Peroneal tendon injuries.

(SBQ18FA.81) A 22-year-old female volleyball player presents with recurrent ankle sprains and instability. In addition to undergoing imbrication of the anterior talofibular and calcaneofibular ligaments with advancement of the inferior extensor retinaculum, she undergoes the procedure depicted in Figure A. Which motion should be avoided in the acute postoperative period?

(OBQ17.175) A 22-year-old collegiate football player presents with persistent left lateral ankle pain 6 months after sustaining an ankle sprain during a game. He recalls catching his foot on astroturf with a dorsiflexion and inversion moment about his ankle. He was treated with physical therapy and a controlled ankle motion boot for several weeks following the injury with minimal relief. A current radiograph and an MRI of his ankle are shown in Figures A and B, respectively. What structure labeled in Figure C is most likely injured?

(OBQ13.11) A 55-year-old recreational tennis player presents to clinic after initial rehabilitation complaining primarily about pain and swelling along the posterior fibula. He states he sprained his ankle six months ago, and was treated with bracing and proprioceptive training. He notes multiple sprains in the past, but the pain from prior sprains was different and always resolved. After an MRI demonstrated a peroneus brevis tear he is taken to the operating room. During surgery you identify multiple longitudinal tears in the peroneus brevis tendon, and a 3 cm portion of the tendon with significant tendinosis in over 70% of the cross-sectional area. What is the appropriate surgical procedure?

(OBQ13.252) Which of the following physical examination findings would suggest injury to the superior peroneal retinaculum?

(OBQ12.221) A 60-year-old with a history of diet controlled diabetes presents with ongoing 6-8 months history of lateral sided ankle pain. On physical exam, he is painful to resisted eversion, resisted plantar flexion of the 1st metatarsal and has a positive Coleman block test. A representative coronal MRI sequence at the level of the cuboid is shown in Figure A. Intra-operatively, the peroneal tendon located directly posterior to the fibula is found to be normal. The second peroneal tendon is found to have limited excursion, with multiple tears and fibrous tissue. Which of the following treatment options is ideal for this patient?

(OBQ11.95) A 35-year-old man injured his ankle while playing soccer two years ago. Ever since he has had persistent right ankle pain that has failed to improve with nonoperative modalities including physical therapy. A video of his right ankle is found below. Radiographs are shown in Figures A through C. What is the most appropriate next step in management?

(OBQ10.100) A 24-year-old female sprains her ankle playing tennis. After 3 months of bracing, physical therapy, and NSAID treatment, she continues to complain of pain and a popping sensation over the lateral ankle. Physical exam is notable for tenderness over the lateral malleolus. Figure A shows the ankle at rest, while figure B shows the ankle during active eversion. Which of the following structures has been injured?

(OBQ08.10) In the retromalleolar groove, as shown in Figure A, what is the relationship of the peroneus brevis tendon to the peroneus longus tendon?

(OBQ07.41.1) A 20-year-old male sustained an ankle sprain 4 weeks ago while skiing. He now complains of persistent painful snapping and popping posterior to the lateral malleolus. On exam, snapping is felt over the lateral fibula when the patient moves against resistance in dorsiflexion and eversion. What was the most likely mechanism of his injury?