Lateral aspect of right leg.
Peroneus longus labeled at right
|Origin||Upper lateral shaft of fibula|
|Insertion||first metatarsal, medial cuneiform[same insertion as Tibialis Anterior]|
|Artery||fibular (peroneal) artery|
|Nerve||Superficial fibular (peroneal) nerve|
|Actions||plantarflexion, eversion, support arches|
|Antagonist||Tibialis anterior muscle, T.A. does Inversion and Dorsiflexion|
|Latin||Musculus peronaeus longus, musculus fibularis longus|
The muscle, the longest and most superficial of the three fibularis muscles, is attached proximally to the head of the fibula and its 'belly' runs down most of this bone. It becomes a tendon that goes posteriorly around the lateral malleolus of the ankle, then continues under the foot to attach to the medial cuneiform and first metatarsal.
The terms Peroneus (i.e., Longus and Brevis) and Peroneal (i.e., Artery, Retinaculum) are derived from the Greek word Perone (pronounced Pair-uh-knee) meaning pin of a brooch or a buckle. In medical terminology, both terms refer to being of or relating to the fibula or to the outer portion of the leg.
Origin and insertion
It arises from the head and upper two-thirds of the lateral surface of the body of the fibula, from the deep surface of the fascia, and from the intermuscular septa between it and the muscles on the front and back of the leg; occasionally also by a few fibers from the lateral condyle of the tibia. Between its attachments to the head and to the body of the fibula there is a gap through which the common fibular nerve passes to the front of the leg.
It ends in a long tendon, which runs behind the lateral malleolus, in a groove common to it and the tendon of the fibularis brevis; the groove is converted into a canal by the superior fibular retinaculum, and the tendons in it are contained in a common mucous sheath.
The tendon then extends obliquely forward across the lateral side of the calcaneus, below the trochlear process, and the tendon of the fibularis brevis, and under cover of the inferior fibular retinaculum.
It crosses the lateral side of the cuboid, and then runs on the under surface of that bone in a groove which is converted into the peroneal canal by the long plantar ligament; the tendon then crosses the sole of the foot obliquely, and is inserted into the lateral side of the base of the first metatarsal bone and the lateral side of the medial cuneiform.
Occasionally it sends a slip to the base of the second metatarsal bone.
The tendon changes its direction at two points: first, behind the lateral malleolus; secondly, on the cuboid bone; in both of these situations the tendon is thickened, and, in the latter, a sesamoid fibrocartilage (sometimes a bone), is usually developed in its substance.
The fibularis longus and brevis muscles plantar-flex the foot, in conjunction with the tibialis posterior, antagonizing the tibialis anterior and fibularis tertius, which are dorsi-flexors of the foot.
This is especially the case in standing upon one leg, when the tendency of the superincumbent weight is to throw the leg medialward; the fibularis longus overcomes this tendency by drawing on the lateral side of the leg.