This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Author contributions: Fischetti A, Zawaideh JP and Orlandi D designed the report; Orlandi D performed the ultrasound examination and reported the MRI scan; Belfiore S performed the orthopedic surgery; all the authors revised the literature, wrote and reviewed the manuscript.
Informed consent statement: The patient was informed and provided written consent for the study.
Conflict-of-interest statement: All the authors report no conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Davide Orlandi, MD, PhD, Radiology Department, Ospedale Evangelico Internazionale, Corso Solferino 1A, Genova 16122, Italy. my.davideorlandi@gmail.com
Telephone: +39-333-7880696
Received: February 13, 2018 Peer-review started: February 13, 2018 First decision: April 11, 2018 Revised: April 23, 2018 Accepted: May 23, 2018 Article in press: May 23, 2018 Published online: May 28, 2018 Processing time: 106 Days and 10.1 Hours
Abstract
Tears of peroneus brevis tendon represent a cause of underdiagnosed lateral ankle pain and instability. The typical clinical presentation is retro-malleolar pain, in some cases associated with palpable swelling around the fibular malleolus, pain during activities and difficulty in walking. We present a case of peroneus brevis split lesion with superior peroneal retinaculum avulsion in a young athlete who referred to the emergency ward of our hospital for left ankle pain after an inversion injury. An early diagnosis allowed treating the injury and promptly resuming sport activity, after rehabilitation training. Surgical reconstruction key-points and post-surgical follow-up were also discussed. A late diagnosis would have caused a symptomatology worsening and an increased recovery time.
Core tip: The article is based on the findings observed in a patient who was followed in our institution for a split lesion of the peroneus brevis after an inversion ankle sprain. Split lesion of peroneus brevis is usually under diagnosed, therefore we want to highlight the importance of ancillary sign, as detachment of an osseous fragment seen on the X-ray, since an early diagnosis can allow the patient to reduce recovery time. In the manuscript, we also provide post-operative ultrasound imaging which can be helpful during follow-up for monitoring the patient and to help him to restart sport practices.
