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