Os peroneum stress fracture

Case contributed by Domenico Nicoletti
Diagnosis probable

Presentation

Persistent pain localised on the lateral aspect of the cuboid area without trauma and functional deficits in a professional diver from the trampoline.

Patient Data

Age: 45 years
Gender: Male
x-ray

Radiographs show an enlarged and sclerotic os peroneum suggestive of a stress fracture with swelling and oedema of the adjacent soft tissues.

Case Discussion

Painful os peroneum syndrome (POPS) with pain in the lateral aspect of the midfoot results from a wide spectrum of conditions, including fractures or diastases, and may result in tenosynovitis or even rupture of the peroneal tendon.

Radiographer: TSRM Fabio Imola

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