What is a peroneal tendon transfer?

Performing a peroneal tendon transfer procedure involves making an incision on the outside back part of the ankle, and exposing both of the peroneal tendons. The diseased tendon is excised to a healthy level and then the tendon is transferred to its counterpart based on the desired effect as discussed above.

What is a brevis?

A Muscle in the Lateral Compartment of the Lower Leg The peroneus brevis, sometimes called the fibularis brevis muscle, is the shorter and smaller of two lateral leg muscles running down the outer sides of each lower leg.

What is the action of the Brevis?

Fibularis brevis muscle

Origin Distal 2/3 of the lateral surface of fibula, anterior inermuscular septum
Insertion Tuberosity of the 5th metatarsal bone
Action Talocrural joint: Foot plantar flexion Subtalar joint: Foot eversion
Innervation Superficial fibular nerve (L5, S1)
Blood supply Anterior tibial artery

Is Brevis the same as longus?

The peroneus longus and brevis are much more similar to each other than they are to the peroneus tertius. Another difference between the longus, brevis and tertius is that while they all evert the foot; the peroneus longus and brevis plantarflex the foot, while the peroneus tertius dorsiflexes it.

Is tendon transfer surgery painful?

One is a painful, flexible flatfoot. This develops when the posterior tibial tendon stretches and becomes nonfunctional or ruptures, which can cause the arch of the foot to drop. The foot then rolls inward, leading the patient to walk on the inside of their foot. This can cause discomfort.

Why does my peroneus brevis hurt?

Peroneal tendonitis is a common cause of pain around the back and outside of the foot due to injury or damage to the tendons. The peroneal tendons are strong, cord-like structures that link the peroneal muscles of the calf to the bones of the foot.

How long does peroneus brevis pain last?

Peroneal tendon injuries can generally be treated with nonsurgical treatments. Many people experience symptom relief within two to four weeks, with rest and medication.

How long is tendon transfer surgery?

A simple flexor tendon repair takes 45 to 60 minutes, but complex surgery for more severe injuries could take much longer. Read more about recovering from hand tendon repair and the complications of hand tendon repair.

Should I have peroneal tendon surgery?

If you continue to have ankle pain after four to six weeks of conservative treatment, you may become a candidate for surgery to treat your peroneal tendon disorder. Repairing your peroneal tendons usually requires open surgery, but many patients leave on the same day after surgery.

How long does pain last after tendon surgery?

Your symptoms (pain, swelling, stiffness) will continue to improve as you work with therapy. Patients usually have good motion at 3 months, and continue to improve for up to 1 year after surgery.

How do you treat peroneus brevis tendon tear?

Supportive therapy with ankle bracing and analgesics is the mainstay of therapy, but surgical repair is often required in patients with ongoing symptoms. Surgical options include debridement, tubularization, or, in severe cases, resection of the damaged tendon and tenodesis.

Can a peroneus brevis transfer be done alone?

However, if non-surgical treatment fails, a peroneus longus to peroneus brevis transfer may be indicated either alone or in combination with other procedures designed to correct the associated deformity.

How does the FHL to PB tendon transfer work?

The peroneus brevis works with the peroneus longus (PL) to turn the ankle and foot outward. The FHL to PB tendon transfer is a surgery to improve the function of the foot. The FHL is passed behind the ankle to the outside of the foot to either assist or replace the damaged PB tendon.

How does the peroneus brevis ( PB ) muscle work?

The peroneus brevis (PB) muscle starts in the leg and continues along the outside of the ankle. It then takes a sharp turn and ends on the outside of the foot. The peroneus brevis works with the peroneus longus (PL) to turn the ankle and foot outward. The FHL to PB tendon transfer is a surgery to improve the function of the foot.