Does peroneal tendinosis predispose to lateral ankle sprain?

In recent years there has been a mountain of information published, mostly in the lay press, suggesting that there is a "better way" to footstrike during running, and that "better way" is forefoot striking.

However, science is science, and after a while, the research kicked in and showed what most people who understood running biomechanics already knew...

that there is no one best way to run, that load cannot be created or destroyed, only moved, and that changing the way one runs, a learned and fairly hardwired neuromotor pattern is not only difficult but fraught with danger for an athlete who is NOT injured.

A painful episode in the region of the peroneal tendons, within the retromalleolar groove, is a common precipitating event of an acute lateral ankle sprain, and as this new paper shows, footstrike pattern plays a role as well.

Peroneal tendinosis as a predisposing factor for the acute lateral ankle sprain in runners
Ziai, P., Benca, E., Wenzel, F., Windhager, R., Buchhorn, T.
2016 Knee Surgery, Sports Traumatology, Arthroscopy 24(4), pp. 1175-1179

It took a look at the effect of forefoot running on the peroneal tendons and in turn how this might affect lateral ankle sprain.

Simon Bartold
Director of Bartold Clinical