Bases anatômicas para utilização do músculo fibular terceiro em retalhos miocutâneos

Gusmão, Luiz Carlos Buarque de; Lima, Jacqueline Silva Brito; Duarte, Francisco Alberto de Moura; Souto, Anderson Gonçalves de Farias; B, Couto

doi:10.1590/s1983-51752013000200003

Cited by 7 publications

(5 citation statements)

References 5 publications

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“…[1][2][3]7 The peroneus tertius muscle was most commonly found to be inserted into the base of the fifth metatarsal (70%), with the space between the fourth and the fifth metatarsal bases being a less common insertion site (30%). Although these findings are confirmed in the literature, 2,3,6,11,12 some studies have proposed the base of the fifth metatarsal as being the only possible insertion site of the peroneus tertius tendon. 1,[8][9][10] There is a general consensus that the peroneus tertius muscle fibers can be mistaken for those of the extensor digitorum longus muscle.…”

Section: Discussionmentioning

confidence: 64%

“…1,[8][9][10] There is a general consensus that the peroneus tertius muscle fibers can be mistaken for those of the extensor digitorum longus muscle. 3 Notwithstanding, the fact that the peroneus tertius fibers separate themselves through their own tendon, which is inserted into the base of the fifth metatarsal, leads us to believe that the muscle belly and the tendon of the peroneus tertius muscle are both distinct from those of the extensor digitorum longus muscle 11 and in contradiction with classic authors. 7 The peroneus tertius muscle is considered a feature of anthropoids, particularly bipeds such as humans, in whom, it represents an advantage from an evolutionary perspective.…”

Section: Discussionmentioning

confidence: 94%

“…14,15 Due to the easy access of the peroneus tertius muscle through a longitudinal incision in the anterolateral surface of the leg, its lack of primary function and its minimal importance from an aesthetic point of view, it is an ideal muscle for use as a myocutaneous flap in plastic surgery involving the distal part of the lower limb. 11,16 The peroneus tertius muscle may also be detrimental to the healing process of a Jones fracture, since it produces a positive torque at the base of the fifth metatarsal, delaying the healing process. 17…”

Section: Discussionmentioning

confidence: 99%

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Prevalence and Topography of the Peroneus tertius Muscle: a Study of Human Cadavers

et al. 2018

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IntroductionThe peroneus tertius, also known as fibularis tertius, is a flat muscle located laterally to the extensor digitorum longus muscle, originating along the medial face of the fibula. Its fibers are sometimes mistaken for those of the extensor digitorum longus muscle. Actually, peroneus tertius is detached from the extensor digitorum longus muscle through a tendon that goes through the frondiform ligament of the extensor retinaculum and is inserted into the base of the fifth metatarsal bone. 1The muscle evaluated here acts during the swing phase of gait and is a powerful synergist for the extensor digitorum longus in dorsiflexion, abduction and lateral rotation of the feet.2,3 It is suggested, however, the insertion of the tendon in the fifth metatarsal could put more stress and, therefore, make it more easy for a avulsion fracture of the head of the fifth metatarsal to happen. 4The peroneus tertius is supplied by the anterior tibial nerve and anterior tibial artery. Its prevalence is 86% in African American, 90% in Jewish, and 93% in European as well as studies showing the muscle in constant development in bipedal animals. There may be a unique or double tendon and the insertion occurs in the fifth metatarsal, fourth metatarsal or in the interosseous space. 3,5The aim of the present study was to evaluate the prevalence and topography of the peroneus tertius muscle in cadaver parts to help clarify conflicting literature reports regarding this anterolateral structure of the leg. Keywords► anatomy ► anatomic variation ► skeletal muscular fiber ► lower limb ► fibularis tertius AbstractIntroduction The peroneus tertius muscle, also known as fibularis tertius, is classified as an anatomic variation and has been described as inconstant in a wide variety of contemporaneous studies and in the classical medical literature. Its fibers are sometimes mistaken for those of the extensor digitorum longus muscle. In fact, peroneus tertius is detached from the extensor digitorum longus muscle through a tendon inserted into the base of the fifth metatarsal bone, after passing through the frondiform ligament of the extensor retinaculum. Objectives The present study evaluated the prevalence, origin and insertion point of the peroneus tertius muscle in human cadavers. Methods and Results Thirty-two lower limbs, 18.75% of which came from female cadavers, were obtained from two different anatomy laboratories at two separate institutes. The cadaver parts were dissected and photographed. Overall, the muscle was present in 93.75% of the samples and in 100% of the samples from female cadavers. The fibers of the muscle originated in the proximal third of the fibula in 6.68% of cases, in the middle third in 46.66% and in the distal third in 46.66% of cases. Insertion of the tendon was at the base of the fifth metatarsal in 70% of cases and in the space between the fourth and the fifth metatarsal in 30%. Conclusion Therefore, the peroneus tertius muscle was present in the majority of the cadaver parts analyzed; however, the sites of ...

