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Peroneus Brevis

    – Anatomy:     – origin: distal 2/3 of the lateral surface of the body of fibula and the adjacent intermuscular septa;     – insertion: tuberosity on lateral side of proximal end of 5th metatarsal;     – action:           – plantar flexion and eversion of the foot … Read more

Peroneus Tertius

– See: – Lateral Compartment – Anatomy: – origin: distal 1/3 of the anterior surface of the fibula and adjacent intermuscular septum; – insertion: dorsal surface of the base of the 5th metatarsal; – action: dorsiflexes and everts the foot at the ankle; – nerve supply: peroneal, L4, L5, S1 (see innervation) – synergist: extensor … Read more

Peroneal Artery

– Discussion:     – largest branch of the posterior tibial artery  is peroneal artery arising high in leg and coursing downward in posterior compartment lateral             to and deeper than the posterior tibial artery;            – lies in the deep posterior compartment, just medial to fibula, just posterior to tibialis posterior, and just anterior … Read more

Peroneal Nerve

– See:        – Innerv. Musc. Lower Limb        – Innervation of the Leg and Foot: – Anatomy:      – common peroneal nerve is derived from (L4, L5, S1, S2) as a part of the sciatic nerve;      – posterior component, supplies short head of biceps femoris in thigh, crosses posterior to lateral head … Read more

Peroneal Nerve Palsy in TKR

– See:  TKR Menu:                  – Peroneal Nerve and Peroneal Nerve Palsy                – Nerve Injury from THR  – Discussion:     – peroneal nerve palsy following TKR usually presents acutely but in some cases there will be a delayed presentation;     – risk factors:          – use of epidural anesthesia;         … Read more

Peroneal Tendon Dislocation

– See: Peroneus Longus / Peroneus Brevis: – Discussion:     – acute dislocation occurs by sudden forced dorsiflexion w/ concomitant eccentric contraction of the peroneal muscles;            – classic teaching that the tendon dislocation occurs from a combination of dorsiflexion and eversion (like skiing), where as other authors feel                  … Read more

Periosteal Osteosarcoma

 – See: Classic osteosarcoma – Discussion:     – uncommon variant of classic osteosarcoma;     – primarily affects young adults;     – presents as an enlarging, painless mass growing on surface of the bone;     – most frequently seen in anterior proximal tibia & the posterior surface of the distal femur; – … Read more

Pediatric Supracondylar Fractures of the Humerus

– See:        – Adult Condylar Fractures         – Pediatric Elbow Injuries – Discussion:     – in children, supracondylar frxs typically remains extra-articular & involves thin bone between coronoid fossa & olecranon fossa of           distal humerus;           – frx line angles from anterior distal point to posterior prox … Read more