Subluxation of the Peroneus Long Tendon in the Cuboid Tunnel: is It Normal or Pathologic? An Ultrasound and Magnetic Resonance Imaging Study

Overview

Journal Skeletal Radiol

Specialties Orthopedics
Radiology

Date 2015 Dec 15

PMID 26659451

Citations 6

Authors

Taylor J Stone

Zehava S Rosenberg

Zoraida Restrepo Velez

Gina Ciavarra

Roberto Prost

Jenny T Bencardino

Affiliations

Soon will be listed here.

Abstract

Objective: To evaluate the position of the peroneus longus (PL) tendon relative to the cuboid tuberosity and cuboid tunnel during ankle dorsiflexion and plantarflexion using ultrasound and MRI.

Materials And Methods: The study population included two groups: 20 feet of 10 asymptomatic volunteers who underwent prospective dynamic ultrasound and 55 ankles found through retrospective review of routine ankle MRI examinations. The location of the PL tendon at the cuboid tuberosity and cuboid tunnel was designated as completely within the tunnel, indeterminate, or subluxed with respect to ankle dorsiflexion and plantarflexion.

Results: On dynamic ultrasound, the PL tendon was perched plantar to the cuboid tuberosity in dorsiflexion, and glided to enter the cuboid tunnel distal to the tuberosity in plantarflexion in all 20 feet. On the MRI evaluation, there was a statistically significant difference (p = 0.0006) in the location of the PL tendon between the ankles scanned in dorsiflexion and plantarflexion.

Conclusion: Based on our findings on ultrasound and MRI, the PL tendon can glide in and out of the cuboid tunnel along the cuboid tuberosity depending on ankle position. Thus, "subluxation" of the tendon as it curves to enter the cuboid tunnel, which to the best of our knowledge has not yet been described, should be recognized as a normal, position-dependent phenomenon and not be reported as pathology.

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