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Section: Discussionmentioning

confidence: 64%

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

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Prevalence and Topography of the Peroneus tertius Muscle: a Study of Human Cadavers

et al. 2018

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“…A origem muscular verifica-se em quatro locais, sendo predominante no terço médio da fíbula (70%) e os outros pontos são a parte proximal e distal da fíbula e a membrana interóssea (MARIN et al, 2006). Entretanto, a inserção ocorre geralmente em dois locais, face dorsal e lateral do quinto metatarso (77,4%) e em alguns casos também no quarto metatarso (GUSMÃO et al, 2013). Há também dois tipos de tendões, um único e outro duplo, que está inserido no quarto e quinto metatarso (ERCIKTI et al, 2016).…”

Section: Resultsunclassified

Análise Bibliométrica Da Utilização Do Músculo Fibular Terceiro Em Retalhos Cirúrgicos

Rego¹,

Pereira²,

Pereira³

2022

Arq. Ciênc. Saúde Unipar

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A bibliometria é uma excelente ferramenta que permite determinar as obras e autores mais citados, assuntos mais enfatizados, palavras-chave mais utilizadas, autores que mais publicaram, bem como suas respectivas áreas de formação, revelando, assim, parte da dinâmica de produção do conhecimento desse campo de pesquisas. O objetivo deste estudo foi realizar análise bibliométrica sobre a utilização do músculo fibular terceiro como retalho em cirurgia ortopédica. Para tal, realizou-se uma pesquisa bibliométrica, de caráter observacional e abordagem quantitativa, utilizando como palavras-chave as seguintes combinações booleanas (“fibularis tertius” OR “peroneus tertius” OR “fibularis anterior” AND "surgery" OR "Plastic surgery" OR “surgical flap” OR "Lower extremity" AND “human”) através da plataforma SCOPUS. A análise bibliométrica encontrou 33 artigos publicados em periódicos de grande impacto em nível mundial, principalmente nos anos de 2018 e 2020. Ao associar as palavras-chave através da Lei de Bradford, lei esta que estima o grau de relevância de periódicos que atuam em áreas do conhecimento específicas, a revista mais relevante foi a Surgical And Radiologic Anatomy, seguida da Journal Of Foot And Ankle Surgery e Plastic And Reconstructive Surgery. O pesquisador Arnold et al., 1999, do Setor de Cirurgia Plástica e Reconstrutiva dos Estados Unidos, publicou o artigo intitulado “Muscle flaps in osteomyelitis of the lower extremity: A 20-year account”, no periódico Plastic and Reconstructive Surgery, e obteve 61 citações e apresentou o maior fator H para a pesquisa realizada. As análises bibliométricas podem se configurar em uma metodologia tecnológica importante para a medicina, por revelar padrões de pesquisa e identificação de tendências, assim como podem também ser utilizadas em qualquer base de dados, sendo sugeridos novos estudos. O uso dos recursos disponíveis na base de dados SCOPUS se mostrou interessante para a realização de estudos desse tipo em curto espaço de tempo, além de propiciar a possibilidade de estudos posteriores com análise de outros indicadores, principalmente de um tema tão relevante para a cirurgia ortopédica.

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“…This muscle is implicated in the occurrence and management of Jones fracture (17). The muscle is additionally used in filling soft tissue defects in the limbs (16).…”

Section: Introductionmentioning

confidence: 99%

Morphological diversity of peroneus tertius: a cadaveric study

Kosgallana

Eshwara

Dissanayake

2021

Sri Lanka Anat. Jnl

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Bases anatômicas para utilização do músculo fibular terceiro em retalhos miocutâneos

Abstract: Anatomical basis for the use of the fibularis tertius muscle in myocutaneous flaps Anatomical basis for the use of the fibularis tertius muscle in myocutaneous flaps Bases anatômicas para utilização do músculo fibular terceiro em retalhos miocutâneos

Cited by 7 publications

References 5 publications

Prevalence and Topography of the Peroneus tertius Muscle: a Study of Human Cadavers

Prevalence and Topography of the Peroneus tertius Muscle: a Study of Human Cadavers

Análise Bibliométrica Da Utilização Do Músculo Fibular Terceiro Em Retalhos Cirúrgicos

Morphological diversity of peroneus tertius: a cadaveric study

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