Download PDF
CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2025; 35(01): 188-191
DOI: 10.1055/s-0044-1789190
Case Report

Painful Os Peroneum Syndrome Secondary to Hydroxyapatite Deposition Disease

Shashank Chapala
1   Department of Radiology, Asian Institute of Gastroenterology Hospitals, Hyderabad, Telangana, India
,
Vijay Ram Kumar Papineni 
2   Department of Radiology, Sheikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates
,
Asad Rabbani Shah
2   Department of Radiology, Sheikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates
,
Moez Ballal
3   Department of Orthopaedics, Sheikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates
,
Karthikeyan P. Iyengar 
4   Department of Orthopedics, Southport and Ormskirk Hospital, Southport, Mersey and West Lancashire Teaching Hospitals NHS Trust, United Kingdom
,
Rajesh Botchu
5   Department of Musculoskeletal Radiology, The Royal Orthopaedic Hospital, Birmingham, United Kingdom
› Author Affiliations Funding None.
› Further Information
Also available at
   Permissions and Reprints

Abstract

Painful os peroneum syndrome (POPS) is one of the uncommon causes of lateral foot pain in orthopaedic practice. POPS encompasses a spectrum of pathologies such as an acute or a chronic fracture, peroneus longus tenosynovitis, and attrition or partial rupture of the peroneus longus tendon. Herein, we reported the first case of POPS secondary to hydroxyapatite deposition disease in a 32-year-old female patient. The clinical presentation, the role of radiological interventions, particularly ultrasound-guided barbotage in its diagnosis and effective management, is highlighted.

Keywords

foot pain - calcification - hydroxyapatites - radiology - ultrasound - barbotage

Patient Consent

Informed consent of the patient was obtained for inclusion in the study.




Publication History

Article published online:
14 August 2024

© 2024. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Shah A, Iyengar KP, Hegde G, Ramos J, Botchu R. Calcific enthesopathy of the superior extensor retinaculum - an unusual cause of medial ankle pain. J Ultrason 2022; 22 (91) e236-e239
    CrossrefPubMedSearch in Google Scholar
  • 2 Win K, Gillett M, Botchu R, Suokas A, Seth A, James S. Asymptomatic professional footballers: prevalence of ankle retinacula injury with associated lateral ligament and tendon abnormalities. Muscles Ligaments Tendons J 2020; 10: 499-507
    CrossrefSearch in Google Scholar
  • 3 Bianchi S, Becciolini M. Ultrasound features of ankle retinacula: normal appearance and pathologic findings. J Ultrasound Med 2019; 38 (12) 3321-3334
    CrossrefPubMedSearch in Google Scholar
  • 4 Sconfienza LM, Orlandi D, Lacelli F, Serafini G, Silvestri E. Dynamic high-resolution US of ankle and midfoot ligaments: normal anatomic structure and imaging technique. Radiographics 2015; 35 (01) 164-178
    CrossrefPubMedSearch in Google Scholar
  • 5 McLoughlin E, Iqbal A, Tillman RM, James SL, Botchu R. Calcific tendinopathy of the direct head of rectus femoris: a rare cause of groin pain treated with ultrasound guided percutaneous irrigation. J Ultrasound 2020; 23 (03) 425-430
    CrossrefPubMedSearch in Google Scholar
  • 6 Iyengar KP, Yusta-Zato JA. R B. Calcific tendinopathy of the pronator quadratus muscle: a rare site and cause of ulnar sided wrist pain. J Clin Orthop Trauma 2022; 32: 101968
    CrossrefPubMedSearch in Google Scholar
  • 7 Uhthoff HK, Loehr JW. Calcific tendinopathy of the rotator cuff: pathogenesis, diagnosis, and management. J Am Acad Orthop Surg 1997; 5 (04) 183-191
    CrossrefPubMedSearch in Google Scholar
  • 8 Bianchi S, Becciolini M. Ultrasound appearance of the migration of tendon calcifications. J Ultrasound Med 2019; 38 (09) 2493-2506
    CrossrefPubMedSearch in Google Scholar
  • 9 Ahuja A, Lawande M, Daftary AR. Role of radiographs and ultrasound in diagnosing calcific tendinitis and periarthritis in the wrist and hand with ultrasound-guided barbotage as management tool. Indian J Radiol Imaging 2021; 31 (03) 605-610
    Thieme ConnectPubMedSearch in Google Scholar
  • 10 Tafti D, Byerly DW. Ultrasound-Guided Barbotage. Treasure Island, FL: StatPearls Publishing; 2023
    Search in Google Scholar
  • 11 White R, Croft M, Bird S, Sampson M. Ultrasonography-guided common musculoskeletal interventions from head to toe: procedural tips for general radiologists. Korean J Radiol 2021; 22 (12) 2006-2016
    CrossrefPubMedSearch in Google Scholar
  • 12 Shah A, Mak D, Davies AM, James SL, Botchu R. Musculoskeletal corticosteroid administration: current concepts. Can Assoc Radiol J 2019; 70 (01) 29-36
    CrossrefPubMedSearch in Google Scholar
  • 13 McCarthy CL, McNally EG. Interventional musculoskeletal ultrasound. In: Allan PL, Baxter GM, Weston MJ. eds. Clinical Ultrasound. 3rd ed.. Edinburgh: Churchill Livingstone; 2011: 1168-1193
    Search in Google Scholar
  • 14 Papineni VRK, Ballal M, Iyengar KP, Botchu R. Hydroxyapatite deposition disease (HADD) of the spring ligament: an unusual cause of medial foot pain. J Ultrasound 2023; 26 (04) 923-928
    CrossrefPubMedSearch in Google Scholar
  • 15 Gokhan C, Maheshwari S, Nagraj H, Vrizidou S, Tharmalingam T. Complication of barbotage, acute calcific bursitis treated successfully. J Radiol Case Rep 2023; 17 (08) 1-7
    CrossrefPubMedSearch in Google Scholar