Musculoskeletal ultrasound in a peroneal tendon tear
Musculoskeletal Ultrasound (MSU) is the method of choice in the study of peroneal tendon injuries as it is non-invasive, inexpensive, due to the high resolution of the images and the possibility of performing dynamic studies.
MSU plays an essential role in the follow-up of injuries to the peroneal tendon complex whether the patient undergoes conservative management or surgical treatment. The peroneal tendon complex includes the peroneus brevis tendon, peroneus longus tendon, peroneus brevis muscle, peroneus longus muscle, common synovial sheath, superior retinaculum and inferior retinaculum. This complex includes also the os peroneum, a small sesamoid bone which is often present in the context of the peroneus longus tendon.
Dynamic MSU performed during active or passive mobilization of the ankle or by applying pressure with the probe provides more diagnostic information than static imaging techniques. [Additional comment by www.msk-ultrasound.com : Only choosing for clinical examination alone, OR only choosing for MSU alone, wil lead to more false positives and false negatives. It's the combination between clinical examination and MSU that provides the highest diagnostic value] >
> From: Molini et al., J Ultrasound 17 (2014) 125–134. All rights reserved to Societa Italiana di Ultrasonologia in Medicina e Biologia (SIUMB) . Click here for the Pubmed summary.