PREVALENCE OF FIBULARIS TERTIUS MUSCLE IN A SCOTTISH POPULATION: A DISSECTION STUDY

Authors

DOI:

https://doi.org/10.31051/1852.8023.v15.n2.40780

Keywords:

peroneus tertius muscle, Thiel-embalmed cadavers, Scottish population, inconstant muscle

Abstract

Fibularis tertius (FT) is a muscle of the anterior compartment of the leg that is considered inconstant, whose reported prevalence varies widely among populations. The current work aims to determine the prevalence of FT in a Scottish population. Forty-four caucasian cadavers of Scottish origin (88 lower limbs; 19 females, 25 males; age at death: 81.8 ± 11.2 years), preserved using the Thiel soft-fix embalming method were analyzed. The absence of FT was observed in 5 of the cadavers studied (11.4%). In four male cadavers the absence was verified unilaterally; in one female cadaver the absence was verified bilaterally. Taking into account the total number of lower limbs, FT was absent from 6.8% of cases, determining a total prevalence of 93.2%. There were no significant differences in the presence or absence of FT when comparing lower limbs of female vs male cadavers (p = 0.614). In three of the four cadavers in whom the unilateral absence of FT was verified, an accessory tendon in that side of the body was observed, in all cases with origin in the tendon of the extensor digitorum longus to the 5th toe. The present study confirms, for the Scottish population, the high prevalence of FT. These findings, in conjunction with its anatomical characteristics and its potential functional importance during gait in humans, would lead to considering FT as constant, being its absence a variation.

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References

Adachi B. 1909. Beiträge zur Anatomie der Japaner. XII. Die Statistik der Muskelvarietäten. Z Morphol Anthropol 2: 216–312.

Afroze K, Muralidharan S, Ebenezer JL, Muthusamy S. 2020. Morphological variations of peroneus tertius: A cadaveric study with anatomical and clinical consideration. Medeni Med J 35: 324–29.

Albay S, Candan B. 2017. Evaluation of fibular muscles and prevalence of accessory fibular muscles on fetal cadavers. Surg Radiol Anat 39: 1337–41.

Bertelli J, Khoury Z. 1991. The peroneus tertius island muscle flap. Surg Radiol Anat 13: 243–44.

Bourdon B, Petitdant B. 2012. The peroneus tertius muscle (third fibular). Kinesitherapie 12: 32–37.

Chatyingmongkol K, Roongruangchai J, Rojanavanichkit W. 2004. The presence of the peroneus tertius muscle in Thai people. Siriraj Med J 56: 216–21.

Das S, Suhaimi F, Latiff A, Hlaing K, Ghafar N, Othman F. 2009. Absence of the peroneus tertius muscle: Cadaveric study with clinical considerations. Rom J Morphol Embryol 50: 509–11.

de Gusmão L, Lima J, Duarte F, Souto A, Gonçalves de Farias A, Couto B. 2013. Anatomical basis for the use of the fibularis tertius muscle in myocutaneous flaps. Braz J Plast Surg 28: 191–95.

Domagała Z, Gworys B, Kreczyńska B, Mogbel S. 2006. A contribution to the discussion concerning the variability of the third peroneal muscle: An anatomical analysis on the basis of foetal material. Folia Morphol 65: 329–36.

Eliot D, Jungers L. 2000. Fifth metatarsal morphology does not predict presence or absence of fibularis tertius muscle in hominids. J Hum Evol 38: 333–42.

Ercikti N, Apaydin N, Kocabiyik N, Yazar F. 2016. Insertional Characteristics of the Peroneus Tertius Tendon: Revisiting the Anatomy of an Underestimated Muscle. J Foot Ankle Surg 55: 709–13.

Iyer P. 2010. Bilateral absence of fibularis tertius: clinical implications and phylogeny. Int J Anat Var 3: 170–72.

Jadhav D, Ambali P, Patil R, Doshi A, Priya R. 2015. Fibularis tertius muscle: Cadaveric study in Indians. J Krishna Inst Medical Sci Univ 4: 64–69.

Johnson D. 1973. Tendon Variations of the Peroneal Musculature in Man. PhD Thesis. Yale University. https://elischolar.library.yale. edu/ymtdl/2/?no_redirect=true (accessed 01 June 2021).

Joshi S, Joshi S, Athavale S. 2006. Morphology of peroneus tertius muscle. Clin Anat 19: 611–14.

Karauda P, Paulsen F, Polguj M, Diogo R. 2022. Morphological variability of the fibularis tertius tendon in human foetuses. Folia Morphol 81: 451-57.

Krammer EB, Lischka MF, Gruber H. 1979. Gross anatomy and evolutionary significance of the human peroneus III. Anat Embryol 155: 291–302.

Lambert H. 2016. Leg muscles. In: R Tubbs, M Shoja, M Lucas (Eds.), Bergman’s comprehen-sive encyclopedia of human anatomic variation. New Jersey: Wiley Blackwell, pag: 421-37.

Latarjet M, Ruiz Liard A. 2019. Anatomía Humana. 5th ed. Madrid: Editorial Médica Panamericana, pag: 1-1608.

Larico I, Jordán L. 2005. Frecuencia del músculo peroneo tertius. Rev Invest Inf Salud 1: 29–32.

