Muscular variations in the lower extremity are frequently encountered when performing cadaveric dissections. The utility of supernumerary muscles assumes importance in reparative foot surgery. The purpose of the current case study is to report the unilateral presence of double peroneal muscles in the evertors of the foot. The peroneal compartment of an adult Indian male cadaver was dissected during a demonstration class for medical undergraduates. Two bellies of the peroneal longus and brevis muscles were observed. The peroneus longus split into two bellies, superficial and deep, while the brevis displayed superficial/lateral and deep/medial bellies. These additional bellies gained attachment to the lateral calcaneal surface. Disorders of the peroneal tendons provide a basis for lateral ankle pain and instability. Anatomical variants have been associated with lateral ankle diseases. Magnetic resonance imaging can demonstrate these soft tissue variants, and detailed information on the anatomy of the crural region enables a surgeon to plan an operation. This study shows duplication of the peroneal muscle, which may have an impact on reconstructive surgery.
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BMC Musculoskelet Disord
January 2025
Auckland Bioengineering Institute, University of Auckland, Auckland, New Zealand.
Background: Ankle sprains often result in muscle atrophy and reduced range of motion, which can cause long-term ankle instabilities. Understanding the changes to muscle-such as atrophy-and concomitant changes to deep fascia-which may thicken alongside muscle loss-after ankle sprain injury is important to understanding structural changes about the joint and how they might contribute to longer-term impairments. Here, we employ advanced MRI to investigate skeletal muscle and fascial structural changes during the recovery period of one patient undergoing immobilization after ankle sprains.
View Article and Find Full Text PDFEur J Trauma Emerg Surg
January 2025
Department of Orthopaedics, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China.
Purpose: (1) To evaluate the incidence and combination types of concomitant malleolar and fibular fractures in patients with distal spiral tibial shaft fractures. (2) To evaluate the risk factors for concomitant malleolar fractures in patients with distal spiral tibial shaft fractures.
Methods: A retrospective review was performed on 64 cases of surgically treated distal spiral tibial shaft fractures with complete radiographs and computed tomography (CT) scans.
J Chiropr Med
December 2024
Logan University, Chesterfield, Missouri.
Objective: The purpose of this case study was to report the management of a patient with posterior tibialis tendon injury concurrent with gender-affirming hormone therapy (GAHT).
Clinical Features: A 31-year-old transgender male presented to a chiropractic clinic with spontaneous, right medial foot pain following running that day. Medical history revealed bilateral congenital pes planus and intramuscular administration of testosterone for 8 years.
Arthrosc Sports Med Rehabil
December 2024
New England Baptist Hospital, Boston, Massachusetts, U.S.A.
Purpose: To characterize radiographic foot/ankle bony abnormalities in elite-level, asymptomatic male basketball athletes and to investigate the association between anthropometric (age, height, weight) or sport-specific characteristics (total exposures, player position, pregame ankle taping) and the prevalence of abnormal radiographic findings in asymptomatic basketball athletes.
Methods: Elite-level basketball players who underwent routine, preseason static radiographic imaging, including anteroposterior, lateral, and mortise views of the ankle were included. Radiographs were collected from asymptomatic athletes participating in preseason history and physical with negative anterior drawer/talar tilt test.
Musculoskelet Surg
January 2025
Orthopedics and Traumatology Unit, University of Verona, Verona, Italy.
Background: Isolated distal fibula fractures (DFF) are usually treated with open reduction and internal fixation (ORIF) and non-weight-bearing protocols. The study assessed the outcomes of immediate weight-bearing on DFF healing and stability after lateral locking plating.
Materials And Methods: For this study, 49 patients affected by isolated DFF were enrolled.
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