Research Article

An Unusual Cause of Anterolateral Ankle Pain and Snapping

Vasileios Triantafyllis* and Roshin Thomas

Published: 03/20/2017 | Volume 2 - Issue 1 | Pages: 28-31

Introduction

Most patients with anterolateral ankle pain report some history of trauma as the precipitating event. In the majority of cases of anterolateral ankle pain with no history of trauma the cause is proliferative synovitis, especially in the area of the anteroinferior tibiofibular ligament [1,2]. Our case report is about a patient with anterolateral ankle pain and snapping, with no history of trauma, caused by an abnormal peroneal tertius muscle belly. We have found only one similar case reported in the literature [3]. That particular case was treated with arthroscopic resection, which requires specialist arthroscopic skills. In our case we have done an open resection, which can be safely performed by most surgeons.

Read Full Article HTML DOI: 10.29328/journal.jsmt.1001005 Cite this Article

References

  1. Basset FH 3rd, Gates HS 3rd, Billys JB, Morris HB, Nikolaou PK. Talar impingement by the anteroinferior tibiofibular ligament. A cause of chronic pain in the ankle after inversion sprain. J Bone Joint Surg Am. 1990; 72: 55-59. Ref.: https://goo.gl/tsBIit  
  2. Ferkel RD, Karzel RP, Del Pizzo W, Friedman MJ, Fischer SP. Arthroscopic treatment of anterolateral impingement of the ankle. Am J Sports Med. 1991; 19: 440-446. Ref.: https://goo.gl/JnWEKa
  3. Sammarco GJ, Henning C. Peroneus tertius muscle as a cause of snapping and ankle pain. A case report. Am J Sports Med. 2007; 35: 1377-1379. Ref.: https://goo.gl/fXFPCy
  4. Joshi SD, Joshi SS, Athavale SA. Morphology of the peroneus tertius muscle. Clin. Anat. 2006; 19: 611-614 Ref.: https://goo.gl/8AsDpq
  5. Sarrafian SK. Anatomy of the Foot and Ankle. 2nd ed. Philadelphia, PA: Lippincott-Williams & Wilkins. 1993.
  6. Litt R, Albassir A, Willems S, Debry R. Pathology of the anterior peroneus tendon and that of the intermetatarsal bone. Acta Orthop Belg. 1989; 55: 485-489. Ref.: https://goo.gl/ld0u8N
  7. Sammarco GJ. Peroneal tendon injuries. Orthop Clin North Am. 1994; 25: 135-145. Ref.: https://goo.gl/BXlJ82
  8. Mason RB, Henderson JP. Traumatic peroneal tendon instability. Am J Sports Med. 1996; 24: 652-658. Ref.: https://goo.gl/ijOowU
  9. Meislin RJ, Rose DJ, Parisien JS, Springer S. Arthroscopic treatment of synovial impingement of the ankle. Am J Sports Med. 1993; 21: 186-189. Ref.: https://goo.gl/5lNQmC
  10. Nikolopoulos CE, Tsirikos AL, Sourmelis S, Papachristou G. The accessory anteroinferior tibiofibular ligament as a cause of talar impingement: a cadaveric study. Am J Sports Med. 2004; 32: 389-395. Ref.: https://goo.gl/uS8c4U
  11. Akseki D, Pinar H, Yaldiz K, Akseki NG, Arman C. The anterior inferior tibiofibular ligament and talar impingement: a cadaveric study. Knee Surg Sports Traumatol Arthrosc. 2002; 10: 321-326. Ref.: https://goo.gl/jni4mB