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Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XLIII | Pages 56 - 56
1 Sep 2012
THE INSERTION OF THE PERONEUS LONGUS TENDON – A CADAVERIC STUDY
McGlynn J Mullen M Pillai A Fogg Q Kumar CS
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Introduction

The exact action of the Peroneus Longus muscle on the foot is not fully understood. It is involved in a number of pathological processes like tendonitis, tenosynovitis, chronic rupture and neurological conditions. It is described as having a consistent insertion to the base of the first metatarsal, but there have also been reports of significant variations and additional slips. Our aim was to further clarify the anatomy of the main insertion of the Peroneus Longus tendon and to describe the site and frequency of other variable insertion slips.

Methods and Materials

The course of the distal peroneus longus tendon and its variable insertion was dissected in 12 embalmed, cadaveric specimens. The surface area of the main insertion footprint and angle of insertion was measured using an Immersion Digital Microscribe and 3D mapping software. The site and frequency of the other insertion slips is also presented.

Orthopaedic Proceedings
Vol. 94-B, Issue SUPP_XXII | Pages 41 - 41
1 May 2012
THE ANTERIOR EXTENSILE APPROACH FOR TALAR NECK FRACTURES - A CADAVERIC AND CLINICAL STUDY
Pillai A Mullen M Fogg Q Kumar S
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Background

Talar neck fractures occur infrequently and are associated with high complication rates. Anatomical restoration of articular congruity is important. Adequate exposure and stable internal fixation of these fractures are challenging.

Aims

We investigate the use of an anterior extensile approach for exposure of these fractures and their fixation by screws introduced through the talo-navicular articulation. We also compare the quality and quantity of exposure of the talar neck obtained by this approach with the commonly described combined medial/lateral approaches.