OBJECTIVE. The peroneocalcaneus internus muscle is a rare muscle of th
e posterior calf that to our knowledge has not been reported in the ra
diology literature. The purpose of our study was to describe the norma
l anatomy and MR characteristics of this muscle in eight patients in w
hom the muscle was identified. CONCLUSION. The peroneocalcaneus intern
us muscle is a rare muscle that originates from the inner aspect of th
e distal fibula, descends within the tarsal tunnel, and inserts on a s
mall tubercle in the calcaneus, just distal to the sustentaculum tall.
The muscle may displace the flexor hallucis longus muscle medially an
d thus indirectly encroach on the neurovascular bundle.