Peroneal Tendon Displacement Accompanying Intra-Articular Calcaneal Fractures

• DOI: 10.2106/jbjs.l.01378
• Publication Date: 2014-02-19T20:45:13Z
• Authors: Rull James Toussaint; Darius Lin; Lauren K. Ehrlichman; J. Kent Ellington; Nicholas Strasser; John Y. Kwon
• Keywords: Radiography; Tendons; Calcaneus; 03 medical and health sciences; 0302 clinical medicine; Intra-Articular Fractures; Tendon Injuries; Joint Dislocations; Humans; Foot Injuries; Retrospective Studies

Peroneal tendon displacement (subluxation or dislocation) accompanying an intra-articular calcaneal fracture is often undetected and under-treated. The goals of this study were to determine (1) the prevalence peroneal fractures, (2) association with classifications, (3) heel width, (4) rate missed diagnosis on radiographs computed tomography (CT) scans resulting treatment rate.A retrospective radiographic review all fractures presenting at three institutions from June 30, 2006, 2011, was performed. CT imaging 421 involving posterior facet available for review. noted its associations classification width evaluated.Peroneal identified in 118 (28.0%) cases. presence significantly associated joint-depression compared tongue-type (p < 0.001). Only twelve (10.2%) cases had been radiology reports. Although sixty-five (55.1%) treated internal fixation, surgically only seven (10.8%) these cases.Analysis images showed a 28% fractures. Surgeons radiologists are encouraged consider association.