IJAR.2017.445

Type of Article:  Original Research

Volume 5; Issue 4.3 (December 2017)

Page No.: 4691-4694

DOI: https://dx.doi.org/10.16965/ijar.2017.445

PERONEUS QUARTUS MUSCLE: ITS INCIDENCE AND CLINICAL IMPORTANCE

Amal Yousif Ahmed Elhag Mustafa *, Wardah Abdullah Mohammed, Alasmari, Abdullah Glil Alkushi, Ashraf Mohamed Elsayed Ali Sakran.

Department of Human Anatomy, Faculty of Medicine, Umm al Qura University, Makka, Saudi Arabia.

Address for Correspondence: Dr. Amal Yousif Ahmed Elhag Mustafa, Department of Human Anatomy, Faculty of Medicine, Umm al Qura University, Makkaha, Saudi Arabia. E-Mail: amaalahmed50@yahoo.com

ABSTRACT

Introduction and objectives: Muscular variations in the lower limb are very common. They have been described by many authors when performing cadaveric dissections and when using the different imaging techniques.

Materials and Methods: Twenty lower limbs of adult cadavers, were dissected. Lower limbs deformed by trauma, malformations and scars were excluded. The compartment was examined for the presence of an accessory muscle. If this is present, the dissection was extended and the site of its origin and insertion and passage in the retromalleolar groove was noted.

Result: A peroneus quartus was present in 4(20%) of the 20 legs. Two different area of origins and insertions. Two of them arose from the peroneus brevis muscle,and the other two from the distal fibula .three of the muscles were inserted into the retrotrochlear eminence of the calcaneum, the remaining one was inserted into the base of the first metatarsal bone.

Conclusions: This study will supplement our knowledge on the possible variations of the muscles in this region, which would be useful for lower limbs surgeons.

KEY WORDS: Peroneus Quartus, Anomalous, Variations.Introduction.

REFERENCES

  1. Hecker P. Study of the peroneus of the tarsus. Anat Rec 1923;26:79-82.
  2. Sobel M, Levy ME, Bohne WH. Congenital variations of the peroneus quartus muscle: an anatomic study. Foot Ankle 1990;11:81
  3. Sarrafian SK. In: Sarrafian’s Anatomy of the Foot and Ankle: Descriptive, Topographic, Functional, ed 3, pp. 240–245, edited by AS Kelikian, Lippincott, Williams & Wilkins, Philadelphia, 2011.
  4. 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;20:659–662.
  5. Wachter S, Beekman S. Peroneus quartus: a case report. J Am Podiatr Med Assoc 1983;73:523–524.
  6. Athavale SA, Gupta V, Kotgirwar S, Singh V. The peroneus quartus muscle: clinical correlation with evolutionary importance. Anat Sci Int. 2012;87:106–110.
  7. Bejjani FJ, Jahss MH. Le Double’s study of muscle variations of the human body part I: muscle variations of the leg. Foot Ankle 1985;6:111–134.
  8. Wood J. Variations in human myology observed during the winter session of 1867– 1868 at King’s College, London. Proc R Soc London 1868;16:483–525.
  9. Macalister A. On muscular anomalies in human anatomy, and their bearing upon homotypical myology. Proc R Irish Acad. 1866-1869;10:121–164.
  10. Sobel M, Levy ME, Bohne WH. Congenital variations of the peroneus quartus muscle: an anatomic study. Foot Ankle 1990;11:81–89.
  11. Saupe N, Mengiardi B, Pfirrmann CW, Vienne P, Seifert B, Zanetti M. Anatomic variants associated with peroneal tendon disorders: MR imaging findings in volunteers with asymptomatic ankles. Radiology 2007;242:509–517.
  12. Cheung YY, Rosenberg ZS, Ramsinghani R, Beltran J, Jahss MH. Peroneus quartus muscle: MR imaging features. Radiology 1997;202:745–750.
  13. Gumusalan Y, Ozbag D. A variation of fibularis quartus muscle: musculus fibulocalcaneus externum. Clin Anat 2007;20:998–999.
  14. Zammit J, Singh D. The peroneus quartus muscle: anatomy and clinical relevance. J Bone Joint Surg 2003;85:1134–1137.
  15. White AA III, Johnson D, Griswold DM. Chronic ankle pain associated with the peroneus accessorius. Clin Orthop Relat Res 1974;103:53–55.
  16. Regan TP, Hughston JC. Chronic ankle “sprain” secondary to anomalous peroneal tendon: a case report. Clin Orthop Relat Res 1977;123:52–54.
  17. Tubbs RS, May WR, Shoja MM, Loukas M, Salter EG, Oakes WJ. Peroneotalocalcaneus muscle. Anat Sci Int 2008;83:280–282.
  18. Wang XT, Rosenberg ZS, Mechlin MB, Schweitzer ME. Normal variants and diseases of the peroneal tendons and superior peroneal retinaculum: MR imaging features. RadioGraphics 2005;25:587–602.
  19. Sönmez M, Koşar I, Çimen M. The supernumerary peroneal muscles: case report and review of the literature. Foot and Ankle Surgery 2000;6:125-129.
  20. Bhargava KN, Sanyal PK, Bhargava SN. Lateral musculature of the leg as seen in a hundred Indian cadavers. Indian J Med Sci 1961;15:181-185.
  21. Reimann R. Der variable streckapparat der kleinenzehe. Gegenbaurs Morphol Jahrb 1981;127:188-209.
  22. Yammine K. The accessory peroneal (fibular) muscles: peroneus quartus and peroneus digiti quinti. A systematic review and meta-analysis. Surg Radiol Anat 2015;37:617-627.
  23. Le Double A. A study of the muscle variations of the human body: part 1. Muscle variation of the leg. (English translation). Foot Ankle 1985;6:111-34.

Cite this article: Amal Yousif Ahmed Elhag Mustafa, Wardah Abdullah Mohammed, Alasmari, Abdullah Glil Alkushi, Ashraf Mohamed Elsayed Ali Sakran. PERONEUS QUARTUS MUSCLE: ITS INCIDENCE AND CLINICAL IMPORTANCE. Int J Anat Res 2017;5(4.3):4691-4694. DOI: 10.16965/ijar.2017.445