Peroneal tendon injuries

Question 1

What is the function of peroneus longus during gait

Answer 1

-Evert and plantarflexes the foot
-Stability of ankle joint

Question 2

What are some traumatic and non-traumatic peroneal injuries

Answer 2

Traumatic
-Acute subluxation (peroneal slipped out of groove)
-Complete rupture

Non traumatic
-Chronic subluxation
-Partial tear
-Peroneal tendinopathy

Question 3

What are some causes

Answer 3

-Ankle sprains Hx
-Functional or structural Instability (peroneals work harder to control)
-Soft shoes (compression resulting in peroneals control)
-Uneven surface training

Question 4

What are some symptoms

Answer 4

-Lateral pain at midfoot/rearfoot
-worse with activity
-rest decreases the pain

Question 5

What are some clinical tests

Answer 5

-Pain palpation of muscle
-Stretching reproduces pain
-Contraction of the muscle pain

Question 6

What are some treatment options

Answer 6

-Load management
-Footwear and orthotics
-Exercises

Question 7

What is a strength program trying to achieve

Answer 7

-Improve muscle strength and endurance of the peroneal
-increase overall strength at the feet, ankle and lower leg
-Improve range of of motion at the ankle joint

Question 8

What are some exercises to prescribe

Answer 8

-Squat
-Heel raises
-Eversion
-Single leg balance (keep first contacting ground)

Question 9

What are some consideration when implementing a Strength and conditioning protocol

Answer 9

-What is their capacity
-If symptoms the next day worsen, dial back the rep ranges
-Once mastered basic movement, dynamic/high intense movement are next