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Case Reports| Volume 57, ISSUE 4, P790-793, July 2018

Spontaneous Fracture of the Os Peroneum With Rupture of the Peroneus Longus Tendon

Published:April 06, 2018DOI:https://doi.org/10.1053/j.jfas.2017.11.007

      Abstract

      Rupture of the peroneus longus tendon with or without an associated os peroneum fracture is rare and uncommonly encountered in the published data. Owing to the infrequent nature, a high index of suspicion is required. Otherwise, the opportunity for the injury to result in a delayed or missed diagnosis is increased. We report the case of a 39-year-old male with spontaneous rupture of the peroneus longus tendon and associated fracture of the os peroneum. The spontaneous rupture and fracture were diagnosed from the history, physical examination, and imaging findings. The patient elected to undergo operative repair, with excellent results, full recovery, and full return to normal function.

      Level of Clinical Evidence

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      References

        • Jari S.
        • Warner J.
        • Meadows T.
        Spontaneous rupture of the peroneus longus tendon with an associated os peroneum fracture: a case report and review of literature.
        Foot Ankle Surg. 1997; 3: 205-208
        • Stockton K.
        • Brodsky J.
        Peroneus Longus tears associated with pathology of the os peroneum.
        Foot Ankle Int. 2014; 35: 346-352
        • Brandes C.B.
        • Smith R.W.
        Characterization of patients with primary peroneus longus tendinopathy: a review of twenty-two cases.
        Foot Ankle Int. 2000; 21: 462-468
        • Heckman D.S.
        • Gluck G.S.
        • Parekh S.G.
        Tendon disorders of the foot and ankle, part 1, peroneal tendon disorders.
        Am J Sports Med. 2009; 37: 614-625
        • Sammarco V.J.
        • Cuttica D.J.
        • Sammarco G.J.
        Lasso stitch with retinaculoplasty for repair of fractured os peroneum.
        Clin Orthop Relat Res. 2010; 468: 1012-1017
        • Sobel M.
        • Pavlov H.
        • Geppert M.J.
        • Thompson FM
        • DiCarlo EF
        • Davis WH
        Painful os peroneum syndrome: a spectrum of conditions responsible for plantar lateral foot pain.
        Foot Ankle. 1994; 15: 112-124
        • Thompson F.M.
        • Patterson A.H.
        Rupture of the peroneus longus tendon.
        J Bone Joint Surg Am. 1989; 71: 293-295
        • Hadley H.G.
        Unusual fracture of sesamum peroneum.
        Radiology. 1942; 38: 90-91
        • Abraham E.
        • Stirnaman J.
        Neglected rupture of the peroneal tendons causing recurrent sprains of the ankle.
        J Bone Joint Surg Am. 1979; 61: 1247-1248
        • Peacock K.C.
        • Resnick E.J.
        • Thoder J.J.
        Fracture of the os peroneum with rupture of the peroneus longus tendon: a case report and review of the literature.
        Clin Orthop Relat Res. 1986; 202: 223-226
        • Chadwick C.
        • Highland A.M.
        • Hughes D.E.
        • Davies Mark B.
        The importance of magnetic resonance imaging in a symptomatic “bipartite” os peroneum: a case report.
        J Foot Ankle Surg. 2011; 50: 82-86
        • MacDonald B.D.
        • Wertheimer S.J.
        Bilateral os peroneum fractures: comparison of conservative and surgical treatment and outcomes.
        J Foot Ankle Surg. 1997; 36: 220-225
        • Mains D.B.
        • Sullivan R.C.
        Fracture of the os peroneum, a case report.
        J Bone Joint Surg Am. 1973; 55: 1529-1530
        • Peterson D.A.
        • Stinson W.
        Excision of the fractured os peroneum: a report on five patients and review of the literature.
        Foot Ankle. 1992; 13: 277-281
        • Pierson J.L.
        • Inglis A.E.
        Stenosing tenosynovitis of the peroneus longus tendon associated with hypertrophy of the peroneal tubercle and an os peroneum: a case report.
        J Bone Joint Surg Am. 1992; 74: 440-442
        • Sammarco G.J.
        Peroneus longus tendon tears: acute and chronic.
        Foot Ankle Int. 1995; 16: 245-253
        • Sobel M.
        • Pavlov H.
        • Geppert M.J.
        • Thompson FM
        • DiCarlo EF
        • Davis WH
        Painful os peroneum syndrome: a spectrum of conditions responsible for plantar lateral foot pain.
        Foot Ankle. 1994; 15: 112-124
        • Tehranzadeh J.
        • Stoll D.A.
        • Gabriele O.M.
        Case report 271.
        Skeletal Radiol. 1984; 12: 44-47
        • Maurer M.
        • Lehrman J.
        Significance of sesamoid ossification in peroneus longus tendon ruptures.
        J Foot Ankle Surg. 2012; 51: 352-355
        • Saxena A.
        • Cassidy A.
        Peroneal tendon injuries: an evaluation of 49 tears in 41 patients.
        J Foot Ankle Surg. 2003; 42: 215-220
        • Blitz N.M.
        • Nemes K.K.
        Bilateral peroneus longus tendon rupture through a bipartite os peroneum.
        J Foot Ankle Surg. 2007; 46: 270-277
        • Krause J.O.
        • Brodsky J.W.
        Peroneus brevis tendon tears: pathophysiology, surgical reconstruction, and clinical results.
        Foot Ankle Int. 1998; 19: 271-279
        • Cachia V.V.
        • Grumbine N.A.
        • Santoro J.P.
        • Sullivan J.D.
        Spontaneous rupture of the peroneus longus tendon with fracture of the os peroneum.
        J Foot Surg. 1988; 4: 328-333
        • Patterson M.J.
        • Cox W.K.
        Peroneus longus tendon rupture as a cause of chronic lateral ankle pain.
        Clin Orthop Relat Res. 1999; 365: 163-166