Abstract
Background. The proportion of patients with clinical findings referable to peroneal pathology and magnetic resonance imaging (MRI)-diagnosed peroneal tendon pathology is unknown. Previous studies have correlated surgical findings with clinical data and preoperative MRI, but there are no published studies that reference clinical examination findings to imaging findings. Purpose. To determine the relationship between peroneal tendon pathology as diagnosed by MRI and clinical findings of peroneal tendon pathology. Methods. Fifty-six patients who had both MRI evidence of peroneal tendon pathology and an associated clinical examination of the ankle were evaluated over a 3-year period at a tertiary care institution. Clinical examination criteria included lateral ankle tenderness, dislocation/snapping, and lateral ankle pain. A board-certified, fellowship-trained musculoskeletal radiologist confirmed the presence of MRI findings consistent with peroneal tendon pathology. Results. Of the 56 patients with positive findings on MRI, 27 patients had an associated positive clinical exam and 29 patients had a negative clinical exam. The positive predictive value of MRI for peroneal tendon tears with positive clinical findings was 48% (95% confidence interval = 35% to 61%). Conclusion. Patients with MRI findings of peroneal tendon pathology should undergo careful clinical examination, as the positive predictive value of MRI for peroneal tendon pathology with actual clinical findings is low. This study demonstrates that peroneal tendon tears are often incidental findings on MRI.Levels of Evidence: Diagnostic, Level III
| Original language | English (US) |
|---|---|
| Pages (from-to) | 417-421 |
| Number of pages | 5 |
| Journal | Foot and Ankle Specialist |
| Volume | 6 |
| Issue number | 6 |
| DOIs | |
| State | Published - Dec 2013 |
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Keywords
- clinical examination
- MRI
- peroneal tendon tears
ASJC Scopus subject areas
- Orthopedics and Sports Medicine
- Surgery
- Podiatry
- Medicine(all)
Cite this
A Clinical and Radiological Study of Peroneal Tendon Pathology. / Giza, Eric; Mak, Walter; Wong, Stephanie E.; Roper, Glade; Campanelli, Valentina; Hunter, John C.
In: Foot and Ankle Specialist, Vol. 6, No. 6, 12.2013, p. 417-421.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A Clinical and Radiological Study of Peroneal Tendon Pathology
AU - Giza, Eric
AU - Mak, Walter
AU - Wong, Stephanie E.
AU - Roper, Glade
AU - Campanelli, Valentina
AU - Hunter, John C
PY - 2013/12
Y1 - 2013/12
N2 - Background. The proportion of patients with clinical findings referable to peroneal pathology and magnetic resonance imaging (MRI)-diagnosed peroneal tendon pathology is unknown. Previous studies have correlated surgical findings with clinical data and preoperative MRI, but there are no published studies that reference clinical examination findings to imaging findings. Purpose. To determine the relationship between peroneal tendon pathology as diagnosed by MRI and clinical findings of peroneal tendon pathology. Methods. Fifty-six patients who had both MRI evidence of peroneal tendon pathology and an associated clinical examination of the ankle were evaluated over a 3-year period at a tertiary care institution. Clinical examination criteria included lateral ankle tenderness, dislocation/snapping, and lateral ankle pain. A board-certified, fellowship-trained musculoskeletal radiologist confirmed the presence of MRI findings consistent with peroneal tendon pathology. Results. Of the 56 patients with positive findings on MRI, 27 patients had an associated positive clinical exam and 29 patients had a negative clinical exam. The positive predictive value of MRI for peroneal tendon tears with positive clinical findings was 48% (95% confidence interval = 35% to 61%). Conclusion. Patients with MRI findings of peroneal tendon pathology should undergo careful clinical examination, as the positive predictive value of MRI for peroneal tendon pathology with actual clinical findings is low. This study demonstrates that peroneal tendon tears are often incidental findings on MRI.Levels of Evidence: Diagnostic, Level III
AB - Background. The proportion of patients with clinical findings referable to peroneal pathology and magnetic resonance imaging (MRI)-diagnosed peroneal tendon pathology is unknown. Previous studies have correlated surgical findings with clinical data and preoperative MRI, but there are no published studies that reference clinical examination findings to imaging findings. Purpose. To determine the relationship between peroneal tendon pathology as diagnosed by MRI and clinical findings of peroneal tendon pathology. Methods. Fifty-six patients who had both MRI evidence of peroneal tendon pathology and an associated clinical examination of the ankle were evaluated over a 3-year period at a tertiary care institution. Clinical examination criteria included lateral ankle tenderness, dislocation/snapping, and lateral ankle pain. A board-certified, fellowship-trained musculoskeletal radiologist confirmed the presence of MRI findings consistent with peroneal tendon pathology. Results. Of the 56 patients with positive findings on MRI, 27 patients had an associated positive clinical exam and 29 patients had a negative clinical exam. The positive predictive value of MRI for peroneal tendon tears with positive clinical findings was 48% (95% confidence interval = 35% to 61%). Conclusion. Patients with MRI findings of peroneal tendon pathology should undergo careful clinical examination, as the positive predictive value of MRI for peroneal tendon pathology with actual clinical findings is low. This study demonstrates that peroneal tendon tears are often incidental findings on MRI.Levels of Evidence: Diagnostic, Level III
KW - clinical examination
KW - MRI
KW - peroneal tendon tears
UR - http://www.scopus.com/inward/record.url?scp=84887595902&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84887595902&partnerID=8YFLogxK
U2 - 10.1177/1938640013501544
DO - 10.1177/1938640013501544
M3 - Article
C2 - 23966263
AN - SCOPUS:84887595902
VL - 6
SP - 417
EP - 421
JO - Foot and Ankle Specialist
JF - Foot and Ankle Specialist
SN - 1938-6400
IS - 6
ER -