Peroneus Quartus Muscle: A Case Report and Review of the Literature

Abstract

The peroneus quartus is a supernumerary muscle of the lateral compartment of the lower leg. There are several variations of this accessory muscle, and its terminology is very confusing.

The peroneus quartus is found with a frequency varying from 10 to 21.7% of observed individuals. ^4,17 It is rarely involved in pathologic processes of the foot and ankle. Only a few reports exist in the literature involving peroneus quartus in a “retromalleolar conflict” (lateral ankle stenosis ¹⁷ ), sometimes in association with longitudinal attrition and tears of the peroneus brevis. We present a novel case, together with a review of the clinical, anatomic, and radiologic references about this muscle, and we try to make order in classification and terminology of its different forms.