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Fibularis brevis !

The fibularis brevis is a short muscle on the outer side of the leg, under the fibularis longus; it steadies the ankle.

Official name: Fibularis brevis muscle

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What it is

A short muscle on the outer side of the leg.

What it does

Turns the foot outward.

Key facts

Origin
Lower two-thirds of lateral surface of fibula
Insertion
Tuberosity on base of fifth metatarsal
Action
Everts foot; weak plantar flexion
Nerve
Superficial fibular nerve (L5–S2)
Blood supply
Fibular artery; anterior tibial artery

Relations

Course
From the lower fibula its tendon grooves the back of the lateral malleolus, passes above the fibular trochlea of the calcaneus (longus passes below) and reaches the fifth metatarsal tuberosity
Superficial
Fibularis longus in the leg and behind the malleolus; the superior and inferior fibular retinacula
Deep
Fibula; at the ankle, the calcaneofibular ligament lies deep to both fibular tendons
In front
Extensor digitorum longus and fibularis tertius, beyond the anterior intermuscular septum
Behind
Flexor hallucis longus, beyond the posterior intermuscular septum

How to find it

With the foot everted, its tendon is felt from behind the lateral malleolus to the prominent base of the fifth metatarsal, where it stands out just behind the tuberosity.

Examination

  • Resisted eversion with the ankle plantarflexed: pain along the tendon behind the malleolus suggests tendinopathy or a split tear; weakness suggests a superficial fibular nerve or root problem
  • Fibular tendon subluxation test: snapping of the tendons over the malleolus during resisted eversion and dorsiflexion

On imaging

Foot radiographs show where a fifth metatarsal base fracture lies: tuberosity avulsion versus the junction of the metaphysis and diaphysis. On MRI or ultrasound a split tear looks like a flattened or divided tendon behind the malleolus.

Clinical notes

  • Split tears often follow repeated ankle sprains and accompany lateral ankle instability
  • Its tendon has been used to reconstruct the lateral ankle ligaments, although anatomical repairs are now favoured
  • A low-lying muscle belly or a fibularis quartus can crowd the retromalleolar groove and predispose to tendon problems

Anatomical variants

  • Fibularis quartus, an extra muscle from the lower fibula to the calcaneus, is reported in about 5–20% of legs
  • The retromalleolar groove is concave in most people; a flat or convex groove favours tendon dislocation
  • Its muscle belly may extend lower than usual into the groove

Development

A dorsal muscle mass derivative of the lateral compartment, supplied by the superficial fibular nerve.

Test yourself

Think of the answer, then tap the question to see it.

Where does the fibularis brevis insert, and what fracture can an inversion injury cause there?

On the tuberosity of the fifth metatarsal base; an inversion injury can avulse this tuberosity, which differs from the more distal Jones fracture.

Which fibular tendon usually develops longitudinal split tears, and why?

The fibularis brevis, because it lies directly against the back of the lateral malleolus, squeezed between bone and the fibularis longus.

Which nerve supplies the fibularis brevis?

The superficial fibular nerve (L5–S2), as for the fibularis longus in the lateral compartment.

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Educational information, not medical advice. For any symptom, see a health professional.

Its names

Official Latin (TA2)
musculus fibularis brevis TA2 2653
Official Spanish (DeCS)
Músculo fibular corto
English (TA2)
Fibularis brevis muscle
Also called
musculus peroneus brevis · peroneus brevis muscle

Sources: Terminologia Anatomica (TA2); Anatomy, Bony Pelvis and Lower Limb, Foot Peroneus Brevis Muscle.

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Representative model, for educational purposes only.

Fibularis brevis highlighted on the Durgical 3D model