Os Peroneum

 

Os Peronei

 

Os peroneum

 

Location

 

Sesamoid in peroneus longus

- at level calcaneo-cuboid joint

- articulates with cuboid

 

Incidence

 

5 - 30% population

60% bilateral

 

Painful os peroneum syndrome

 

Clinical

 

Lateral foot pain

 

Etiology

 

Fracture os peroneum

Stress fracture os peroneum

Tendonitis / tendinopathy / tears

 

Xray

 

Displaced os peroneum suggests complete P longus tear

 

Management

 

Stockton et al Foot Ankle Int 2014

- 12 cases of P longus tears with os peroneum

- 8 cases of os peroneum fracture

- 4 cases P longus thickened and trapped in cubital tunnel

- all treated with tenodesis to P brevis