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Biomechanics of the Peroneal Tendons

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The Peroneal Tendons

Abstract

The peroneus longus and brevis tendons, muscles, and corresponding osseous anatomy have complex structure–function relationships, which act to stabilize the forefoot and rearfoot. Mechanical importance of the peroneal tendon was first recognized by Duchenne in 1867 (Duchenne GB, Physiologie de mouvements: Translated and edited to physiology of motion. Saunders WB, Bailliere, Paris, 1949), who proposed a lowering of the foot’s arch due to abnormal function of the peroneus longus. Modern science has revealed the peroneal tendon everts the hindfoot and plantarflexes the forefoot, yet the precise biomechanical role of the peroneal muscle-tendon system is still not fully understood. Although differential diagnostic methods have improved with advances in imaging and biomechanical methodologies, the etiology of peroneal tendon pathology remains enigmatic. One explanation is the paucity of biomechanically based studies from epidemiological (population based), in vitro (cadaveric), in vivo (posture and gait analysis), and in silico (computational modeling) perspectives. This chapter summarizes contemporary biomechanical understanding and identifies several gaps in knowledge.

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Acknowledgments

We would like to thank Rogerio Bitar MD for his expert cadaveric dissection (Fig. 2.2a, b).

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Authors and Affiliations

  1. Faculty of Science and Engineering, Anglia Ruskin University, Chelmsford, Essex, UK

    Oliver Morgan

  2. School of Podiatric Medicine, Temple University, Philadelphia, PA, USA

    Jinsup Song

  3. Tandon School of Engineering, New York University, New York, NY, USA

    Rajshree Hillstrom

  4. Private Practice, New York, NY, USA

    Mark Sobel

  5. Hospital for Special Surgery, New York, NY, USA

    Howard J. Hillstrom

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  1. Oliver Morgan
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Correspondence to Oliver Morgan .

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Editors and Affiliations

  1. Private Practice, Atlantic Highlands, NJ, USA

    Mark Sobel

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Morgan, O., Song, J., Hillstrom, R., Sobel, M., Hillstrom, H.J. (2020). Biomechanics of the Peroneal Tendons. In: Sobel, M. (eds) The Peroneal Tendons. Springer, Cham. https://doi.org/10.1007/978-3-030-46646-6_2

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  • DOI: https://doi.org/10.1007/978-3-030-46646-6_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-46645-9

  • Online ISBN: 978-3-030-46646-6

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