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The Schilling tendon procedure is a temporary surgical procedure developed by the former Boston Red Sox team physician William Morgan, MD, to stabilize the peroneus brevis tendon so that it is prevented from anterior displacement during ankle eversion. [1] If the peroneal retinaculum is torn, the
The fibularis brevis (bottom-most label) is a muscle of the lower leg and aids in plantar flexion and eversion of the foot. The fibularis brevis arises from the lower two-thirds of the lateral, or outward, surface of the fibula (inward in relation to the fibularis longus) and from the connective tissue between it and the muscles on the front and back of the leg.
The Evans technique is a surgical procedure to treat the mechanical instability of the lateral ankle ligaments. [1] [2]In the Evans procedure, [3] the peroneus brevis muscle is separated from its musculotendinous compound and its proximal end is sutured to the peroneus longus.
The fibular retinacula (also known as peroneal retinacula) are fibrous retaining bands that bind down the tendons of the fibularis longus and fibularis brevis muscles as they run across the side of the ankle. (Retinaculum is Latin for "retainer.") These bands consist of the superior fibular retinaculum and the inferior fibular retinaculum.
The fibularis muscles are highly variable. Several variants are occasionally present, including the peroneus digiti minimi and the peroneus quartus. [2] The quartus is more closely associated with the tendons of the extensor digitorum longus and may send a small tendon to the fifth (or little) toe.
The muscle originates from the forepart of the upper and lateral surface of the calcaneus (in front of the groove for the peroneus brevis tendon), from the interosseous talocalcaneal ligament and the stem of the inferior extensor retinaculum. The fibres pass obliquely forwards and medially across the dorsum of the foot and end in four tendons.
The diaphyseal bone (zone II), where the fracture occurs, is an area of potentially poor blood supply, existing in a watershed area between two blood supplies. This may compromise healing. In addition, there are various tendons, including the fibularis brevis and fibularis tertius, and two small muscles attached to the bone.
The inferior extensor retinaculum of the foot (cruciate crural ligament, lower part of anterior annular ligament) is a Y-shaped band placed in front of the ankle-joint, the stem of the Y being attached laterally to the upper surface of the calcaneus, in front of the depression for the interosseous talocalcaneal ligament; it is directed medialward as a double layer, one lamina passing in front ...