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The Evans technique is a surgical procedure to treat the mechanical instability of the lateral ankle ligaments. [1] [2]In the Evans procedure, [3] the peroneus brevis muscle is separated from its musculotendinous compound and its proximal end is sutured to the peroneus longus.
In human anatomy, the fibularis longus (also known as peroneus longus) is a superficial muscle in the lateral compartment of the leg. It acts to tilt the sole of the foot away from the midline of the body ( eversion ) and to extend the foot downward away from the body ( plantar flexion ) at the ankle .
Tenderness may be elicited over the tendon of the peroneus longus muscle and an antalgic gait may be observed. [1] The pain may be observed in a controlled environment by standing on the toes or rolling the arches of the foot , as these motions tend to exercise the foot's calcaneocuboid joint and ligament, which are characteristically strained ...
The fibularis muscles are highly variable. Several variants are occasionally present, including the peroneus digiti minimi and the peroneus quartus. [2] The quartus is more closely associated with the tendons of the extensor digitorum longus and may send a small tendon to the fifth (or little) toe.
Tendon transfer surgery is necessary when a certain muscle function is lost because of a nerve injury. If a nerve is injured and cannot be repaired, then the nerve no longer sends signals to certain muscles. Those muscles are paralyzed and their muscle function is lost. Tendon transfer surgery can be used to attempt to replace that function.
Extensor hallucis longus: Middle part of anterior surface of fibula and interosseous membrane: Dorsal aspect of base of distal phalanx of great toe (hallux) Extends great toe and dorsiflexes ankle Extensor digitorum longus: Lateral condyle of tibia and superior three quarters of medial surface of fibula and interosseous membrane
The superior extensor retinaculum binds down the tendons of extensor digitorum longus, extensor hallucis longus, peroneus tertius, and tibialis anterior as they descend on the front of the tibia and fibula; under it are found also the anterior tibial vessels and deep peroneal nerve. [1]
It arises from the lateral condyle of the tibia; from the upper three-quarters of the anterior surface of the body of the fibula; from the upper part of the interosseous membrane; from the deep surface of the fascia; and from the intermuscular septa between it and the tibialis anterior on the medial, and the peroneal muscles on the lateral side.