Normal Anatomy of the Peroneal Tendons



The peroneal tendons originate on the lateral lower leg and course to their attachments on the lateral and plantar aspects of the foot. There are multiple variations in not only the course the tendons take but even the number of tendons present. There have been numerous cadaveric/anatomic studies detailing these variations which will be further discussed and reviewed in the chapter.

The tendons take various turns and this coupled with the surrounding soft tissue structures impact the tendons in various ways including stability and points of injury and determine the different zones of the peroneal tendons. The orientation of the tendons against the bone is also important, and all of these relationships will be described further in the chapter.

Finally, other anatomic factors such as the relationship to neurovascular structures are important and will be outlined in the chapter. The blood supply of the peroneal tendons has been well studied and the vascularity of the tendons helps determine their key features both physiologically and pathologically.


Fibular morphology Peroneus brevis tendon Peroneus longus tendon os Peroneum Superior peroneal retinaculum Inferior peroneal retinaculum Anterior talofibular ligament Calcaneofibular ligament Peroneus quartus Peroneus digiti quinti Superficial peroneal nerve Peroneus brevis low-lying muscle belly Fibular groove Convex concave flat irregular Peroneal trochlea Peroneal tubercle Cuboid tunnel Lateral calcaneal tubercle Peroneus quintus Lateral ankle instability 


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© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Foot and Ankle OrthopedicsSignature OrthopedicsSt. LouisUSA
  2. 2.Professor of Orthopedics, Northwestern University Medical Center and Intructor at North Shore UniversityChicagoUSA

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