Type of Article: Original Research
Year: 2016 | Volume 4 | Issue 2 | Page No. 2454-2458
Date of Publication: 30-06-2016
DOI: http://dx.doi.org/10.16965/ijar.2016.237
AN ADAPTATIONAL CHANGE OF EVOLUTIONARY SIGNIFICANCE IN PERONEAL TENDONS: AN ANOMALOUS PERONEUS QUARTUS AND A PROXIMALLY MIGRATED PERONEUS BREVIS TENDON
Sheela Grace 1, Preethi Ramya T 2, Anjana TSR *3.
1 Professor and Head, Department of Anatomy, Karpagam Institute of Medical Sciences and Research, Coimbatore, Tamilnadu, India.
2 Associate Professor, Department of Anatomy, Govt. Kilpauk Medical College, Kilpauk, Chennai, Tamilnadu, India.
*3 Assistant Professor, Department of Anatomy, Govt. Kilpauk Medical College, Kilpauk, Chennai, Tamilnadu, India.
Address: Dr. Anjana TSR, Assistant Professor, Department of Anatomy, Govt Kilpauk Medical College,
Kilpauk, Chennai-600010, Tamilnadu, India.
E-Mail: tsranjana@gmail.com
ABSTRACT
Background: Peroneus quartus is an accessory peroneal muscle, which can be a cause of chronic lateral ankle pain in people subjected to long term high plantar flexion. An anomalous peroneus quartus can be mistaken for split tear of the peroneal tendons.
Materials and methods: The following study was conducted in 64 lower limb specimens at the Department of Anatomy. The fibular compartment muscles were analysed for an accessary peroneal muscle.
Results: Out of 64 lowerlimb specimens, there was a variation found in the fibular compartment of one male cadaver. The peroneus brevis ended shortly at the peroneal tubercle. There was an accessory peroneus quartus muscle which had an unusual course and insertion.
Conclusion: The variation observed underlies an evolutionary adaptational change in peroneus brevis and peroneus quartus muscle. The orthopedic surgeons should bear in mind the presence of peroneus quartus and its anomalous course in patients presenting with chronic lateral ankle pain.
Key Words: Peroneus Quartus, Peroneus Brevis, Anomalous, Accessory, Evolution.
REFERENCES
-
Sergio Ricardo Rios Nascimento, Costa rw, Ruiz ,Wafae N.analysis on the incidence of the fibularis quartus muscle using magnetic resonance imaging. Anatomy research international. 2012;12(6).
-
Bergman RA, Afifi AK and Miyauchi R. Peroneus Quartus(Otto), Illustrated Encyclopaedia of Human Anatomic Variation. 2009. http://www.anatomyatlases.org/Anatomic Variants.
-
Hecker P. Study of the peroneus on the tarsus. Anat Rec. 1923;26:79-82.
-
Xingbo Sun, Francesca Castellucci, Tara Harrington, Erica Benson, Bryan Katz and Kevin Miller. A closer look at the recent literature on peroneus quartus. Podiatry today.2015.28(7).
-
Zammit J, Singh D. The peroneus quartus muscle. J Bone Joint Surg. 2003; 85(8):1134-137.
-
Trono M, Tueche S, Quintart C, Libotte M, Baillon JM. Peroneus quartus muscle: a case report and review of the literature. Foot Ankle Int. 1999;20(10):659-62.
-
Biligili M, Kaynak G, Botanhoglu H, Basaran S, Ercin E, Baca E, Uzun I. Peroneus quartus: prevalence and clinical importance. Arch Orthop Trauma Surg. 2014;134(4):481-487.
-
Buschmann WR, Cheung YC, Jahss MH. Magnetic resonance imaging of anomalous leg muscles: accessory soleus, peroneus quartus and flexor digitorum longus accessorius. Foot Ankle 1991;12:109–116. 8. Chaney DM, Lee MS, Khan MA, Krueger WA, Mandracchia VJ, Yoho RM. Study of ten anatomic variants of the foot and ankle. J Am Podiatr Med Assoc 1996;86:532-537.
-
Cheung YY, Rosenberg ZS, Ramsinghani R, Beltran J, Jahss MH. Peroneus quartus muscle: MR imaging features. Radiology. 1997;202(3):745-50.
-
Ozunur A, Arik A, Alanay A. Peroneus quartus muscle as a rare cause of the chronic lateral ankle pain. Foot Ankle Surg. 2002;8(2):227-230.
-
Sarrafian SK, Kelikian AS. Retaining systems and compartments. In: Kelikian AS (ed.) Sarrafian’s Anatomy of the Foot and Ankle, Third Edition. Lippincott Williams & Wilkins, Philadelphia, 2011, p. 131.
-
Wachter S,Beekman S.Peroneus quartus : A case report.J Am Podiatry Assoc. 1983;73:523-4
-
Lepow GM,Korfin DH.Calcification of an accessory peroneal tendon in an athlete :A case presentation.J Am Podiatry Assoc. 1985;75:323-5.
-
Sammarco GJ, Brainard JB. A symptomatic anomalous peroneus brevis in a high jumper. J Bone Joint Surg. 1991;73-A:131-3.
-
White AA 3rd, Johnson D, Griswold DM. Chronic ankle pain associated with peroneus accessories. Clin Orthop 1974;103:53-5.
-
Hammerschlag WA, Goldner JL.Chronic Peroneal Subluxation produced by an anomalous peroneus brevis: case report and literature review.Foot ankle 1989;10:45-7.
-
Sayeed Y, Jonathan T. Finnoff, Pawlina W, Smith J. Atypical Anomalous Peroneal ( Fibularis) Tendon: Potential Pitfall in Musculoskeletal Ultrasonography. Journal of Ultrasound in Medicine. 2011;30(5): 710-713.
-
Sobel M, Levy ME, Bohne WHO. Congenital variations of the peroneus quartus muscle: An anatomic study. Foot Ankle Int. 1990;11(2):81-89.
-
Chepuri NB, Jacobson JA, Fessell DP, Hayes CW. Sonographic appearance of the peroneus quartus muscle: correlation with MR imaging appearance in seven patients. Radiology 2001;218:415-419.
-
Samaras D, Kingsford A. Peroneus brevis rupture associated with a hypertrophic peroneal tubercle: a case report and literature review. J Foot Ankle Res. 2013;6(Suppl 1):14-17.
-
Mick C A,Lynch F. Reconstruction of the peroneal retinaculum using peroneus quartus:A case report.J Bone Joint surg.1987;69-A:296-7.
Sheela Grace, Preethi Ramya T, Anjana TSR. AN ADAPTATIONAL CHANGE OF EVOLUTIONARY SIGNIFICANCE IN PERONEAL TENDONS: AN ANOMALOUS PERONEUS QUARTUS AND A PROXIMALLY MIGRATED PERONEUS BREVIS TENDON. Int J Anat Res 2016;4(2):2454-2458. DOI: 10.16965/ijar.2016.237