Radiological features accompanying peroneus brevis split rupture revealed on magnetic resonance imaging – a cohort study
Abstract Background Peroneal split tears are an underrated cause of ankle pain. While magnetic resonance imaging (MRI) is useful for diagnosis, split tears are challenging to identify. The aim of the study was to investigate the association of peroneus brevis split rupture with abnormalities of the...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Journal of Foot and Ankle Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13047-023-00604-4 |
| _version_ | 1827356259148365824 |
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| author | Michael Huuskonen Simon Borkmann Alexander Bengtsson Piotr Sobecki Rafał Józwiak Nektarios Solidakis Paweł Szaro |
| author_facet | Michael Huuskonen Simon Borkmann Alexander Bengtsson Piotr Sobecki Rafał Józwiak Nektarios Solidakis Paweł Szaro |
| author_sort | Michael Huuskonen |
| collection | DOAJ |
| description | Abstract Background Peroneal split tears are an underrated cause of ankle pain. While magnetic resonance imaging (MRI) is useful for diagnosis, split tears are challenging to identify. The aim of the study was to investigate the association of peroneus brevis split rupture with abnormalities of the superior peroneal retinaculum (SPR), anterior talofibular ligament (ATFL), calcaneofibular ligament (CFL), joint effusion, morphology of the malleolar groove, presence of the bone marrow oedema and prominent peroneal tuberculum. Methods Ankle MRI cases were assessed by independent observers retrospectively in two groups: one with peroneus brevis split tears (n = 80) and one without (control group, n = 115). Two observers evaluated the soft tissue lesions, and three graded the bone lesions. Fisher's exact test and Pearson correlation were used for analysis. The Bonferroni‐Holm method (B‐H) was used to adjust for multiple comparisons. Results Only bone marrow edema in the posterior part of the lateral malleolus was significantly (p < 0.05) more common in the split tear group after applying B‐H. SPR total rupture was seen only in the experimental group. No differences in incidence of ATFL and CFL lesions or other SPR lesions were noticed (p < 0.05). Conclusion Bone marrow edema in the posterior part of the lateral malleolus is associated with peroneus split tears on MRI. |
| first_indexed | 2024-03-08T04:57:11Z |
| format | Article |
| id | doaj.art-20b17ddab3234d3e8ac29d9a4c240cf7 |
| institution | Directory Open Access Journal |
| issn | 1757-1146 |
| language | English |
| last_indexed | 2024-03-08T04:57:11Z |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Foot and Ankle Research |
| spelling | doaj.art-20b17ddab3234d3e8ac29d9a4c240cf72024-02-07T15:05:46ZengWileyJournal of Foot and Ankle Research1757-11462023-01-01161n/an/a10.1186/s13047-023-00604-4Radiological features accompanying peroneus brevis split rupture revealed on magnetic resonance imaging – a cohort studyMichael Huuskonen0Simon Borkmann1Alexander Bengtsson2Piotr Sobecki3Rafał Józwiak4Nektarios Solidakis5Paweł Szaro6Department of RadiologyInstitute of Clinical SciencesSahlgrenska AcademyUniversity of GothenburgGothenburgSwedenDepartment of Musculoskeletal RadiologySahlgrenska University HospitalGothenburgSwedenDepartment of Musculoskeletal RadiologySahlgrenska University HospitalGothenburgSwedenApplied Artificial Intelligence LaboratoryNational Information Processing InstituteWarsawPolandApplied Artificial Intelligence LaboratoryNational Information Processing InstituteWarsawPolandDepartment of RadiologyInstitute of Clinical SciencesSahlgrenska AcademyUniversity of GothenburgGothenburgSwedenDepartment of RadiologyInstitute of Clinical SciencesSahlgrenska AcademyUniversity of GothenburgGothenburgSwedenAbstract Background Peroneal split tears are an underrated cause of ankle pain. While magnetic resonance imaging (MRI) is useful for diagnosis, split tears are challenging to identify. The aim of the study was to investigate the association of peroneus brevis split rupture with abnormalities of the superior peroneal retinaculum (SPR), anterior talofibular ligament (ATFL), calcaneofibular ligament (CFL), joint effusion, morphology of the malleolar groove, presence of the bone marrow oedema and prominent peroneal tuberculum. Methods Ankle MRI cases were assessed by independent observers retrospectively in two groups: one with peroneus brevis split tears (n = 80) and one without (control group, n = 115). Two observers evaluated the soft tissue lesions, and three graded the bone lesions. Fisher's exact test and Pearson correlation were used for analysis. The Bonferroni‐Holm method (B‐H) was used to adjust for multiple comparisons. Results Only bone marrow edema in the posterior part of the lateral malleolus was significantly (p < 0.05) more common in the split tear group after applying B‐H. SPR total rupture was seen only in the experimental group. No differences in incidence of ATFL and CFL lesions or other SPR lesions were noticed (p < 0.05). Conclusion Bone marrow edema in the posterior part of the lateral malleolus is associated with peroneus split tears on MRI.https://doi.org/10.1186/s13047-023-00604-4Tendon injuriesMagnetic resonance imagingAnkle injuriesTendonAnatomy |
| spellingShingle | Michael Huuskonen Simon Borkmann Alexander Bengtsson Piotr Sobecki Rafał Józwiak Nektarios Solidakis Paweł Szaro Radiological features accompanying peroneus brevis split rupture revealed on magnetic resonance imaging – a cohort study Journal of Foot and Ankle Research Tendon injuries Magnetic resonance imaging Ankle injuries Tendon Anatomy |
| title | Radiological features accompanying peroneus brevis split rupture revealed on magnetic resonance imaging – a cohort study |
| title_full | Radiological features accompanying peroneus brevis split rupture revealed on magnetic resonance imaging – a cohort study |
| title_fullStr | Radiological features accompanying peroneus brevis split rupture revealed on magnetic resonance imaging – a cohort study |
| title_full_unstemmed | Radiological features accompanying peroneus brevis split rupture revealed on magnetic resonance imaging – a cohort study |
| title_short | Radiological features accompanying peroneus brevis split rupture revealed on magnetic resonance imaging – a cohort study |
| title_sort | radiological features accompanying peroneus brevis split rupture revealed on magnetic resonance imaging a cohort study |
| topic | Tendon injuries Magnetic resonance imaging Ankle injuries Tendon Anatomy |
| url | https://doi.org/10.1186/s13047-023-00604-4 |
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