What is the peroneal sheath?
William Taylor
Updated on May 27, 2026
The peroneal tendons are a paired tendons structure that lies in a common sheath on the lateral aspect of the hind foot. As they pass posterior to the lateral malleolus their position is maintained by the presence of a connective tissue band termed the superior peroneal retinaculum.
Where is the peroneal tendon sheath located?
The peroneal tendon complex is situated in the lateral compartment of the leg and foot and is composed of the peroneus brevis ( PB ) muscle and tendon; the peroneus longus ( PL ) muscle and tendon; the common peroneal tendon sheath, which splits in two at the peroneal tubercle of the calcaneus; the SPR and inferior …
Why does my Fibularis longus hurt?
Peroneal tendonitis occurs when the long tendon of the peroneus muscle becomes inflamed and irritated. This may occur due to overuse, or the peroneal tendon may be pinched beneath the bone that is courses under. Pain on the outer portion of your foot and ankle may result making it difficult to walk or run normally.
What are the 3 peroneal tendons?
They play an important role in stabilising the ankle joint, contribute to power when pushing off the ankle/ foot and also enable the ankle to be turned outwards (eversion). There are three peroneal muscle-tendons, called peroneus brevis, peroneus longus and peroneus tertius. The lattermost is rarely injured.
What does a peroneal tendon tear feel like?
Peroneal tendon injuries can be acute, meaning the injury occurred suddenly, or chronic, meaning that damage occurred over time. Symptoms of peroneal tendon injuries can include pain and swelling, weakness in the foot or ankle, warmth to the touch, and a popping sound at the time of injury.
How do you treat fibularis longus pain?
Treatments
- Immobilization: Stopping the foot and ankle from moving using a boot or support.
- Medication: Anti-inflammatory drugs, such as ibuprofen, can help relieve pain and swelling.
- Physical therapy: Ice, heat, and ultrasound therapy can reduce pain and swelling.
What does fibularis longus do?
Fibularis longus spreads from the proximal aspect of the fibula to the medial cuneiform and the first metatarsal bones. The fibularis longus muscle is innervated by the superficial fibular nerve (L5, S1). The main function of this muscle is to produce the plantarflexion and eversion of the foot on the ankle joint.
What are the signs symptoms of peroneal tendon subluxations?
The symptoms of subluxation may include: A snapping feeling of the tendon around the ankle bone. Sporadic pain behind the outside ankle bone. Ankle instability or weakness….Peroneal Tendon Injuries
- Pain.
- Swelling.
- Warmth to the touch.
Does Overpronation cause peroneal tendonitis?
Causes of peroneal tendonitis include: Repetitive running on sloped streets can cause peroneal tendonitis; as your foot rolls outward, the friction increases between the tendon and the bone, and this over pronation can increase this tension between the tendon and the bone.