1. Chronic ankle pain in a runner
Case for small group discussion
AOTrauma—Foot & Ankle
Module 16: Sport injuries
Michael Castro, US

2. Case description 20-year-old collegiate runner (1,500 m)
1-year history of painful “popping” left ankle
Treated by trainer with taping/bolster

3. What is the problem?

4. What is the problem?

6. Associated conditions
Tenosynovitis/tendinosis
Tendon rupture—longitudinal split (mostly peroneus brevis)
Ankle instability (anterior talofibular ligament, calcaneofibular ligament)
Cavovarus deformity—congenital or acquired

9. Make room

10. Superior peroneal retinaculum (SPR) repair

11. Follow-up Back playing sport Stable peroneal tendons No pain
Normal function

12. Take-home messages
Recognize the potential for peroneal tendon injuries after ankle sprain
The fibular rim fracture is usually diagnostic of a torn superior peroneal retinaculum
Solid stable repair leads to good results