Bilateral os peroneum fractures: Comparison of conservative and surgical treatment and outcomes

Bilateral os peroneum fractures: Comparison of conservative and surgical treatment and outcomes

Acute fracture of the os peroneum without concurrent rupture of the peroneus longus is a rarely cited injury. Sudden violent contraction of the peroneus longus muscle and direct trauma are documented mechanisms of injury. This injury can easily be overlooked due to its infrequency, and it may lead t...

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Bibliographic Details
Published in:The Journal of foot and ankle surgery Vol. 36; no. 3; pp. 220 - 225
Main Authors: MacDonald, Brian D., Wertheimer, Stuart J.
Format: Journal Article
Language:English
Published: Baltimore, MD Elsevier Inc 01-05-1997
Data Trace
Subjects:
accessory bone
Adult
Biological and medical sciences
fracture
Fractures, Bone - complications
Fractures, Bone - diagnostic imaging
Fractures, Bone - therapy
Humans
Injuries of the limb. Injuries of the spine
Male
Medical sciences
os peroneum
ossicle
Radiography
Sesamoid Bones - diagnostic imaging
Sesamoid Bones - injuries
tendonitis
Traumas. Diseases due to physical agents
Treatment Outcome
accessory bone
os peroneum
tendonitis
ossicle
fracture
Human
Prognosis
Orthopedic treatment
Diseases of the osteoarticular system
Lower limb
Bilateral
Fracture
Trauma
Foot
Case study
Orthopedic surgery
Accessory
Disease of the foot
Adult
Bone
Comparative study
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Description
Summary:Acute fracture of the os peroneum without concurrent rupture of the peroneus longus is a rarely cited injury. Sudden violent contraction of the peroneus longus muscle and direct trauma are documented mechanisms of injury. This injury can easily be overlooked due to its infrequency, and it may lead to chronic pain and impairment of function. Presented is a case of acute fracture of the os peroneum bilaterally. The fractures occurred approximately 21 months apart. Treatment varied with the right foot responding to 4 months of conservative therapy, and the left foot undergoing surgical excision of the fractured ossicle following 5 weeks of failed conservative therapy. This case is unique as it presents bilateral os peroneum fractures. This unique situation allows for a comparison of the two distinct treatment options. A fractured os peroneum without peroneus longus tendon rupture may be treated conservatively, however, surgical excision of the ossicle following 4 weeks of conservative therapy may expedite the recovery period and avoid chronic pain.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:1067-2516
1542-2224
DOI:10.1016/S1067-2516(97)80119-6