleolar fractures in the early postoperative period and compared to healthy controls. Methods This was a cross-sectional study. 12 patients with trimalleolar fractures were recruited, and 12 healthy people served as controls. All patients underwent clinical assessments: Olerud and Molander ankle score (OMAS), ankle swelling and passive range of motion (ROM) of ankle, and completed gait biomechanical analysis when weight-bearing was allowed: temporal-spatial parameters, plantar pressure distributions, and surface electromyography (sEMG). The control group only performed gait test. Results Patients had poor outcomes of clinical assessments in the short-term. During gait analysis, patients presented compromised gait patterns: shorter step length, larger step width, slower walking speed and shorter single support compared to healthy controls (P < 0.001), and patients showed asymmetrical gait. Symmetry index of step width and walking speed were mainly correlated with the difference of ankle inversion ROM between two sides (R = -0.750, P = 0.005; R = -0.700, P = 0.011). During walking, patients showed abnormal dynamic plantar pressure features (mainly in the hindfoot and forefoot regions), and the IEMG (integrated electromyography) of tibial anterior muscle (TA) and peroneal longus muscle (PL) were larger than healthy controls (P = 0.002, 0.050). Conclusions Patients with trimalleolar fractures showed physical impairments of the ankle, and presented altered gait parameters compared to healthy subjects in the short-term. The ankle stability of patients declined, and deficits in TA and PL muscle ability might contribute to it. Restoring complete muscle functions and improving passive ankle ROM are significant to promote the recovery of a normal gait pattern.

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Section: Discussionmentioning

confidence: 99%

Clinical assessments and gait analysis for patients with Trimalleolar fractures in the early postoperative period

Zhu

Wang

Tian

et al. 2022

BMC Musculoskelet Disord

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show abstract

“…And the PL is essential for maintaining ankle stability and plays an important role in the push-off stage. The PL origins at the proximal tibia and bula, and inserts at the rst metatarsal and medial cuneiform [30]. Except for contributing to 63% of eversion strength, the PL is helpful to initiate pronation and stabilize rst ray during propulsion phases of gait [30].…”

Section: Discussionmentioning

confidence: 99%

Clinical Assessments and Gait Performance in Patients with Trimalleolar Fractures

Zhu

Wang

Tian

et al. 2022

Preprint

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Background: Trimalleolar fracture is a common ankle fracture with serious complications and costly healthcare problem. Most studies used clinical assessments to evaluate the functional status of the patients. Although clinical assessments are valid, they are static and subjective. Dynamic, objective and precise evaluations such as gait analysis are needed. Ankle biomechanics studies on gait in patients with trimalleolar fractures are still rare. This study aimed to investigate the clinical outcomes and gait biomechanics in patients with trimalleolar fractures and compared to healthy controls. Methods: This was a cross-sectional study. 12 patients with trimalleolar fractures were recruited, and 12 healthy people served as controls. All patients underwent clinical assessments: Olerud and Molander ankle score (OMAS), ankle swelling and passive range of motion (ROM) of ankle, and completed gait biomechanical analysis: temporal-spatial parameters, plantar pressure distributions, and surface electromyography (sEMG). The control group only performed gait test. Results: Patients had poor outcomes of clinical assessments. During gait analysis, patients presented compromised gait patterns: shorter step length, larger step width, slower walking speed and shorter single support compared to healthy controls (p < 0.001), and patients showed asymmetrical gait. Symmetry index of step width and walking speed were mainly correlated with the difference of ankle inversion ROM between two sides (R=-0.750, P=0.005; R=-0.700, P=0.011). During walking, patients showed abnormal dynamic plantar pressure features (mainly in the hindfoot and forefoot regions), and the IEMG (integrated electromyography) of tibial anterior muscle (TA) and peroneal longus muscle (PL) were larger than healthy controls (P=0.002, 0.050). Conclusions: Patients with trimalleolar fractures showed physical impairments of the ankle, and presented altered gait parameters compared to healthy subjects. The ankle stability of patients declined, and deficits in TA and PL muscle ability might contribute to it. Restoring complete muscle functions and improving passive ankle ROM are significant to promote the recovery of a normal gait pattern.

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“…Injury to the peroneal tendons is a frequently overlooked cause of persistent lateral ankle pain after trauma [7] . High degree of clinical suspicion is important to diagnose the injuries.…”

Section: Discussionmentioning

confidence: 99%

Longitudinal tear of peroneus brevis tendon: An unusual cause for ankle pain: A case report

M¹,

JeyaVenkatesh²,

Thomas³

et al. 2021

Int. J. Orthop. Sci.

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Peroneus longus tendon rupture: A case report

Cited by 5 publications

References 27 publications

Clinical assessments and gait analysis for patients with Trimalleolar fractures in the early postoperative period

Clinical assessments and gait analysis for patients with Trimalleolar fractures in the early postoperative period

Clinical Assessments and Gait Performance in Patients with Trimalleolar Fractures

Longitudinal tear of peroneus brevis tendon: An unusual cause for ankle pain: A case report

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