International Journal of Anatomy and Research



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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.

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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

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