Although congenital anomalies of the peroneal muscles have been well documented from anatomical studies, only a single clinically symptomatic case has been previously reported. In the present report, a previously unreported variation of the peroneus brevis, a bifid peroneus brevis, is described. This variation contributed to chronic subluxation of the peroneal tendons. Diagnosis was made at the time of operation, and resection of the duplicated tendon and reinforcement of the peroneal retinaculum relieved the symptoms of the patient.
Get full access to this article
View all access options for this article.
References
1.
ArrowsmithS. R.FlemingL. L.AllmanF. L.: Traumatic dislocations of the peroneal tendons. Am. J. Sports Med., 11: 142–146, 1983.
2.
BonninJ. G.: Injuries of the Ankle. Darien, Conn., Hafner Publishing Co., 1970, p. 302.
3.
EdwardsM. E.: The relations of the peroneal tendons to the fibula, calcaneus and cuboideum. Am. J. Anat., 42: 213–253, 1928.
4.
EscalasF.FiguerasJ. M.MarinoJ. A.: Dislocations of the peroneal tendons. J. Bone Joint Surg., 62A: 451–453, 1980.
5.
HeckerP.: Etude sur le peronier du tarse, Arch. Anat. Histol, Embriol., 3:331, 1923.
6.
HenieJ.: Handbuch der Muskellehre des Menschen, I, Bd. III. Berlin, Abt Braunschweig, 1871, p. 298.
7.
LeDoubleA. F.: Traits des Variations du Systeme Musculaire de I Homme et de leur significance au Point de Vue de I Anthropologie et Zoologique, Vol. II. Paris, Schlacher Freres, 1897, pp. 327–360, 374–397, n. 402–408, 413–421, 425–427.
8.
MartensM. A.NoyeszJ. F.MulierJ. C.: Recurrent dislocation of the peroneal tendons. Results of rerouting the tendons under the calcaneofibular ligament. Am. J. Sports Med., 14: 148–150, 1986.
9.
MartiR.: Dislocation of the peroneal tendons. Am. J. Sports Med., 5: 19–22, 1977.
10.
MilfordL.: The Hand. InCampbell's Operative Orthopaedics, 7th. Ed., CrenshawA. H. (ed.). St. Louis, CV. Mosby, 1987, p. 462.
SammarcoG. J.: Peroneus brevis tears and repairs. Presented at Fourth Annual Summer Meeting, American Orthopaedic Foot and Ankle Society, July 24, 1988; St. Paul, MN.
13.
SarmientoA.WolfeM.: Subluxation of peroneal tendons. J. Bone Joint Surg., 57A: 115–116, 1975.
14.
SarrafianS. K.: Anatomy of the Foot and Ankle: Descriptive, Topographic, Functional. Philadelphia, Lippincott, 1983, pp. 214–216.
15.
SavastanoA. A.: Recurrent dislocation of the peroneal tendons. InThe Foot and Ankle, BatemanJ. E.TrottA. W. (eds.). New York, Thieme-Stratton, Inc., 1980, pp. 110–115.
16.
SchellerA. D.KasserJ. R.QuigleyT. B.: Tendon injuries about the ankle. Orthop. Clin. North Am., 11:801, 1980.
17.
WhiteA. A.JohnsonD.GriswoldD. M.: Chronic ankle pain associated with the peroneus accessorius. Clin. Orthop., 103: 53–55, 1974.
