Superior peroneal retinacular injuries in calcaneal fractures.
Calcaneal fractures are injuries that occur generally as the result of high-energy mechanisms, and, as such, the presence of concurrent injuries should be suspected. The presence of peroneal tendon and superior retinacular injuries has been underreported. We sought to report the incidence of peroneal tendon pathologic features in our population of patients with calcaneal fractures, with emphasis on the method of identification. Furthermore, we sought to identify whether specific fracture patterns were more commonly associated with this pathologic finding. Of the 97 cases, 13 (13.4%) required repair of the superior peroneal retinaculum, 11 of which demonstrated the Sanders A fracture line. Our findings have demonstrated an incidence of pathologic features, in particular, with the presence of the Sanders A fracture line, that warrants attention to potentially help improve the outcome of these devastating injuries.
Assistant Professor, Temple University School of Podiatric Medicine, Philadelphia, PA. Electronic address: kkwaadu@gmail.com.
Kwasi Yiadom
KY
Kwaadu
Fellowship Director, Philadelphia Foot and Ankle Fellowship, Aria 3B Orthopaedic Institute Northeast, Muscle, Bone, and Joint Center, Philadelphia, PA; Podiatric Residency Director, Aria Health Systems, Philadelphia, PA.
Justin James
JJ
Fleming
Postgraduate Year 3 Resident, Aria Health Systems, Philadelphia, PA.
Derek
D
Florek
D000328:Adult; D000368:Aged; D002111:Calcaneus / Q000293:injuries*; D005260:Female; D050723:Fractures, Bone / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D015994:Incidence; D004204:Joint Dislocations / Q000175:diagnosis / Q000453:epidemiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013640:Tarsal Joints / Q000293:injuries*; D013708:Tendon Injuries / Q000175:diagnosis / Q000453:epidemiology* / Q000601:surgery; D055815:Young Adult
calcaneus; fibula; intra-articular fracture; lateral malleolus; peroneal retinaculum; peroneal tendon subluxation