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Acute dislocation of the peroneal tendons at the ankle is accompanied, in a significant proportion of cases, by a characteristic small shelllike avulsion fracture of the lateral malleolus, rendering the lesion diagnosable radiographically. This small fracture is usually best seen on internal rotation oblique or occasionally on anteroposterior films of the ankle. It is seen as a bone flake only a few millimeters thick but often 1 cm or more in vertical diameter lying adjacent to the posterolateral surface of the lateral malleolus. It is an infrequent injury, now usually the result of a ski accident. Failure to recognize and treat the lesion can result in chronic disability.
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R. M. Siegel, J. Schubiner, and V. J. Sammarco A Nonoperative Treatment Technique for Peroneal Tendon Subluxation Clinical Pediatrics, April 1, 2008; 47(3): 300 - 301. [PDF] |
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D. S. Heckman, S. Reddy, D. Pedowitz, K. L. Wapner, and S. G. Parekh Operative Treatment for Peroneal Tendon Disorders J. Bone Joint Surg. Am., February 1, 2008; 90(2): 404 - 418. [Abstract] [Full Text] [PDF] |
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M. Szczukowski JR, R. K. St. Pierre, L. L. Fleming, and J. Somogyi Computerized tomography in the evaluation of peroneal tendon dislocation Am. J. Sports Med., December 1, 1983; 11(6): 444 - 447. [Abstract] [PDF] |
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J. G. McLennan Treatment of acute and chronic luxations of the peroneal tendons Am. J. Sports Med., December 1, 1980; 8(6): 432 - 436. [Abstract] [PDF] |
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