According to Gantzer and Ringhofer (in Hwang & Hill et al.), this supernumerary muscle is originated at the fibula; according to Macalister (in Turner), Kolliker (in LeDouble), Wood, Testut, and Morestin (in LeDouble), at the peroneus brevis muscle
; Theile (in Hwang & Hill et al.) has described its origin at the tibia; Turner has described its origin both at the tibia's medial margin and at the fibula and its end at the anterior surface of the quadratus plantae muscle; Davies-Colley and Dalton have observed other sites (in LeDouble).
We present our experience with 20 patients who were treated successfully without major complications, using the distally based peroneus brevis muscle flap for the coverage of soft and bony tissue defects over the lower one third of leg, the Achilles tendon, and the lateral and medial malleolus.
METHODS: From march 2010 to march 2013, 20 patients undergone distally based Peroneus brevis muscle flap for the distal leg defects.
Surgical anatomy: Peroneus brevis muscle is deep muscle in the lateral compartment of leg.
Identified the peroneus longus and peroneus brevis muscle at the junction of middle one third and lower one third, long tendon peroneus longus and muscular portion of peroneus brevis.
X--Ray shows both bone fracture Incision & exposure of peroneus muscle Peroneus brevis muscle dissected Covered over the defect Skin graft placed Donor area.
The distally pedicled peroneus brevis muscle flap: a new flap for the lower leg.