Tear of peroneus longus in long distance runners due to enlarged peroneal tubercle

Background: Tear of the Peroneus longus in association with a prominent peroneal tubercle is rare. Case presentation: Recently we treated two long distance runners who developed lateral ankle pain. Maximum tenderness was located over the lateral surface of the heel in the area of the peroneal tendons. Imaging disclosed a tear of the peroneus longus at the area of the peroneal tubercle. Conclusion: Following resection of the peroneal tubercle and repair of the peroneus longus, both patients regained full activity with no pain. This report describes the clinical presentation and surgical management of this rare injury.