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Updated: May 20, 2025
The tuberculous granulation tissue is liable to break down and lead to the formation of a cold abscess and sinuses, and in our experience is often associated with disease in an adjacent bone or joint. In the peronei tendons, for example, it may result from disease of the fibula or of the ankle-joint.
It also occurs as a result of excessive piano-playing, fencing, or rowing. At the ankle it affects the peronei, the extensor digitorum longus, or the tibialis anterior. It is most often met with in relation to the tendo-calcaneus Achillo-dynia and results from the pressure of ill-fitting boots or from the excessive use and strain of the tendon in cycling, walking, or dancing.
In the sheath of the peronei or other tendons about the ankle, the swelling is sausage-shaped, and is constricted opposite the annular ligament. The onset and progress of the affection are most insidious, and the condition may remain stationary for long periods. It is aggravated by use or strain of the tendons involved.
This injury is met with chiefly in the tendons at the ankle and in the long tendon of the biceps. Dislocation of the peronei tendons may occur, for example, from a violent twist of the foot.
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