Peroneal Tendinopathy

Question 1

subjective

Answer 1

hx of inversion sprains
ankle instability
inc load
NOLDCAT
family hx
hx of lower limb injuries
medical hx/ meds
sleep
diet
shoes worn? how long worn for
where you training, how long

Question 2

factors

Answer 2

result of acute or recurrent ankle inversion sprains
overuse injury
chronic ankle instability
soft footwear may predipose
excessive eversion of foot
excessive pronation
tight ankle PF’s resulting in excessive load on peroenals
excessive loading on peroneal e.g. basketball
chronic lateral ankle instability+ exc STK pronation may damage peroneal

Question 3

causes

Answer 3

excessive pull action and abrupt change in direction of peroneal tendons
tight triceps sure, over pronation,

Question 4

features

Answer 4

lateral ankle or heel pain aggravated by activity and relieved by rest
local tenderness of peroneal assoc w swelling and. crepitates

Question 5

ddx

Answer 5

sinus tarsi syndrome, ankle impingement syndrome, stress fracture of talus, FHL tendinopathy, peroneal subluxation

Question 6

anatomy

Answer 6

peroneus brevis inserts into base of 5th met
peroneus. long inserts into base of 1st and medial cuneiform

Question 7

obj

Answer 7

palpation- warm, tenderness,dec peroneal strength
painful passive inversion and resisted eversion
tricpes surae tightness
exc sty pronation or stiffness of STJ/ MTJ
AJ ROM- knee to wall
FPI
ff to Rfoot-

Question 8

short term management

Answer 8

tendons take longer to heal
reduce load - 2ks
cross training- swimming,
orthoses- use of lateral heel raises wedge to correct abnormalities
NSAIDS

Question 9

medium

Answer 9

pain and inflammation settled
resisted. eversion theraband
proprioception- ankle stability
FW-firm shoe stability shoe kayano