Peroneal Tendon Tear

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Patient Information

GP Information

Background Information

  • Patients typically present following trauma (ankle inversion) with pain behind the lateral malleolus.
  • Patients may have a high arch (pes cavus) that predisposes to lateral sided tendon and ligament problems.

Investigation Guidelines

  • Investigations are not required for diagnosis, management, or referral.
  • An USS investigation is indicated in cases of suspected peroneal tendon dysfunction.

Management Recommendations

  • In the acute setting prescribe PRICE
  • NSAIDs and simple analgesia
  • Advise supportive footwear with a small heel if appropriate
  • Activity modification – avoid exacerbating activities.

Referral Indications; If an acute tendon rupture is suspected refer directly to A&E for specialist assessment.

  • Diagnostic uncertainty.
  • Pain preventing day to day activities.
  • Failure of conservative measures after a minimum of 8 weeks.
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