• 1

    Cheung YY, Rosenberg ZS, Ramsinghani R, et al: Peroneus quartus muscle: MR imaging features: Radiology 202: 745, 1997.

  • 2

    Sobel M, Lvy M, Bohne WH: Congenital variations of the peroneus quartus muscle: an anatomic study. Foot Ankle 11: 81, 1990.

  • 3

    Clarkson M, Fox JN, Atsas S, et al: Clinical implications of novel variants of the fibularis (peroneus) quartus muscle inserting onto the cuboid bone: peroneocuboideus and peroneocalcaneocuboideus. J Foot Ankle Surg 52: 118, 2013.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 4

    Zammit J, Singh D: The peroneus quartus muscle. J Bone Joint Surg Br 85: 1134, 2003.

  • 5

    Demetracopoulos C, Vineyard J, Kiesau CD, et al: Long-term results of debridement and primary repair of peroneal tendon tears [published online December 6, 2013]. Foot Ankle Int. doi:. Available at: http://fai.sagepub.com/content/early/2013/12/06/1071100713514565.

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6

    Prakash MD, Narayanswamy C, Singh DK, et al: Anatomical variations of peroneal muscles: a cadaver study in an Indian population and review of the literature. JAPMA 101: 505, 2011.

    • Search Google Scholar
    • Export Citation
  • 7

    Karlsson J, Wiger P: Longitudinal split of the peroneus brevis tendon and lateral ankle instability: treatment of concomitant lesions. J Athl Train 37: 463, 2002.

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8

    Slater HK: Acute peroneal tears. J Foot Ankle Clin 12: 659, 2007.

  • 9

    Didomenico LA, Anania MC: “Peroneal Tendon Disorders,” in McGlamry's Comprehensive Textbook of Foot and Ankle Surgery, Vol 2, edited by JT Southerland, JS Boberg, MS Downey, et al, p 1165, Lippincott Williams &Wilkins, Philadelphia, 2013.

    • Search Google Scholar
    • Export Citation
  • 10

    Pollack D, Khaimov G, Guberman R: Limitation of magnetic resonance imaging in diagnosing longitudinal peroneal tendon tears. JAPMA 104: 90, 2014.

    • Search Google Scholar
    • Export Citation
  • 11

    Mick CA, Lynch F: Reconstruction of the peroneal retinaculum using peroneus quartus: a case report. J Bone Joint Surg Am 69: 296, 1987.

  • 12

    Mook W, Parekh S, Nunley J: Allograft reconstruction of peroneal tendons: operative technique and clinical outcomes: Foot Ankle Int 34: 1212, 2013.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation
  • 13

    Krause J, Brodsky J: Peroneus brevis tendon tears: pathophysiology, surgical reconstruction, and clinical results. Foot Ankle Int 19: 271, 1998.

  • 14

    Lotito G, Pruvost J, Collado H, et al: Peroneus quartus and functional ankle instability: Ann Phys Rehab Med 54: 282, 2011.

  • 15

    Kassim M, Rosenfeld P: Tendoscopic debridement of peroneus quartus for chronic lateral ankle pain: a case report: Foot Ankle Int 33: 1024, 2012.

    • Crossref
    • PubMed
    • Web of Science
    • Search Google Scholar
    • Export Citation

Peroneus Quartus Muscle Autograft

A Novel Approach to the Repair of a Split Peroneus Brevis Tendon Tear

Scott Carlis Department of Podiatric Surgery, Wyckoff Heights Medical Center, Brooklyn, NY. Dr. Carlis is now in private practice, Renton, WA.

Search for other papers by Scott Carlis in
Current site
Google Scholar
PubMed
Close
 DPM
,
Daniel Pollack Department of Podiatric Surgery, Wyckoff Heights Medical Center, Brooklyn, NY. Dr. Carlis is now in private practice, Renton, WA.

Search for other papers by Daniel Pollack in
Current site
Google Scholar
PubMed
Close
 DPM
,
Shaylyn McTeague Department of Podiatric Surgery, Wyckoff Heights Medical Center, Brooklyn, NY. Dr. Carlis is now in private practice, Renton, WA.

Search for other papers by Shaylyn McTeague in
Current site
Google Scholar
PubMed
Close
 DPM
, and
Greg Khaimov Department of Podiatric Surgery, Wyckoff Heights Medical Center, Brooklyn, NY. Dr. Carlis is now in private practice, Renton, WA.

Search for other papers by Greg Khaimov in
Current site
Google Scholar
PubMed
Close
 DPM
Restricted access

This case report highlights a novel approach to strengthening the repair of a split peroneus brevis tendon tear with a peroneus quartus muscle autograft. We describe a 51-year-old woman with a longitudinal split tear of the peroneus brevis tendon confirmed by magnetic resonance imaging. Intraoperatively, a peroneus quartus muscle was appreciated, resected, and used as an autograft in the repair of the peroneus brevis tendon. Use of a peroneus quartus muscle as an autograft in peroneal tendon repair has not been documented in the literature, to our knowledge.

Corresponding author: Scott Carlis, DPM, Valley Foot & Ankle, 433 SW 41st St, Renton, WA. (E-mail: sccarlis@gmail.com)