Which biomechanical factors increase the risk for 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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Biomechanical factors can set up the peroneal tendons for injury.

  • Gait abnormalities must be fully evaluated and treated. Excessive eversion can pinch and put pressure on the peroneal tendons as they travel between the lateral malleolus and the peroneal trochlea.

  • Severe pes planus or hindfoot deviation (valgus or varus) can be a factor.

  • Equinus or restricted ankle dorsiflexion can lead to injury of the peroneal tendons.

  • Anterolateral ankle impingement, particularly soon after an ankle sprain, can lead to peroneal overcompensation.

  • Poor fitting equipment, such as ice skates or basketball high-top shoes, can be factors in peroneal tendon injuries. [23]

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