title: Peroneus Brevis Tendon Variant Insertion on the Calcaneus.
abstract: Insertion of the peroneus brevis tendon normally occurs at the lateral aspect of the fifth metatarsal base. However, there is new evidence that congenital variant insertion of the tendon on the calcaneal peroneal tubercle occurs in a small segment of the population. We report a case of 24-year old male presenting with non-traumatic ankle pain who underwent ankle magnetic resonance imaging. Imaging demonstrated insertion of the peroneus brevis tendon on the calcaneal peroneal tubercle with absence of the tendon distal to the calcaneus. Furthermore, in reviewing 200 consecutive ankle magnetic resonance examinations, the authors discovered one additional case of this variant. We discuss the magnetic resonance imaging characteristics of this anatomic variant, the implications for clinical management, and review the literature on peroneal anatomic variations.
authors.affiliation: Department of Radiology, Mike O'Callaghan Federal Medical Center, Nellis AFB, NV, USA.
authors.forename: Nathan D
authors.initials: ND
authors.lastname: Cecava
authors.affiliation: Department of Radiology, Landstuhl Regional Medical Center, Landstuhl, Germany.
authors.forename: Scot E
authors.initials: SE
authors.lastname: Campbell
mesh_terms: D018771:Arthralgia / Q000209:etiology; D002111:Calcaneus / Q000033:anatomy & histology* / Q000000981:diagnostic imaging; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D011859:Radiography; D013710:Tendons / Q000033:anatomy & histology* / Q000000981:diagnostic imaging; D055815:Young Adult
keywords: Peroneus brevis; peroneal tendon tear; peroneal tubercle; peroneal variant; peroneus quartus