Skip to main content

Advertisement

Log in

MRI appearances of the anterior fibulocalcaneus muscle: a rare anterior compartment muscle

  • Case Report
  • Published:
Skeletal Radiology Aims and scope Submit manuscript

Abstract

MRI of a 62-year-old female presenting with ankle pain demonstrated an accessory muscle within the anterior compartment of the lower leg. The muscle originated from the fibula and anterior crural septum. The tendon passed anterior to the lateral malleolus and inserted at the critical angle of Gissane on the calcaneus. This muscle was initially described in the anatomic literature by Lambert and Atsas in 2010. To our knowledge, this is the first time the MRI appearances of this muscle has been described in the radiological literature. Awareness of the fibulocalcaneal muscle is important as it may represent a cause of ankle pain. In addition, the tendon could potentially be harvested for use in reconstructive procedures.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

References

  1. Lambert HW, Atsas S. An anterior fibulocalcaneus muscle: an anomalous muscle discovered in the anterior compartment of the leg. Clin Anat. 2010;23(8):911–4.

    Article  PubMed  Google Scholar 

  2. Cheung YY, Rosenberg ZS, Ramsinghani R, Beltran J, Jahss MH. Peroneus quartus muscle: MR imaging features. Radiology. 1997;202(3):745–50.

    Article  CAS  PubMed  Google Scholar 

  3. Sobel M, Levy ME, Bohne WH. Congenital variations of the peroneus quartus muscle: an anatomic study. Foot Ankle. 1990;11(2):81–9.

    Article  CAS  PubMed  Google Scholar 

  4. Sookur PA, Naraghi AM, Bleakney RR, Jalan R, Chan O, White LM. Accessory muscles: anatomy, symptoms, and radiologic evaluation. Radiogr Rev Publ Radiol Soc N Am Inc. 2008;28(2):481–99.

    Google Scholar 

  5. Zammit J, Singh D. The peroneus quartus muscle. Anatomy and clinical relevance. J Bone Joint Surg Br. 2003;85(8):1134–7.

    Article  CAS  PubMed  Google Scholar 

  6. Cheung Y, Rosenberg ZS. MR imaging of the accessory muscles around the ankle. Magn Reson Imaging Clin N Am. 2001;9(3):465–73.

    CAS  PubMed  Google Scholar 

  7. Mellado JM, Rosenberg ZS, Beltran J, Colon E. The peroneocalcaneus internus muscle: MR imaging features. AJR Am J Roentgenol. 1997;169(2):585–8.

    Article  CAS  PubMed  Google Scholar 

  8. Saupe N, Mengiardi B, Pfirrmann CWA, Vienne P, Seifert B, Zanetti M. Anatomic variants associated with peroneal tendon disorders: MR imaging findings in volunteers with asymptomatic ankles. Radiology. 2007;242(2):509–17.

    Article  PubMed  Google Scholar 

  9. Wang X-T, Rosenberg ZS, Mechlin MB, Schweitzer ME. Normal variants and diseases of the peroneal tendons and superior peroneal retinaculum: MR imaging features. Radiogr Rev Publ Radiol Soc N Am Inc. 2005;25(3):587–602.

    Google Scholar 

  10. Chepuri NB, Jacobson JA, Fessell DP, Hayes CW. Sonographic appearance of the peroneus quartus muscle: correlation with MR imaging appearance in seven patients. Radiology. 2001;218(2):415–9.

    Article  CAS  PubMed  Google Scholar 

  11. Trono M, Tueche S, Quintart C, Libotte M, Baillon J. Peroneus quartus muscle: a case report and review of the literature. Foot Ankle Int Am Orthop Foot Ankle Soc Swiss Foot Ankle Soc. 1999;20(10):659–62.

    Article  CAS  Google Scholar 

  12. Lepow GM, Korfin DH. Calcification of an accessory peroneal tendon in an athlete. A case presentation. J Am Podiatr Med Assoc. 1985;75(6):323–5.

    Article  CAS  PubMed  Google Scholar 

  13. Donley BG, Leyes M. Peroneus quartus muscle. A rare cause of chronic lateral ankle pain. Am J Sports Med. 2001;29(3):373–5.

    CAS  PubMed  Google Scholar 

  14. Seipel R, Linklater J, Pitsis G, Sullivan M. The peroneocalcaneus internus muscle: an unusual cause of posterior ankle impingement. Foot Ankle Int Am Orthop Foot Ankle Soc Swiss Foot Ankle Soc. 2005;26(10):890–3.

    Google Scholar 

  15. Best A, Giza E, Linklater J, Sullivan M. Posterior impingement of the ankle caused by anomalous muscles. A report of four cases. J Bone Joint Surg Am. 2005;87(9):2075–9.

    Article  PubMed  Google Scholar 

  16. Ghafar NA, Das S. Anterior fibulocalcaneus muscle of the leg: the mystery deepens. Clin Anat. 2011;24(4):514.

    Article  PubMed  Google Scholar 

  17. Mick CA, Lynch F. Reconstruction of the peroneal retinaculum using the peroneus quartus. A case report. J Bone Joint Surg Am. 1987;69(2):296–7.

    CAS  PubMed  Google Scholar 

  18. Sokolowska-Pituchowa J, Miaśkiewicz C, Skawina A, Makoś K. Morphology and some measurements of the peroneus tertius muscle in man. Folia Morphol. 1974;33(2):91–103.

    CAS  Google Scholar 

  19. Jungers WL, Meldrum OJ, Stern JT. The functional and evolutionary significance of the human peroneus tertius muscle. J Hum Evol. 1993;25:377–86.

    Article  Google Scholar 

  20. Joshi SD, Joshi SS, Athavale SA. Morphology of peroneus tertius muscle. Clin Anat. 2006;19(7):611–4.

    Article  CAS  PubMed  Google Scholar 

  21. Hecker P. Study on the peroneus of the tarsus. Anat Rec. 1923;26:79–82.

    Article  Google Scholar 

Download references

Conflict of interest

None

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Bhavin Upadhyay.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Upadhyay, B., Amiras, D. MRI appearances of the anterior fibulocalcaneus muscle: a rare anterior compartment muscle. Skeletal Radiol 44, 723–726 (2015). https://doi.org/10.1007/s00256-014-2021-4

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00256-014-2021-4

Keywords

Navigation