Fibularis brevis: Difference between revisions

Fibularis brevis muscle
Fibularis brevis muscle
	The mucous sheaths of the tendons around the ankle. Lateral aspect. (Fibularis [peroneus] brevis labeled at bottom left.)
	Animation
Details
Origin	Lower two-thirds of lateral fibula
Insertion	Fifth metatarsal
Artery	Fibular (peroneal) artery
Nerve	Superficial fibular nerve
Actions	Plantarflexion, eversion
Identifiers
Latin	musculus fibularis brevis
TA98	A04.7.02.042
TA2	2653
FMA	22540
	Anatomical terms of muscle [edit on Wikidata]

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In human anatomy, the fibularis brevis (or peroneus brevis) is a muscle that lies underneath the fibularis longus within 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 at the ankle (plantar flexion).

Structure

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 muscle passes downward and ends in a tendon that runs behind the lateral malleolus of the ankle in a groove that it shares with the tendon of the fibularis longus; the groove is converted into a canal by the superior fibular retinaculum, and the tendons in it are contained in a common mucous sheath.

The tendon then runs forward along the lateral side of the calcaneus, above the calcaneal tubercle and the tendon of the fibularis longus. It inserts into the tuberosity at the base of the fifth metatarsal on its lateral side.

The fibularis brevis is supplied by the superficial fibular (peroneal) nerve.^[1]

Function

The fibularis brevis is the strongest abductor of the foot.^[2] Together with the fibularis longus and the tibialis posterior, it extends the foot downward away from the body at the ankle (plantar flexion). It opposes the tibialis anterior and the fibularis tertius, which pull the foot upward toward the body (dorsiflexion).^[3] The fibularis longus also tilts the sole of the foot away from the midline of the body (eversion).^[3]

Together, the fibularis muscles help to steady the leg upon the foot, especially in standing on one leg.^[3]

Clinical significance

When the base of the fifth metatarsal is fractured, the fibularis brevis may pull on and displace the upper fragment (known as a Jones fracture). An inversion sprain of the foot may pull the tendon such that it avulses the tuberosity at the base of the fifth metatarsal.

Fibularis brevis split tears are not uncommon a source of lateral ankle pain. These tears are easily diagnosed with MRI imaging and sometimes with ultrasound. The tendon itself can develop tendinopathy or the common peroneal sheath develop tenosynovitis.

Nomenclature and etymology

Terminologia Anatomica designates "fibularis" as the preferred word over "peroneus.".^[4]

The word "peroneus" comes from the Greek word "perone," meaning pin of a brooch or a buckle. In medical terminology, the word refers to being of or relating to the fibula or to the outer portion of the leg.

Additional images

Coronal section through right ankle and subtalar joints. (Label for Peroneus brevis is at right, third from the bottom.)
Bones of the right leg, anterior surface.
Bones of the right foot, dorsal surface.
Muscles of the front of the leg.
Cross-section through middle of leg.
The popliteal, posterior tibial, and fibular arteries.
Back of left lower extremity.
Fibularis brevis muscle
Muscles of the sole of the foot.
Dorsum of foot, deep dissection.
Muscles of leg, lateral view, deep dissection.

References

This article incorporates text in the public domain from page 487 of the 20th edition of Gray's Anatomy (1918)

^ Apaydin, Nihal (2015-01-01), Tubbs, R. Shane; Rizk, Elias; Shoja, Mohammadali M.; Loukas, Marios (eds.), "Chapter 47 - Variations of the Lumbar and Sacral Plexuses and Their Branches", Nerves and Nerve Injuries, San Diego: Academic Press, pp. 627–645, doi:10.1016/b978-0-12-410390-0.00049-4, ISBN 978-0-12-410390-0, retrieved 2021-02-20
^ Sammarco, Vincent James; James Sammarco, G. (2008-01-01), Porter, David A.; Schon, Lew C. (eds.), "Chapter 6 - Injuries to the Tibialis Anterior, Peroneal Tendons, and Long Flexors of the Toes", Baxter's the Foot and Ankle in Sport (Second Edition), Philadelphia: Mosby, pp. 121–146, doi:10.1016/b978-032302358-0.10006-5, ISBN 978-0-323-02358-0, retrieved 2021-02-20
^ ^a ^b ^c Gray's Anatomy (1918), see infobox
^ FIPAT (2019). Terminologia Anatomica. Federative International Programme for Anatomical Terminology.

