Foot-Ankle
Peroneal Tendon Subluxation

Peroneal tendon subluxation occurs when one or both peroneal tendons slip out of their normal position behind the outer ankle bone. It may develop after an ankle injury that damages the tissue responsible for holding the tendons in place.

  • Snapping behind the outer ankle bone
  • Pain on the outside of the ankle
  • Swelling
  • Ankle weakness
  • Feeling of tendon movement
  • Ankle instability
  • Tenderness behind the ankle
  • Difficulty with cutting or pivoting
  • Snapping sensation outside the ankle
  • Feeling that a tendon moves over the ankle bone
  • Sharp pain during ankle movement
  • Ankle feels unstable or unreliable
  • Pain during running or cutting
  • Weakness when pushing the foot outward
  • Repeated popping with activity
  • Forceful ankle twisting
  • Sports involving rapid direction changes
  • Skiing injuries
  • Ankle sprain
  • Sudden contraction of the peroneal muscles
  • Damage to the tendon restraint
  • Repetitive ankle instability
  • Previous lateral ankle injury
  • Notice whether snapping occurs behind the outer ankle
  • Check whether the ankle feels unstable
  • Look for swelling or tenderness
  • Notice whether symptoms occur during ankle movement
  • Do not repeatedly provoke the snapping
  • Do not attempt to push the tendon into place

Educational only — not a medical diagnosis.

  1. 1Stop running and sports activity
  2. 2Apply wrapped ice
  3. 3Support and elevate the ankle
  4. 4Avoid movements that produce snapping
  5. 5Seek evaluation from a foot and ankle specialist
  6. 6Use a boot or brace only as directed
  7. 7Do not attempt to relocate the tendon
  • Visible deformity
  • Inability to bear weight
  • Severe pain after trauma
  • Cold, pale, or numb foot
  • Persistent tendon displacement
  • Major ankle weakness
  • Rapidly increasing swelling
  • Open wound near the ankle
  • Immobilization may help some new injuries
  • Persistent instability may require surgery
  • Follow weight-bearing restrictions
  • Complete ankle-strengthening rehabilitation
  • Restore balance before returning to sports
  • Avoid cutting movements until cleared
  • Repeated snapping should be evaluated

For educational purposes only. Not a substitute for medical advice.

Tracks symptoms over time (not a diagnosis).