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MRI Features of Chronic Injuries of the Superior Peroneal Retinaculum

¹ Radiology Department, Hospital for Joint Diseases, 301 E 17th St., New York, NY 10003.
² Huntington Hospital, North Shore Long Island Jewish Health Center, New Hyde Park, NY.
³ Orthopedic Department, St. Luke's-Roosevelt Hospital, New York, NY 10003.

OBJECTIVE. The aims of this study were to assess, grade, and surgically correlate previously unreported MRI features of superior peroneal retinacular injuries in nine surgically proven cases and to record all soft-tissue and bony abnormalities associated with these injuries.

CONCLUSION. MRI was found to be a useful tool for detecting and grading superior peroneal retinacular injuries and providing information, important for presurgical planning, regarding common concomitant soft-tissue and osseous abnormalities of the lateral collateral ligaments, peroneal tendons, and fibular groove. Superior peroneal retinacular injuries are frequently associated with MRI evidence of peroneal tendon dislocations and tears. Conversely, routine MRI studies may not depict dislocated peroneal tendon injuries, despite clinical history to that effect.

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