Background: Previous studies have shown that magnetic resonance imaging (MRI) has a high sensitivity for peroneal tendon pathology but more studies with surgery as a reference standard are needed.
Purpose: To evaluate the accuracy of MRI compared to surgery for characterizing chronic peroneal tendon pathology.
Material And Methods: Ninety-seven patients (57 men, 40 women; mean age, 39 years; range, 15-64 years) with chronic lateral ankle instability underwent MRI followed by surgery, with a mean MR to surgery interval of 30 days. Sagittal, coronal, and axial T1-weighted spin-echo and fat-suppressed T2-weighted fast spin-echo images were obtained for all patients. Two blinded observers evaluated the MR images without clinical information, and the results were compared to surgical findings. The following peroneal injuries were observed: tendon split, interstitial tear, swelling of the tendon, fluid collection, superior peroneal retinaculum injury, and tendon dislocation.
Results: Swelling of the peroneus longus tendon was the most common finding on MR imaging, followed by fluid collection and a split of the peroneus brevis tendon. Surgical findings showed that nine cases (9%) of interstitial tears were in the peroneus brevis and two cases (2%) were in the peroneus longus, with eight cases (8%) of splits in the peroneus brevis tendon. The sensitivity and specificity for detecting interstitial tears in the peroneus brevis were 44% and 99%, respectively. The sensitivity and specificity for detecting swelling in the peroneus brevis were 50% and 99%, respectively. The sensitivity and specificity for detecting interstitial tears for peroneus longus injuries were 50% and 96%, respectively. The sensitivity and specificity for detecting swelling in these injuries were and 100% and 96%, respectively.
Conclusion: MRI findings of chronic peroneal tendon pathology are diagnostically specific but not sensitive. MRI showed high sensitivity for diagnosing tendon swelling in the peroneus longus, but not in the peroneus brevis. MRI is sensitive but not specific for detecting negative findings.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1258/ar.2012.120184 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Assessment of peroneal tendon lesions using 2-dimensional and 3-dimensional isotropic magnetic resonance imaging with surgical correlation.
J Foot Ankle Surg
December 2024
Department of Radiology, University of Texas at Southwestern Medical Center, Dallas, USA.
Accurate diagnoses of peroneal pathologies remains a challenge due to limitations of conventional 2D (dimensional) imaging, which can impact long-term patient outcomes. This study evaluates MRI accuracy and inter-reader reliability of peroneal compartment pathology for 2D and 3D MRI. A consecutive series of patients who underwent peroneal compartment surgery with preoperative 1.
View Article and Find Full Text PDFAssociation of walking and activities of daily living with muscle thickness of the trunk and lower extremity muscles in children with down syndrome.
Dev Neurorehabil
January 2025
Child Development Support Center Tsukushien, Takasaki, Japan.
Purpose: We examined the association of walking and activities of daily living(ADL) with trunk and lower extremity muscle thickness in children with Down syndrome (DS).
Methods: 27 children with DS participated in this study. Walking was assessed using measurements of the maximal walking speed and step length, while ADL was assessed using the Pediatric Evaluation of DisabilityInventory (PEDI).
An observational study of ultrasound semiquantitative scoring for predicting the risk of gout flare.
Z Rheumatol
December 2024
Department of Rheumatology, Chongqing City Hospital of Traditional Chinese Medicine, No. 6, Pan Xi Qi Zhi Road, 400021, Jiang Bei District Chongqing, China.
Objective: An observational study was conducted to determine whether semiquantitative scoring of ultrasound signs of gout predicted flare over 12 months.
Methods: Gout patients were enrolled consecutively in this 12-month prospective observational single-center study. Ultrasound evaluation and clinical assessment were performed at baseline.
Percutaneous Screw Fixation of Proximal Fifth Metatarsal Fractures.
JBJS Essent Surg Tech
November 2024
Department of Orthopaedics Foot and Ankle Surgery, The Ohio State University, Columbus, Ohio.
Article Synopsis
- Metatarsal fractures, particularly affecting the fifth metatarsal, are common injuries, making up 5-6% of outpatient fractures, with zone 2 fractures—specifically Jones fractures—being difficult to manage due to poor blood supply and higher nonunion rates.
- Surgical treatment, particularly open reduction and internal fixation (ORIF), is preferred for Jones fractures, as it leads to better healing rates compared to conservative treatment methods.
- The surgical technique involves careful anatomical marking and using a guidewire for screw placement to compress the fracture, followed by a recovery period that includes non-weight-bearing and gradual weight-bearing activities.*
Muscular Activation Levels of Subjects with Low Medial Longitudinal Arch During Single-Leg Squat and Single-Leg Balancing Exercises on Surfaces of Different Hardness.
J Am Podiatr Med Assoc
November 2024
*Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey.
Background: The primary aim of this study is to examine the effect of the stiffness of rehabilitation material on muscle activation in individuals with low medial longitudinal arch. The secondary aim is to compare the effects of single-leg balancing and single-leg squat exercises on the activation of the muscles around the ankle in the same individuals.
Methods: Twelve individuals with low medial longitudinal arch and 18 healthy control participants were included.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!