Radiological Evaluation of Peroneal Tendon Pathology Associated with Calcaneal Fractures

Entrapped Posteromedial Structures in Pilon Fractures

“…Although this was primarily focused on the bony anatomy and surgical approaches, CT imaging can also help identify and diagnose tendon pathology around the ankle. [29][30][31] Taking note of an interposed structure could change the surgical approach chosen. More specifically, it could deem an additional posteromedial approach necessary to address the entrapped tendon or nerve, if it cannot be properly addressed through an anteromedial or anterolateral approach.…”

Indirect Groove Deepening in the Management of Chronic Peroneal Tendon Dislocation

“…2 Peroneal dislocation may also occur as a result of severe calcaneal fracture, but the bone injury often takes clinical precedence over the soft tissue disorder. 3,4 When an early diagnosis is missed, treatment is not initiated in a timely manner, often resulting in chronic tendon instability. Accurate diagnosis requires both knowledge of the regional anatomy and a high degree of clinical suspicion.…”

“…Intraarticular calcaneus fractures have also been reported to have a high incidence (38%) of peroneal subluxation or dislocation. 3 Eckert and Davis 10 classified peroneal dislocations into 3 grades depending on the severity of the injury (Fig. 4).…”

Intra-articular displaced fractures of the calcaneus

“…Such injuries continues to be followed by a high percentage of unsatisfactory results despite operative treatment [5,15,19]. A better 3-D understanding of the injury and a more agressive surgical approach to reconstruction of the joint anatomy allow more satisfactory results with operative treatment than with nonoperative treatment.…”