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Related Concept Videos

Muscles of the Leg that Move the Foot and Toes01:28

Muscles of the Leg that Move the Foot and Toes

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The human leg comprises an intricate system of muscles that facilitate the movement of feet and toes. Within this system, the muscles are categorized into the anterior, lateral, and posterior compartments, each with a unique set of muscles carrying out specific functions.
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The anterior compartment includes muscles that contribute to the dorsiflexion of the foot. This compartment houses the tibialis anterior, extensor hallucis longus, and extensor digitorum longus muscles....
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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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Muscles that Move the Leg01:23

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The movement of the legs is facilitated by numerous muscles located within the anterior, medial, and posterior compartments of the thigh.
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The muscles of the forearm that move the wrist, hand, and digits are numerous and diverse. They can be classified into two groups based on their location and function — the anterior and posterior compartment muscles.
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The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi...
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The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
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Bones of the Lower Limb: Femur and Patella01:16

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The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
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The Superficial Inferior Epigastric Artery Fascia Flap for Nerve Reconstruction in Rabbits
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Distally Based Peroneus Brevis Rotation Flap.

Rafael Neiman1, Christopher G Finkemeier1, Andrew G Swentik2

  • 1Department of Trauma Acute Care Orthopedic Service, Sutter Roseville Medical Center, Roseville, CA; and.

Journal of Orthopaedic Trauma
|July 9, 2020
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Summary

The distally based peroneus brevis muscle flap is an effective local option for covering soft tissue defects in the lower leg and ankle. This technique is accessible to most orthopaedic surgeons, avoiding complex microvascular procedures.

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Area of Science:

  • Orthopaedic Surgery
  • Reconstructive Surgery
  • Microsurgery

Background:

  • Soft tissue defects in the distal leg, ankle, and hindfoot present significant reconstructive challenges.
  • Traditional methods may require complex procedures or specialized expertise.
  • Local flaps offer a potentially simpler alternative for defect coverage.

Purpose of the Study:

  • To demonstrate the technique of a distally based peroneus brevis muscle flap.
  • To highlight its utility in managing challenging distal lower extremity defects.
  • To present a viable alternative to microvascular reconstruction.

Main Methods:

  • A distally based peroneus brevis muscle flap was utilized.
  • The flap was rotated to cover a defect on the lateral ankle with exposed bone.
  • Surgical technique was documented via video.

Main Results:

  • The peroneus brevis rotation flap successfully covered the exposed bone and soft tissue defect.
  • The procedure was performed without requiring microvascular techniques.
  • The technique is presented as learnable by general orthopaedic surgeons.

Conclusions:

  • The distally based peroneus brevis muscle flap is a valuable and accessible option for soft tissue reconstruction of the distal leg, ankle, and hindfoot.
  • This local flap technique can be effectively employed in cases with exposed bone, offering a non-microsurgical solution.
  • The procedure's relative simplicity makes it a practical choice for many orthopaedic surgeons facing challenging lower extremity defects.