Palmanovich Ezequiel, Laver Lior, Brin Yaron S, Kotz Evgeny, Hetsroni Iftach, Mann Gideon, Nyska Meir
Department of Orthopedic Surgery, Meir Medical Center, Kfar Saba, Israel.
Muscles Ligaments Tendons J. 2012 Apr 1;1(4):153-60. Print 2011 Oct.
Tear of the peroneal tendon may occur in different anatomical sites. The most prevalent site is around the lateral malleolus. Tear of the peroneus longus at the level of the peroneal tubercle is unusual. Anatomically, the lateral surface of the calcaneous can be divided into thirds. The middle third includes the peroneal tubercle, which separates the peroneus longus tendon from the peroneus brevis. An anatomic variation of the peroneal tubercle may lead to chronic irritation of the peroneus longus tendon that could ultimately cause a longitudinal tear. We conducted this review aiming to clarify the anatomy, biomechanics of the tendon, and the clinical features of tear of the peroneus longus tendon on the lateral surface of the calcaneous due to an enlarged peroneal tubercle. In addition, we reviewed the diagnostic and treatment options of peroneal tendon tears at this site.
腓骨肌腱撕裂可能发生在不同的解剖部位。最常见的部位是外踝周围。腓骨长肌在腓骨结节水平处的撕裂并不常见。从解剖学角度来看,跟骨的外侧面可分为三等份。中间三分之一包括腓骨结节,它将腓骨长肌腱与腓骨短肌腱分开。腓骨结节的解剖变异可能导致腓骨长肌腱的慢性刺激,最终可能导致纵向撕裂。我们进行这项综述旨在阐明跟骨外侧面因腓骨结节增大导致的腓骨长肌腱的解剖结构、肌腱生物力学以及撕裂的临床特征。此外,我们还综述了该部位腓骨肌腱撕裂的诊断和治疗选择。