Successful treatment of a painful os peroneum using conservative measures, infiltration therapy, and shock waves

J Surg Case Rep. 2023 Dec 6;2023(12):rjad645. doi: 10.1093/jscr/rjad645. eCollection 2023 Dec.

Abstract

Lateroplantar foot pain may be caused by various entities, whereby painful os peroneum syndrome should be included in the differential diagnosis. Physical examination and multimodal imaging enable a definitive diagnosis. We report on a 59-year-old man with severe, load-dependent pain, corresponding to an os peroneum syndrome, triggered by a pes planovalgus with consecutively induced focal inflammation and tendovaginitis of the tendon of the peroneus longus muscle. Multifactorial conservative measures including infiltration and shockwave therapy finally led to a restoration of the original condition.

Keywords: accessory tarsal bones; infiltration therapy; lateral foot pain; os peroneum; painful os peroneum syndrome; shockwave therapy.

Publication types

  • Case Reports