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Superior Peroneal Retinaculum Avulsion
Corrie M. Yablon, MD; Julia R. Crim, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Superior peroneal retinaculum (SPR): fibrous band that maintains position of peroneal tendons behind fibula

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT and MR Findings

                    • Ultrasonographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Staging, Grading, & Classification

                              • Relevant Anatomy

                                CLINICAL ISSUES

                                • Presentation

                                  • Natural History & Prognosis

                                    • Treatment

                                      DIAGNOSTIC CHECKLIST

                                      • Consider

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Abballe VD et al: Fibular tip periostitis: new radiographic sign, predicting chronic peroneal tendon subluxation/dislocation in the setting of pes planovalgus. AJR Am J Roentgenol. ePub, 2020
                                          2. Pesquer L et al: Dynamic ultrasound of peroneal tendon instability. Br J Radiol. 89(1063):20150958, 2016
                                          3. Taljanovic MS et al: High-resolution US and MR imaging of peroneal tendon injuries. Radiographics. 35(1):179-99, 2015
                                          4. Toussaint RJ et al: Peroneal tendon displacement accompanying intra-articular calcaneal fractures. J Bone Joint Surg Am. 96(4):310-5, 2014
                                          5. Crim J et al: CT assessment of the prevalence of retinacular injuries associated with hindfoot fractures. Skeletal Radiol. 42(4):487-92, 2013
                                          6. Kopp F: Traumatic peroneal dislocation with medial malleolus fracture: a case report. Foot Ankle Int. 29(7):756-8, 2008
                                          7. Numkarunarunrote N et al: Retinacula of the foot and ankle: MRI with anatomic correlation in cadavers. AJR Am J Roentgenol. 188(4):W348-54, 2007
                                          8. Ferran NA et al: Recurrent subluxation of the peroneal tendons. Sports Med. 36(10):839-46, 2006
                                          9. Rosenberg ZS et al: MRI features of chronic injuries of the superior peroneal retinaculum. AJR Am J Roentgenol. 181(6):1551-7, 2003
                                          10. Ho RT et al: Peroneal tendon dislocation: CT diagnosis and clinical importance. AJR Am J Roentgenol. 177(5):1193, 2001
                                          11. Magnano GM et al: High-resolution US of non-traumatic recurrent dislocation of the peroneal tendons: a case report. Pediatr Radiol. 28(6):476-7, 1998
                                          12. Murr S: Dislocation of the peroneal tendons with marginal fracture of the lateral malleolus. J Bone Joint Surg Br. 43:563–565, 1961
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    • Diagnostic Checklist

                                                      TERMINOLOGY

                                                      • Definitions

                                                        • Superior peroneal retinaculum (SPR): fibrous band that maintains position of peroneal tendons behind fibula

                                                      IMAGING

                                                      • General Features

                                                        • Radiographic Findings

                                                          • CT and MR Findings

                                                            • Ultrasonographic Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Staging, Grading, & Classification

                                                                      • Relevant Anatomy

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Natural History & Prognosis

                                                                            • Treatment

                                                                              DIAGNOSTIC CHECKLIST

                                                                              • Consider

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Abballe VD et al: Fibular tip periostitis: new radiographic sign, predicting chronic peroneal tendon subluxation/dislocation in the setting of pes planovalgus. AJR Am J Roentgenol. ePub, 2020
                                                                                  2. Pesquer L et al: Dynamic ultrasound of peroneal tendon instability. Br J Radiol. 89(1063):20150958, 2016
                                                                                  3. Taljanovic MS et al: High-resolution US and MR imaging of peroneal tendon injuries. Radiographics. 35(1):179-99, 2015
                                                                                  4. Toussaint RJ et al: Peroneal tendon displacement accompanying intra-articular calcaneal fractures. J Bone Joint Surg Am. 96(4):310-5, 2014
                                                                                  5. Crim J et al: CT assessment of the prevalence of retinacular injuries associated with hindfoot fractures. Skeletal Radiol. 42(4):487-92, 2013
                                                                                  6. Kopp F: Traumatic peroneal dislocation with medial malleolus fracture: a case report. Foot Ankle Int. 29(7):756-8, 2008
                                                                                  7. Numkarunarunrote N et al: Retinacula of the foot and ankle: MRI with anatomic correlation in cadavers. AJR Am J Roentgenol. 188(4):W348-54, 2007
                                                                                  8. Ferran NA et al: Recurrent subluxation of the peroneal tendons. Sports Med. 36(10):839-46, 2006
                                                                                  9. Rosenberg ZS et al: MRI features of chronic injuries of the superior peroneal retinaculum. AJR Am J Roentgenol. 181(6):1551-7, 2003
                                                                                  10. Ho RT et al: Peroneal tendon dislocation: CT diagnosis and clinical importance. AJR Am J Roentgenol. 177(5):1193, 2001
                                                                                  11. Magnano GM et al: High-resolution US of non-traumatic recurrent dislocation of the peroneal tendons: a case report. Pediatr Radiol. 28(6):476-7, 1998
                                                                                  12. Murr S: Dislocation of the peroneal tendons with marginal fracture of the lateral malleolus. J Bone Joint Surg Br. 43:563–565, 1961