{"id":370,"date":"2022-03-02T20:22:05","date_gmt":"2022-03-02T20:22:05","guid":{"rendered":"https:\/\/journal.aoao.org\/?p=370"},"modified":"2022-03-09T18:36:54","modified_gmt":"2022-03-09T18:36:54","slug":"peroneus-quartus-muscle-causing-lateral-ankle-pain-in-a-pediatric-patient-a-case-report","status":"publish","type":"post","link":"https:\/\/journal.aoao.org\/?p=370","title":{"rendered":"Peroneus Quartus Muscle Causing Lateral Ankle Pain in a Pediatric Patient: A Case Report"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong><sup>1<\/sup>Seymour J,\u00a0<sup>2<\/sup>Andrisevic E<\/strong><br><sup>1<\/sup>MountainView Regional Medical Center, Las Cruces, NM, USA;\u00a0<sup>2<\/sup>Phoenix Children\u2019s Hospital, Phoenix , AZ, USA<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">We present the rare case of a 9-year-old active female who was referred to our hospital with a two-year history of right focal posterolateral ankle pain despite aggressive nonoperative treatment. Her retromalleolar pain was consistent with the magnetic resonance imaging (MRI), which showed an accessory peroneal muscle\/tendon. This complex was identified as an accessory peroneus quartus. MRI also revealed low-lying attenuation of the peroneus brevis muscle just distal to the lateral malleolus as well as slight convex anatomy of the distal posterior fibular epiphyses. We performed resection of the accessory peroneus quartus, resection of the low-lying peroneus brevis muscle, and performed a retromalleolar groove deepening distal to the physes all to decrease overstuffing pain. This resolved the patient\u2019s symptoms completely and allowed her to return to sports after rehabilitation.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/journal.aoao.org\/wp-content\/uploads\/2022\/03\/Pediatrics_Peroneus-Quartus-Muscle-Causing-Lateral-Ankle-Pain_Image-1.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Image 1<\/a> | <a href=\"https:\/\/journal.aoao.org\/wp-content\/uploads\/2022\/03\/Pediatrics_Peroneus-Quartus-Muscle-Causing-Lateral-Ankle-Pain_Image-2.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Image 2<\/a> | <a href=\"https:\/\/journal.aoao.org\/wp-content\/uploads\/2022\/03\/Pediatrics_Peroneus-Quartus-Muscle-Causing-Lateral-Ankle-Pain_Image-3.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Image 3<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>1Seymour J,\u00a02Andrisevic E1MountainView Regional Medical Center, Las Cruces, NM, USA;\u00a02Phoenix Children\u2019s Hospital, Phoenix , AZ, USA We present the rare case of a 9-year-old active female who was referred to our hospital with a two-year history of right focal posterolateral ankle pain despite aggressive nonoperative treatment. Her retromalleolar pain was consistent with the magnetic resonance [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32],"tags":[40,44],"class_list":["post-370","post","type-post","status-publish","format-standard","hentry","category-pediatrics","tag-abstracts","tag-february-2022"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Peroneus Quartus Muscle Causing Lateral Ankle Pain in a Pediatric Patient: A Case Report - AOAO Journal<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/journal.aoao.org\/?p=370\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Peroneus Quartus Muscle Causing Lateral Ankle Pain in a Pediatric Patient: A Case Report - AOAO Journal\" \/>\n<meta property=\"og:description\" content=\"1Seymour J,\u00a02Andrisevic E1MountainView Regional Medical Center, Las Cruces, NM, USA;\u00a02Phoenix Children\u2019s Hospital, Phoenix , AZ, USA We present the rare case of a 9-year-old active female who was referred to our hospital with a two-year history of right focal posterolateral ankle pain despite aggressive nonoperative treatment. Her retromalleolar pain was consistent with the magnetic resonance [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/journal.aoao.org\/?p=370\" \/>\n<meta property=\"og:site_name\" content=\"AOAO Journal\" \/>\n<meta property=\"article:published_time\" content=\"2022-03-02T20:22:05+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-03-09T18:36:54+00:00\" \/>\n<meta name=\"author\" content=\"Ray Hall\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Ray Hall\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/journal.aoao.org\/?p=370\",\"url\":\"https:\/\/journal.aoao.org\/?p=370\",\"name\":\"Peroneus Quartus Muscle Causing Lateral Ankle Pain in a Pediatric Patient: A Case Report - AOAO Journal\",\"isPartOf\":{\"@id\":\"https:\/\/journal.aoao.org\/#website\"},\"datePublished\":\"2022-03-02T20:22:05+00:00\",\"dateModified\":\"2022-03-09T18:36:54+00:00\",\"author\":{\"@id\":\"https:\/\/journal.aoao.org\/#\/schema\/person\/b3ff623305ba59e337e22c31c9fc42e7\"},\"breadcrumb\":{\"@id\":\"https:\/\/journal.aoao.org\/?p=370#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/journal.aoao.org\/?p=370\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/journal.aoao.org\/?p=370#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/journal.aoao.org\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Peroneus Quartus Muscle Causing Lateral Ankle Pain in a Pediatric Patient: A Case Report\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/journal.aoao.org\/#website\",\"url\":\"https:\/\/journal.aoao.org\/\",\"name\":\"AOAO Journal\",\"description\":\"The Journal of the American Osteopathic Academy of Orthopedics (JAOAO)\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/journal.aoao.org\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/journal.aoao.org\/#\/schema\/person\/b3ff623305ba59e337e22c31c9fc42e7\",\"name\":\"Ray Hall\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/journal.aoao.org\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/77c2e3f00618d6950c250a915344c15d9f601fb38bd861cae3882e3489cd7d18?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/77c2e3f00618d6950c250a915344c15d9f601fb38bd861cae3882e3489cd7d18?s=96&d=mm&r=g\",\"caption\":\"Ray Hall\"},\"url\":\"https:\/\/journal.aoao.org\/?author=3\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Peroneus Quartus Muscle Causing Lateral Ankle Pain in a Pediatric Patient: A Case Report - AOAO Journal","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/journal.aoao.org\/?p=370","og_locale":"en_US","og_type":"article","og_title":"Peroneus Quartus Muscle Causing Lateral Ankle Pain in a Pediatric Patient: A Case Report - AOAO Journal","og_description":"1Seymour J,\u00a02Andrisevic E1MountainView Regional Medical Center, Las Cruces, NM, USA;\u00a02Phoenix Children\u2019s Hospital, Phoenix , AZ, USA We present the rare case of a 9-year-old active female who was referred to our hospital with a two-year history of right focal posterolateral ankle pain despite aggressive nonoperative treatment. 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