Peroneal Tendinopathy: Difference between revisions
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== Clinically Relevant Anatomy == | == Clinically Relevant Anatomy == | ||
The peroneus longus and peroneus brevis muscles reside in the lateral compartment of the lower leg and are innervated by the superficial peroneal nerve. The m. peroneus longus arises from the head and proximal two-thirds of the lateral surface of the body of the fibula and the origine of the peroneus brevis is located on the distal two-thirds of the lateral surface of the body of the fibula, medial to the Peroneus longus | The peroneus longus and peroneus brevis muscles reside in the lateral compartment of the lower leg and are innervated by the superficial peroneal nerve. The m. peroneus longus arises from the head and proximal two-thirds of the lateral surface of the body of the fibula and the origine of the peroneus brevis is located on the distal two-thirds of the lateral surface of the body of the fibula, medial to the Peroneus longus. The peroneus longus tendon turns medially between the cuboid groove and the long plantar ligament and inserts onto the plantar surface of the base of the first metatarsal and the lateral aspect of the medial cuneiforms. The peroneus brevis tendon continues directly to its insertion onto the tuberosity of the fifth metatarsal.<ref name="heckman">Heckman DS, Gluck GS, Parekh SG. Tendon Disorders of the Foot and Ankle, Part 1: Peroneal Tendon Disorders. Am J Sports Med. 2009;37:614-625.</ref> The actions of the peroneus longus and brevis are plantarflexion and eversion. | ||
== Epidemiology /Etiology == | == Epidemiology /Etiology == |
Revision as of 11:44, 31 December 2010
Original Editors - Jacobs Pieter
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Definition/Description[edit | edit source]
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Clinically Relevant Anatomy[edit | edit source]
The peroneus longus and peroneus brevis muscles reside in the lateral compartment of the lower leg and are innervated by the superficial peroneal nerve. The m. peroneus longus arises from the head and proximal two-thirds of the lateral surface of the body of the fibula and the origine of the peroneus brevis is located on the distal two-thirds of the lateral surface of the body of the fibula, medial to the Peroneus longus. The peroneus longus tendon turns medially between the cuboid groove and the long plantar ligament and inserts onto the plantar surface of the base of the first metatarsal and the lateral aspect of the medial cuneiforms. The peroneus brevis tendon continues directly to its insertion onto the tuberosity of the fifth metatarsal.[1] The actions of the peroneus longus and brevis are plantarflexion and eversion.
Epidemiology /Etiology[edit | edit source]
Peroneal tendonitis is common in running athletes, young dancers, ice skaters and sports requiring frequent change of direction or jumping such as basketball.[1][2] Contributional factors to the development of peroneal tendonitis are tight calf muscles, inappropriate training, poor foot biomechanics such as overpronation of the foot or excess eversion of the foot, inappropriate footwear and muscle weakness of the m. peroneus longus.[2] Other causes include severe ankle sprains, fractures of the ankle or calcaneus, and peroneal tubercle hypertrophy.[1]
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