Celikyay Fatih, Yuksekkaya Ruken, Almus Ferdag, Bilgic Erkal
Department of Radiology, Gaziosmanpasa University School of Medicine, Tokat, Turkey.
BMJ Case Rep. 2014 Apr 19;2014:bcr2013200204. doi: 10.1136/bcr-2013-200204.
An enlarged peroneal tubercle can cause a peroneal tendon tear and/or tenosynovitis due to chronic friction. We present the case of a 45-year-old man with tenosynovitis in the peroneus longus and brevis tendons associated with a hypertrophic peroneal tubercle. On admission to our facility, the patient presented with pain while walking and had a fixed mass on the lateral aspect of his right foot. In addition, an osseous prominence corresponding to a hypertrophic peroneal tubercle was seen on the lateral side of the right calcaneus on radiography. MRI confirmed the hypertrophic peroneal tubercle and revealed high-signal intensity within the peroneus longus and brevis tendons along with fluid in their sheaths.
腓骨结节增大可因慢性摩擦导致腓骨肌腱撕裂和/或腱鞘炎。我们报告一例45岁男性,其腓骨长肌和腓骨短肌肌腱发生腱鞘炎,伴有腓骨结节肥大。患者入住我院时,行走时疼痛,右足外侧有一固定肿物。此外,X线片显示右跟骨外侧有一与肥大腓骨结节相对应的骨性隆起。MRI证实了腓骨结节肥大,并显示腓骨长肌和腓骨短肌肌腱内高信号强度以及腱鞘内积液。