External links

Anatomy photo:15:st-0407 at the SUNY Downstate Medical Center
PTCentral

[1] Apaydin, Nihal (2015-01-01), Tubbs, R. Shane; Rizk, Elias; Shoja, Mohammadali M.; Loukas, Marios (eds.), "Chapter 47 - Variations of the Lumbar and Sacral Plexuses and Their Branches", Nerves and Nerve Injuries, San Diego: Academic Press, pp. 627–645, doi:10.1016/b978-0-12-410390-0.00049-4, ISBN 978-0-12-410390-0, retrieved 2021-02-20

[:0-2] Sammarco, Vincent James; James Sammarco, G. (2008-01-01), Porter, David A.; Schon, Lew C. (eds.), "Chapter 6 - Injuries to the Tibialis Anterior, Peroneal Tendons, and Long Flexors of the Toes", Baxter's the Foot and Ankle in Sport (Second Edition), Philadelphia: Mosby, pp. 121–146, doi:10.1016/b978-032302358-0.10006-5, ISBN 978-0-323-02358-0, retrieved 2021-02-20

[Gray's-3] Gray's Anatomy (1918), see infobox

[4] FIPAT (2019). Terminologia Anatomica. Federative International Programme for Anatomical Terminology.

[1]

[2]

[3]

[4]

