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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 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.
Peroneus tertius; Deep fibular (peroneal) nerve and anterior tibial vessels: Lateral compartment: Fibularis longus; Fibularis brevis; Superficial fibular (peroneal) nerve and fibular artery: Deep posterior compartment: Tibialis posterior; Flexor hallucis longus; Flexor digitorum longus; Popliteus
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 accessory deep peroneal nerve is an anomalous nerve in which the nerve splits off from the common peroneal nerve and sometimes innervates the extensor digitorum brevis muscle. By itself, the condition is harmless but in conjunction with other neurological and structural defects in the area, can make the condition more difficult. [ 1 ]
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.
Two muscles on the lateral side of the leg form the fibular (peroneal) group. The fibularis (peroneus) longus and fibularis (peroneus) brevis both have their origins on the fibula, and they both pass behind the lateral malleolus where their tendons pass under the fibular retinacula.