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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.
The Schilling tendon procedure is a temporary surgical procedure developed by the former Boston Red Sox team physician William Morgan, MD, to stabilize the peroneus brevis tendon so that it is prevented from anterior displacement during ankle eversion. [1] If the peroneal retinaculum is torn, the fibular retinacula are no longer stabilized.
The fibularis brevis (bottom-most label) is a muscle of the lower leg and aids in plantar flexion and eversion of the foot. The fibularis brevis arises from the lower two-thirds of the lateral, or outward, surface of the fibula (inward in relation to the fibularis longus) and from the connective tissue between it and the muscles on the front and back of the leg.
The fibular retinacula (also known as peroneal retinacula) are fibrous retaining bands that bind down the tendons of the fibularis longus and fibularis brevis muscles as they run across the side of the ankle. (Retinaculum is Latin for "retainer.") These bands consist of the superior fibular retinaculum and the inferior fibular retinaculum.
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.
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.
A compartment space is anatomically determined by an unyielding fascial (and osseous) enclosure of the muscles.The anterior compartment syndrome of the lower leg (often referred to simply as anterior compartment syndrome), can affect any and all four muscles of that compartment: tibialis anterior, extensor hallucis longus, extensor digitorum longus, and peroneus tertius.
The muscle originates from the forepart of the upper and lateral surface of the calcaneus (in front of the groove for the peroneus brevis tendon), from the interosseous talocalcaneal ligament and the stem of the inferior extensor retinaculum. The fibres pass obliquely forwards and medially across the dorsum of the foot and end in four tendons.