Peroneus brevis muscle

The peroneus brevis muscle, also known as the fibularis brevis muscle, is a muscle in the lateral compartment of the leg. It lies deep/medial to the adjacent peroneus longus, and is a shorter and smaller muscle. Both brevis and longus travel together along the lateral aspect of the ankle within a shared synovial sheath . Together the tendons wrap around the lateral malleolus, specifically within the retromalleolar groove of the distal fibula.

At the level of the retromalleolar groove, the peroneus brevis tendon is located more anteromedial to the larger/rounder peroneus longus tendon. This can be remembered using the memory aid: "brevis closer to bone" (closer to the bones of the ankle, anteromedial to the peroneus longus tendon).

Summary

Gross anatomy

Origin
  • lower two thirds of the lateral shaft of the fibula
Insertion
  • the peroneal brevis tendon passes down the leg deep to the peroneus longus muscle, and curves around the lateral malleolus creating the retromalleolar groove
  • both peroneal tendons then course anteriorly toward the peroneal trochlea of the lateral calcaneum, at which point the tendon of brevis runs superior to the trochlea before terminating at the tubercle of the base of the fifth metatarsal

Arterial supply 

  • fibular artery

Innervation

  • superficial peroneal nerve (L5, S1)

Action

  • everts foot and weakly plantarflexes it
  • provides support for the lateral longitudinal arch
Antagonist
  • tibialis anterior

Variant anatomy

  • duplex belly fibularis brevis
  • fusion of fibularis brevis and fibularis longus

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