UMEM Educational Pearls

Title: Peroneal tendonitis

Category: Orthopedics

Keywords: LATERAL ANKLE TENDINOPATHY (PubMed Search)

Posted: 2/14/2015 by Brian Corwell, MD (Updated: 2/15/2015)
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LATERAL ANKLE TENDINOPATHY

Hx: subacute onset (weeks) of the pain seen in athletes esp. runners (banked or uneven surfaces).

PE: Tenderness to palpation posterior to the lateral malleolus or over the course of the tendon. Pain worse with resisted ankle eversion from a dorsiflexed postion. Examine for subluxation of tendon.

The diagnosis is made from the above and does not require imaging.

Tx: Rest, conservative care, physical therapy (eccentric exercise focus), ankle taping or lace up brace. Severe cases may even require a walking boot.

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