Peroneal Tendinitis Research Articles

Posterior plating of displaced Weber B fibula fractures.

This is a prospective study that examines 32 patients who were treated with posterior plating of a displaced Weber B fibula fracture and had a minimum of 1 year follow-up. The surgical technique included application of an unbent one-third tubular plate to the posterior aspect of the fibula using the antiglide technique. Twenty-seven fractures were classified as supination-eversion IV: 13 with deltoid disruption and 14 with a medial malleolar fracture. Three were classified as pronation-abduction and two as low pronation-eversion fractures at the level of the plafond. A six-hole plate was used most often (18 cases), and 23 patients had a lag screw placed through the plate. There were no nonunions or malunions. No wound complications, screw loosening, loss of fixation, intraarticular screws, or palpable screws were found. Four patients had transient peroneal tendinitis that resolved in 4-8 weeks. Two patients had later plate removal caused by poor technique because of a symptomatic lag screw. Twenty of the 21 patients who returned a questionnaire were satisfied with their result (95%). Posterior fibular plating offers many advantages over lateral plating, including the possibility of no intraarticular or palpable screws and an improved and stronger distal fixation construct. Our favorable results suggest that this technique should be given consideration as a treatment of choice for displaced Weber B fibula fractures.

Case Study: The Painful Os Trigonum Syndrome

The painful os trigonum syndrome is one cause of posterolateral ankle pain. This syndrome is most prevalent in athletes who perform frequent and/or forceful plantar flexion. The painful os trigonum may be misdiagnosed as Achilles and/or peroneal tendinitis. In this case, the patient was misdiagnosed for 15 months and treated for tendinitis. The appropriate clinical tests to evaluate the os trigonum as a source of posterolateral ankle pain are outlined. The surgical and postoperative management for the patient are discussed. Clinicians should be aware of the painful os trigonum syndrome as a possible source of posterolateral ankle pain.