Peroneal Muscle Tendonitis Case Study
The suspected initial diagnosis:
1. Peroneal Muscle Tendonitis: this almost appears when the individual return to play after stopping long time.
2. Lateral ligament complex injury.
3. Stress fractures to the distal fibula (lateral malleolus) or cuboid bone.
Since the mechanism of injury is not clear where there was possibility of twisted ankle and the athletes presented with acute symptoms in the injured area which show inflammatory presentations (swelling, pain, and high temperature), it might be mostly due to either overloading or overusing the ankle joint, thus, it could be one of the above mentioned diagnoses.
The Two top Ranked diagnosis:
1. Stress fracture
2. Peroneal Muscle Tendonitis
The rationale behind this diagnosis is that the case symptoms showed pitting edema, redness and warmth which might occur due to the increase of the blood flow …show more content…
They occur due to the bone weakness which caused by the tensile or compressive force over the bone (Snyder, Koester, & Dunn, 2006). The athlete with suspected stress fracture should be referred to be diagnosed by the orthopedic specialist where the imaging is needed here to confirm the suspected diagnosis. Both x ray and MRI are useful tools to investigate the stress fracture. However, if plain film is unremarkable, then MRI is good choice (Bui-Mansfield & Thomas, 2009). Lateral malleolus stress test is considered as low risk stress fracture where its treatment is mostly conservative and needs no surgical intervention (Boden, Osbahr, & Jimenez, 2001). The athlete can be advised to do partial weight bearing with or without immobilization until the pain subsides (Gehrmann & Renard, 2006). The initial management in physiotherapy is just to advise for applying PRICE and to refer the athlete to his/her physician. After confirming the diagnosis, the treatment plan can be
1. Peroneal Muscle Tendonitis: this almost appears when the individual return to play after stopping long time.
2. Lateral ligament complex injury.
3. Stress fractures to the distal fibula (lateral malleolus) or cuboid bone.
Since the mechanism of injury is not clear where there was possibility of twisted ankle and the athletes presented with acute symptoms in the injured area which show inflammatory presentations (swelling, pain, and high temperature), it might be mostly due to either overloading or overusing the ankle joint, thus, it could be one of the above mentioned diagnoses.
The Two top Ranked diagnosis:
1. Stress fracture
2. Peroneal Muscle Tendonitis
The rationale behind this diagnosis is that the case symptoms showed pitting edema, redness and warmth which might occur due to the increase of the blood flow …show more content…
They occur due to the bone weakness which caused by the tensile or compressive force over the bone (Snyder, Koester, & Dunn, 2006). The athlete with suspected stress fracture should be referred to be diagnosed by the orthopedic specialist where the imaging is needed here to confirm the suspected diagnosis. Both x ray and MRI are useful tools to investigate the stress fracture. However, if plain film is unremarkable, then MRI is good choice (Bui-Mansfield & Thomas, 2009). Lateral malleolus stress test is considered as low risk stress fracture where its treatment is mostly conservative and needs no surgical intervention (Boden, Osbahr, & Jimenez, 2001). The athlete can be advised to do partial weight bearing with or without immobilization until the pain subsides (Gehrmann & Renard, 2006). The initial management in physiotherapy is just to advise for applying PRICE and to refer the athlete to his/her physician. After confirming the diagnosis, the treatment plan can be