What is the reason for the pain in the peroneus brevis muscle

The pain of the peroneus brevis muscle occurs in our ankle joints. Because our ankle joints are very fragile during exercise, if we do not do warm-up exercises before exercise, our ankle joints may be injured due to excessive force. At this time, there may be no fracture, but it will cause pain in our peroneus brevis muscle. So what is the reason for the pain of the peroneus brevis muscle?

Acute peroneal tendon dislocations are often caused by sports injuries, most commonly when the tip of a ski is stuck in the snow while skiing, causing extreme plantar flexion and inversion of the foot. The peroneal retinaculum relaxes, forming tenosynovitis, and the peroneus longus tendon squeezes the peroneus brevis tendon against the edge of the fibular cartilage, causing longitudinal tearing. Complete fractures are rarely seen in long-term observations. Patients with a flat or convex posterior peroneal groove are more susceptible to tendon dislocation.

What is peroneus brevis pain?

The treatment of acute peroneal tendon dislocation is controversial. One treatment is to cast the ankle in plantar flexion for 6 weeks without weight bearing. It can be effectively treated for 50% of patients. Supporters say it saves patients from unnecessary surgery. However, surgical treatment of acute peroneal tendon dislocation is 95% effective and can effectively prevent recurrence. Surgery for acute dislocations is simpler than surgery for chronic dislocations. Contraindications to surgery include severe systemic disease or peripheral vascular disease. Chronic peroneal tendon subluxation and dislocation should be treated surgically if symptoms occur

Peroneal tendon tenosynovitis should be treated conservatively initially: nonsteroidal anti-inflammatory drugs, local immobilization, and shoe changes. The outer edge of the heel bone can be raised inside the shoe to reduce pain. If patient compliance is poor, debridement surgery for tenosynovitis may be considered

Impingement caused by bone malunion can be treated with tendon decompression surgery and resection of the bone causing the impingement. Acute POPS should be treated with immobilization. Chronic patients with symptoms for more than one month can undergo surgical treatment to remove the peroneal sesamoid bone and repair the peroneus longus tendon. If the tendon retracts after rupture, it can be sutured back to the peroneus brevis tendon. If the trochlear process is enlarged, it can be cut

Precautions

The patient had his stitches removed, underwent a follow-up examination, and had his short-leg cast replaced 14 days after the operation. No weight bearing on the affected limb should be allowed for 4 to 6 weeks. Then move with a joint range of motion limiter. And perform joint mobility exercises. Peroneal tendon strengthening exercises begin at 8 weeks, and normal activities can be resumed after 3 months. Sports activities start in April to June