Marin L, Barbosa F, Andrade O, Bazanelli A, Ruiz C, Pereira L, Wafaea N. 2006. Estudo anatômico do músculo fibular terceiro em humanos. Arq Med ABC 31: 23–26.

Moore K, Dalley A, Agur A. 2018. Clinically Oriented Anatomy. 8th ed. Philadelphia: Wolters Kluwer, pag: 1-1160.

Nakano T. 1923. Beiträge zur Anatomie der Chinesen. Die Statistik der Muskelvarie t iten. Folia Anat Jpn 1(5): 273-82.

Nayak G. 2017. A Morphometric Analysis of Fibularis Tertius Muscle in Eastern Indian Population. Int J Anat Radiol Surg 6: 23–25.

Nayak G. 2021. Morphometric Analysis of Fibularis Tertius Muscle in Eastern Indian Population: A Cross-Sectional Study. Highlights on Medicine and Medical Science. Vol 12, Malaysia: BP International, 1–6.

Olewnik Ł. 2019. Fibularis Tertius: Anatomical Study and Review of the Literature. Clin Anat 32: 1082–93.

Olumide J, Iretiolu O, Adebayo O, Okoliko V, Adebo M. 2013. Surface anatomy and prevalence of fibularis tertius muscle in a south-western Nigerian population. Forensic Med Anat Res 1: 25–29.

Oyedun O, Kanu L, Onatola O, Zelibe P. 2014. Does Peroneal tertius in absentia affect the range of motion of foot dorsiflexion and eversion? A kinesio-anatomical study. Adv Life Sci Technol 21: 69–76.

Palomo-López P, Losa-Iglesias ME, Calvo-Lobo C, Rodríguez-Sanz D, Navarro-Flores E, Becerro-de-Bengoa-Vallejo R, López-López D. 2019. Fibularis tertius muscle in women and men: A surface anatomy cross-sectional study across countries. PLoS ONE 14: 1-10.

Ramirez D, Gajardo C, Caballero P, Zavando D, Cantín M, Galdames I. 2010. Evaluación clínica de la prevalencia del músculo fibular tercero. Int J Morphol 28: 759–64.

Rourke K, Dafydd H, Parkin I. 2007. Fibularis tertius: revisiting the anatomy. Clin Anat 20: 946–49.

Rouvière H, Delmas A. 2005. Anatomía Humana. Descriptiva, topográfica y funcional (vol. 3). 11th ed. Paris: Masson, pag: 1-673.

Ruzik K, Westrych K, Zielinska N, Podgórski M, Karauda P, Diogo R, Paulsen F, Polguj M, Olewnik Ł. 2022. The morphological variability of fibularis tertius origin in human foetuses. Ann Anat 243: 151920.

Salem A, Abdel G, Almallah A, Hussein H, Abdel A, Behbehani N, Nedham F, Nedham A, Almarshad R, Alshammari M, Amer H, Hasan W, Alyaseen F, Mohammed E. 2018. Variations of peroneus tertius muscle in five Arab populations: a clinical study. Transl Res Anat 13: 1–6.

Sokołowska-Pituchowa J, Miaśkiewicz C, Skawina A, Makoś K, Gorczyca J. 1979. The third peroneal muscle in human fetuses. Folia Morphol 38: 489–98.

Spinner R, Krych A, Bernard C. 2020. Knee and leg. In: Standring, S. (Ed.) Anatomy. The anatomical Basis of Clinical Practice. 42nd ed. Amsterdam: Elsevier, pag: 1395-1429.

Stevens K, Platt A, Ellis H. 1993. A Cadaveric Study of the Peroneus Tertius Muscle. Clin Anat 110: 106–10.

Verma P, Seema. 2015. Analysis of Fibularis Tertius in Terms of Frequency, Morphology, Morphometry and Clinical Significance in North Indian Cadavers. Int J Anat Res 3: 1646–50.

Vieira A, Monteiro A, Nacur F, Coutinho R, Direito T, Torres D. 2018. Prevalence and Topography of the Peroneus tertius Muscle: A Study of Human Cadavers. J Morphol Sci 35: 106–09.

Witvrouw E, Vanden Borre K, Willems T, Huysmans J, Broos E, De Clercq D. 2006. The significance of peroneus tertius muscle in ankle injuries: A prospective study. Am J Sports Med 34: 1159–63.

Wood J. 1868. Variations in Human Myology Observed during the Winter Session of 1867-68 at King’s College, London. In Proceedings of the Royal Society of London, 1867 – 1868. Vol. 16. London: The Royal Society Publishing, pag: 1-327.

Yammine K, Erić M. 2017. The Fibularis (Peroneus) Tertius Muscle in Humans: A Meta-Analysis of Anatomical Studies with Clinical and Evolutionary Implications. BioMed Res Int 2017: 1-12.

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Published

2023-07-30

How to Cite

Parodi-Feye, A. S., & Lamb, C. (2023). PREVALENCE OF FIBULARIS TERTIUS MUSCLE IN A SCOTTISH POPULATION: A DISSECTION STUDY. Revista Argentina De Anatomía Clínica (Argentine Journal of Clinical Anatomy), 15(2), 76–84. https://doi.org/10.31051/1852.8023.v15.n2.40780

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