@@ Line 1: / Line 1: @@
+{{short description|Shorter and smaller of the fibularis (peroneus) muscles}}
 {{Infobox muscle
 | Name        = Fibularis brevis muscle
-| Latin       = Musculus fibularis brevis
+| Latin       = musculus fibularis brevis
 | Image       = Gray441.png
-| Caption     = The mucous sheaths of the tendons around the ankle. Lateral aspect. (Peroneus brevis labeled at bottom left.)
+| Caption     = The mucous sheaths of the tendons around the ankle. Lateral aspect. (Fibularis [peroneus] brevis labeled at bottom left.)
 | Image2      = Fibularis brevis muscle - animation.gif
 | Caption2    = Animation
@@ Line 9: / Line 10: @@
 | Insertion   = [[Fifth metatarsal]]
 | Action      = [[Plantarflexion]], [[Eversion (kinesiology)|eversion]]
-| Blood       = [[Fibular artery|Fibular artery (peroneal artery)]]
+| Blood       = [[Fibular artery|Fibular (peroneal) artery]]
 | Nerve       = [[Superficial fibular nerve]]
 }}
+In human anatomy, the '''fibularis brevis''' (or '''peroneus brevis''') is a muscle that lies underneath the [[fibularis longus]] within the [[lateral compartment of leg|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 at the [[ankle]] (plantar flexion).
-The '''peroneus brevis''' muscle  (or '''fibularis brevis''') lies under cover of the [[peroneus longus]], and is the shorter and smaller of the [[peroneus muscles]].
 ==Structure==
-[[File:1123 Muscles of the Leg that Move the Foot and Toes c.png|thumb|left|250px|The fibularis brevis (bottom-most label) is a muscle of the lower leg, and aids in plantarflexion and eversion of the foot.]]
+[[File:1123 Muscles of the Leg that Move the Foot and Toes c.png|thumb|left|250px|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 [[septum|connective tissue]] between it and the muscles on the front and back of the leg.
-It arises from the lower two-thirds of the lateral surface of the body of the [[fibula]], medial to the peroneus longus, and from the intermuscular [[Septum|septa]] separating it from the adjacent muscles on the front and back of the leg.
-The fibers pass vertically downward, and end in a tendon which runs behind the [[lateral malleolus]] along with but in front of that of the preceding muscle, the two tendons being enclosed in the same compartment and lubricated by a common mucous sheath.
+The muscle passes downward and ends in a tendon that runs behind the lateral malleolus of the ankle in a groove that it shares with the tendon of the fibularis longus; the groove is converted into a canal by the superior [[fibular retinacula|fibular retinaculum]], and the tendons in it are contained in a common mucous sheath.
-It then runs forward on the lateral side of the [[calcaneus]], above the [[calcaneal tubercle]] and the tendon of the peroneus longus, and is inserted into the tuberosity at the base of the fifth [[metatarsal]] bone, on its lateral side. When the base of the fifth metatarsal is fractured, the peroneus brevis may pull on and displace the proximal fragment ([[Jones Fracture]]). An inversion sprain of the foot may pull the tendon such that it [[Avulsion (injury)|avulses]] the tuberosity at the base of the fifth metatarsal.
+The tendon then runs forward along the lateral side of the [[calcaneus]], above the [[calcaneal tubercle]] and the tendon of the fibularis longus. It inserts into the tuberosity at the base of the [[fifth metatarsal]] on its lateral side.
+The fibularis brevis is supplied by the [[superficial fibular nerve|superficial fibular (peroneal) nerve]].<ref>{{Citation|last=Apaydin|first=Nihal|title=Chapter 47 - Variations of the Lumbar and Sacral Plexuses and Their Branches|date=2015-01-01|url=https://www.sciencedirect.com/science/article/pii/B9780124103900000494|work=Nerves and Nerve Injuries|pages=627–645|editor-last=Tubbs|editor-first=R. Shane|place=San Diego|publisher=Academic Press|language=en|doi=10.1016/b978-0-12-410390-0.00049-4|isbn=978-0-12-410390-0|access-date=2021-02-20|editor2-last=Rizk|editor2-first=Elias|editor3-last=Shoja|editor3-first=Mohammadali M.|editor4-last=Loukas|editor4-first=Marios}}</ref>
-===Innervation===
-It is also innervated by the superficial fibular (peroneal) nerve.
 ==Function==
+The fibularis brevis is the strongest [[Anatomical terms of motion|abductor]] of the [[foot]].<ref name=":0">{{Citation|last=Sammarco|first=Vincent James|title=Chapter 6 - Injuries to the Tibialis Anterior, Peroneal Tendons, and Long Flexors of the Toes|date=2008-01-01|url=https://www.sciencedirect.com/science/article/pii/B9780323023580100065|work=Baxter's the Foot and Ankle in Sport (Second Edition)|pages=121–146|editor-last=Porter|editor-first=David A.|place=Philadelphia|publisher=Mosby|language=en|doi=10.1016/b978-032302358-0.10006-5|isbn=978-0-323-02358-0|access-date=2021-02-20|last2=James Sammarco|first2=G.|editor2-last=Schon|editor2-first=Lew C.}}</ref> Together with the fibularis longus and the [[tibialis posterior muscle|tibialis posterior]], it extends the foot downward away from the body at the ankle (plantar flexion). It opposes the [[tibialis anterior muscle|tibialis anterior]] and the [[fibularis tertius]], which pull the foot upward toward the body ([[dorsiflexion]]).<ref name="Gray's">''[[Gray's Anatomy]] (1918), see infobox''</ref> The fibularis longus also tilts the sole of the foot away from the midline of the body ([[eversion (kinesiology)|eversion]]).<ref name="Gray's" />
-The muscle assists in weak [[plantarflexion]] and [[Eversion (kinesiology)|eversion]]  of the foot.
+Together, the fibularis muscles help to steady the leg upon the foot, especially in standing on one leg.<ref name="Gray's" />
-==History==
-===Etymology===
+== Clinical significance ==
-The terms "Peroneal" (i.e., Artery, [[Peroneal retinacula|Retinaculum]]) and "Peroneus" (i.e., Longus and Brevis) are derived from the Greek word Perone (pronounced Pair-uh-knee) meaning pin of a [[brooch]] or a [[buckle]]. In medical terminology, both terms refer to being of or relating to the fibula or to the outer portion of the leg.
+When the base of the fifth metatarsal is fractured, the fibularis brevis may pull on and displace the upper fragment (known as a [[Jones fracture]]). An inversion sprain of the foot may pull the tendon such that it [[Avulsion (injury)|avulses]] the tuberosity at the base of the fifth metatarsal.
+Fibularis brevis split tears are not uncommon a source of lateral ankle pain. These tears are easily diagnosed with MRI imaging and sometimes with ultrasound. The tendon itself can develop tendinopathy or the common peroneal sheath develop tenosynovitis.
+== Nomenclature and etymology ==
+''[[Terminologia Anatomica]]'' designates "fibularis" as the preferred word over "peroneus.".<ref>{{cite book
+ | url = https://fipat.library.dal.ca/TA2/
+ | title = Terminologia Anatomica
+ | author=FIPAT
+ | publisher = Federative International Programme for Anatomical Terminology | year = 2019
+}}</ref>
+The word "peroneus" comes from the Greek word "perone," meaning pin of a brooch or a buckle. In medical terminology, the word refers to being of or relating to the fibula or to the outer portion of the leg.
 ==Additional images==
 <gallery>
  File:Gray357.png|Coronal section through right [[ankle]] and [[subtalar joint]]s. (Label for Peroneus brevis is at right, third from the bottom.)
- Image:Gray258.png|Bones of the right leg. Anterior surface.
+ Image:Gray258.png|Bones of the right leg, anterior surface.
- Image:Gray268.png|Bones of the right foot. Dorsal surface.
+ Image:Gray268.png|Bones of the right foot, dorsal surface.
  Image:Gray437.png|Muscles of the front of the leg.
  Image:Gray440 color.png|Cross-section through middle of leg.
@@ Line 43: / Line 55: @@
  File:Slide16wwww.JPG|Fibularis brevis muscle
  File:Slide1ABBBA.JPG|Muscles of the sole of the foot.
- File:Slide1Bebe.JPG|Dorsum of Foot. Deep dissection.
+ File:Slide1Bebe.JPG|Dorsum of foot, deep dissection.
- File:Slide2xzxz.JPG|Musclea of Leg.  Lateral view. Deep dissection.
+ File:Slide2xzxz.JPG|Muscles of leg, lateral view, deep dissection.
 </gallery>
 ==See also==
 {{Anatomy-terms}}
-*[[Peroneus longus]]
+* [[Fibularis muscles]]
-*[[Peroneus tertius]]
+**[[Fibularis longus]]
+**[[Fibularis tertius]]
 *[[Schilling tendon procedure]]