1. Risk kinds of sport:
Sportsman with rotation loads (tennis, Squash, dance). Favouring an unstable jump joint works2. Anatomy:
The Peroneal muscles rises in different height outside at the fibula and their tendons runs around the external ankle. The tendon of the short Musculus peroneus ends to 5. Central foot bone, while the tendon of the Musculus pulls peroneus longus under the sole and sets there on the internal central foot bone.3. Function:
Both muscles work in the sense of a downward movement in the jump joint and prevent to sprain one's foot outward, by lifting the outer edge of the foot.4. Injury mechanism:
With distorsions of ankles / or supination traumata can tear the tendon, which holds both chords behind the external ankle. Thus the chords can slide during load forward over the external ankle.5. Symptoms:
- Pain with movement (in particular the outer edge elevation of the foot) and in the process of the chords behind the external ankle- Snatching the tendons over the external ankle
- with acute injury: Swelling and effusion of blood
6. First measures:
- Completion of the sporty activity- Cooling in the hurting place concerned
7. Diagnostics:
- orthopedic investigation- Ultrasonic
- Nuclear spin tomography
8. Therapy: (Caution, frequently lengthily!!!)
a) Conservative therapy- Immobilizing the foot in a stable shoe/a gypsum rail/a TAP federation
b) Operational therapy (with repeated Luxation)
- Seam of the ruptured tendon or plastic reconstruction of the tendon
9. Physiotherapy / rehablitation:
- Electrical therapy against swelling and pain- exercices to stabilize the leg axis