Peroneal Tendon Tear

Patient Information

https://www.foothealthfacts.org/conditions/peroneal-tendon-injuries

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.