EURORAD ESR

Case 9768

Sonographic diagnosis of a split peroneal tendon syndrome

Author(s)
Evangelos Perdikakis, Theodoros Ntitsias, Ioannis Petkidis

Dpt of Radiology,
412 General Military Hospital
212 Mobile Army Surgical Hospital,
Xanthi, Greece;
Email:perdikakis_ev@yahoo.gr
 
Patient
male, 38 year(s)
 
 
  • Figure 1
    Clinical examination
     

    Photographs (a), (b) of the patient’s ankle show a protuberant mass located anteroinferiorly to the lateral maleolus (black arrows).

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: PACS; Procedure: Diagnostic procedure; Special Focus: Trauma;

    Photographs (a), (b) of the patient’s ankle show a protuberant mass located anteroinferiorly to the lateral maleolus (black arrows).

     
    Area of Interest: Musculoskeletal soft tissue; Imaging Technique: PACS; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
  • Figure 2
    Ultrasound

    Ultrasound findings: cystic lesion (arrows and dash line in a, b), intralesional debris (small arrow), hypoechogenicity and loss of fibrillar structure of PBT (arrows and dash line in c, d) and intervening PLT (thick...

     
    Area of Interest: Musculoskeletal system; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
  • Figure 3
    MRI

    Axial (a-b), coronal (c) and sagittal (d) fat saturated T2-w MR images showing the split PBT (open arrows). Note increased signal due to chronic PBT tendinopathy (small arrow) and the complex ganglion cyst (asterisks).

     
    Area of Interest: Musculoskeletal system; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
  • Figure 4
    The one year postoperative evaluation

    (a) Excellent cosmetic result. Ultrasound images prior to (b), at the level of (c) and post (d) the retromaleolar groove showing normal tendon morphology. Note residual partial hypoechogenicity of PBT fibers (arrow in...

     
    Area of Interest: Musculoskeletal system; Imaging Technique: Ultrasound; Procedure: Diagnostic procedure; Special Focus: Trauma;
     
     
Photographs (a), (b) of the patient’s ankle show a protuberant mass located anteroinferiorly to the lateral maleolus (black arrows).
 
Photographs (a), (b) of the patient’s ankle show a protuberant mass located anteroinferiorly to the lateral maleolus (black arrows).
 
Ultrasound findings: cystic lesion (arrows and dash line in a, b), intralesional debris (small arrow), hypoechogenicity and loss of fibrillar structure of PBT (arrows and dash line in c, d) and intervening PLT (thick line).
 
Axial (a-b), coronal (c) and sagittal (d) fat saturated T2-w MR images showing the split PBT (open arrows). Note increased signal due to chronic PBT tendinopathy (small arrow) and the complex ganglion cyst (asterisks).
 
(a) Excellent cosmetic result. Ultrasound images prior to (b), at the level of (c) and post (d) the retromaleolar groove showing normal tendon morphology. Note residual partial hypoechogenicity of PBT fibers (arrow in d).
 
 
 
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