How is the ankle inspected and palpitated in the exam of a peroneal tendon injury?

Updated: Mar 07, 2018
  • Author: Steven J Karageanes, DO, FAOASM; Chief Editor: Craig C Young, MD  more...
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Answer

Inspection

Observe the amount and location of any swelling. Note ecchymosis and any ankle or foot deformity (the foot is in varus for acute brevis tears). Note the position of the peroneal tendons, which may be visibly subluxed without manipulative testing. Observe the patient's gait for abnormal rotation, heel strike, or weight transfer.

Palpation

Palpate the lateral ankle ligaments and along the peroneal tendons down to their insertion sites. Palpate along the bony structures to identify possible fractures. Palpate the pulses, and check the neurovascular status.


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