In ankle injury: don’t overlook the peroneal tendons dislocation

Naoufal Elghoul, Mohamed Zaaf

PAMJ-CM. 2020; 2:34. Published 05 Feb 2020 | doi:10.11604/pamj-cm.2020.2.34.21302

A 21-year-old male with six months of the instability of the ankle presented to our orthopedic department. He reported a trauma history in the ankle in witch clinical and radiological finding was concluded to an ankle sprain and so a short leg was made along with oral´s analgesics and protected weight-bearing for two weeks. Following this, the pain had decreased but he reported recurrent episodes of a giving-away feeling of the ankle in sitting or kneeling. He could reproduce the dislocation by active dorsiflexion-eversion of his ankle. On the examination, he presented no deformity or wound. The palpation of the lateral side of the ankle was slightly painful. The subluxation of the peroneal tendons clinically appeared. The peroneal tendons dislocation test was positive. The X-rays of the ankle were normal. A few days later, the patient underwent surgery. The retinaculum was re-attached under the lip of the fibula by three anchors using the retromalleolar approach. After witch, the ankle was placed in a below-knee, non-weight-bearing temporary cast for 2 weeks. Then walker boot cast with fully weight-bearing was allowed for 4 weeks. Following this period, physiotherapy was started. At the last follow up, the patient did well with neither instability nor ankle pain.
Corresponding author
Naoufal Elghoul, Orthopedic Surgery and Traumatology, Department of Orthopedic Surgery and Traumatology, Military Hospital Mohammed V (HMIMV),Faculty of Medicine and Pharmacy, Mohammed V University of Rabat, Morocco (naoufal.elghoul@gmail.com)

This image

Articles published in PAMJ-CM are Open Access and distributed under the terms of the Creative Commons Attribution 4.0 International (CC BY 4.0).

eISSN: 2707-2797


The PAMJ - Clinical Medicine (ISSN: 2707-2797) is a subsidiary of the Pan African Medical Journal. The contents of this journal is intended exclusively for professionals in the medical, paramedical and public health and other health sectors.

Currently tracked by: DOAJ, AIM, Google Scholar, AJOL, EBSCO, Scopus, Embase, IC, HINARI, Global Health, PubMed Central, PubMed/Medline, ESCI

Physical address: Kenya: 3rd Floor, Park Suite Building, Parkland Road, Nairobi. PoBox 38583-00100, tel: +254 (0)20-520-4356 | Cameroon: Immeuble TechnoPark Essos, Yaounde, PoBox: 10020 Yaounde, tel: +237 (0)24-309-5880