Lateral Heel Pain Caused by Impingement of Hypertrophic Peroneal Tubercle and Os Peroneum

Hypertrophic peroneal tubercle (HPT) is an overgrowth of the peroneal tubercle located on the lateral aspect of the hindfoot, which could cause tenosynovitis of the peroneus longus tendon. Os peroneum (OP) is an accessory ossicle that exists in the peroneus longus tendon at the lateral aspect of the...

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Main Authors: Ryosuke Takada, Song Ho Chang, Taro Kasai, Masashi Naito, Jun Hirose, Sakae Tanaka, Takumi Matsumoto
Format: Article
Language:English
Published: Wiley 2021-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2021/6621539
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author Ryosuke Takada
Song Ho Chang
Taro Kasai
Masashi Naito
Jun Hirose
Sakae Tanaka
Takumi Matsumoto
author_facet Ryosuke Takada
Song Ho Chang
Taro Kasai
Masashi Naito
Jun Hirose
Sakae Tanaka
Takumi Matsumoto
author_sort Ryosuke Takada
collection DOAJ
description Hypertrophic peroneal tubercle (HPT) is an overgrowth of the peroneal tubercle located on the lateral aspect of the hindfoot, which could cause tenosynovitis of the peroneus longus tendon. Os peroneum (OP) is an accessory ossicle that exists in the peroneus longus tendon at the lateral aspect of the calcaneocuboid joint. Both HPT and OP can cause lateral foot pain and occasionally require surgical treatment. We encountered a case of lateral foot pain of HPT coexisting with OP. Careful preoperative magnetic resonance imaging, dynamic ultrasonographic image, and block injection suggested an impingement of HPT and OP as a cause of lateral foot pain. Surgical resection of HPT, while retaining OP, successfully achieved pain relief in the patient. To the best of our knowledge, this is the first report presenting a case of HPT coexisting with OP successfully treated without OP resection.
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series Case Reports in Orthopedics
spelling doaj-art-4040bb8ec704401692212c0b27cbc5202025-02-03T01:09:56ZengWileyCase Reports in Orthopedics2090-67492090-67572021-01-01202110.1155/2021/66215396621539Lateral Heel Pain Caused by Impingement of Hypertrophic Peroneal Tubercle and Os PeroneumRyosuke Takada0Song Ho Chang1Taro Kasai2Masashi Naito3Jun Hirose4Sakae Tanaka5Takumi Matsumoto6Department of Orthopedic Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, JapanDepartment of Orthopedic Surgery, Teikyo University Hospital, Mizonokuchi, 5-1-1 Niko Takatsu-ku, Kawasaki City, Kanagawa 213-8507, JapanDepartment of Orthopedic Surgery, Tokyo Metropolitan TAMA Medical Center, 2-8-29 Musashidai, Fuchu City, Tokyo 183-8524, JapanDepartment of Orthopedic Surgery, Japan Community Health Care Organization, Tokyo Shinjuku Medical Center, 5-1 Tsukudo cho, Shinjuku-ku, Tokyo 162-8543, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, JapanDepartment of Orthopedic Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, JapanHypertrophic peroneal tubercle (HPT) is an overgrowth of the peroneal tubercle located on the lateral aspect of the hindfoot, which could cause tenosynovitis of the peroneus longus tendon. Os peroneum (OP) is an accessory ossicle that exists in the peroneus longus tendon at the lateral aspect of the calcaneocuboid joint. Both HPT and OP can cause lateral foot pain and occasionally require surgical treatment. We encountered a case of lateral foot pain of HPT coexisting with OP. Careful preoperative magnetic resonance imaging, dynamic ultrasonographic image, and block injection suggested an impingement of HPT and OP as a cause of lateral foot pain. Surgical resection of HPT, while retaining OP, successfully achieved pain relief in the patient. To the best of our knowledge, this is the first report presenting a case of HPT coexisting with OP successfully treated without OP resection.http://dx.doi.org/10.1155/2021/6621539
spellingShingle Ryosuke Takada
Song Ho Chang
Taro Kasai
Masashi Naito
Jun Hirose
Sakae Tanaka
Takumi Matsumoto
Lateral Heel Pain Caused by Impingement of Hypertrophic Peroneal Tubercle and Os Peroneum
Case Reports in Orthopedics
title Lateral Heel Pain Caused by Impingement of Hypertrophic Peroneal Tubercle and Os Peroneum
title_full Lateral Heel Pain Caused by Impingement of Hypertrophic Peroneal Tubercle and Os Peroneum
title_fullStr Lateral Heel Pain Caused by Impingement of Hypertrophic Peroneal Tubercle and Os Peroneum
title_full_unstemmed Lateral Heel Pain Caused by Impingement of Hypertrophic Peroneal Tubercle and Os Peroneum
title_short Lateral Heel Pain Caused by Impingement of Hypertrophic Peroneal Tubercle and Os Peroneum
title_sort lateral heel pain caused by impingement of hypertrophic peroneal tubercle and os peroneum
url http://dx.doi.org/10.1155/2021/6621539
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