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分叉的跖肌与腘窝内神经血管束的关系罕见。

Bifurcated plantaris with rare relations to the neurovascular bundle in the popliteal fossa.

作者信息

Kotian Sushma R, Sachin K S, Bhat Kumar M R

机构信息

Department of Anatomy, Kasturba Medical College, Manipal University, Manipal, 576104, India.

出版信息

Anat Sci Int. 2013 Sep;88(4):239-41. doi: 10.1007/s12565-013-0184-z. Epub 2013 Jun 15.

Abstract

The plantaris muscle (PM) is a vestigial muscle in human. The PM arises as a small muscular belly from the lateral condyle of the femur and then its long tendon inserts into the calcaneum or blends with the tendocalcaneus. There are many reports to describe the variations in the origin, nature of muscle, course of the tendon, and insertion of PM. However, here we report a case of a rare and unreported variation of PM with one common origin and two muscle bellies with peculiar relations with the neurovascular bundle in the popliteal fossa. Although its anatomical functions are insignificant, its tendon is useful as a graft in various reconstructive surgeries and variation in this muscle and its relation to nearby neurovascular bundle may be of clinical interest. Therefore, the present variation is worth considering in predicting uncommon neurovascular entrapment in the leg and may also be useful in various surgical procedures in the region of the knee joint.

摘要

跖肌是人体中的一块退化肌肉。跖肌以一个小肌腹起自股骨外侧髁,然后其长腱插入跟骨或与跟腱融合。有许多报道描述了跖肌在起点、肌肉性质、肌腱走行和止点方面的变异。然而,在此我们报告一例罕见且未被报道过的跖肌变异情况,其有一个共同起点和两个肌腹,与腘窝内的神经血管束存在特殊关系。尽管其解剖学功能并不重要,但其肌腱在各种重建手术中作为移植物很有用,并且该肌肉的变异及其与附近神经血管束的关系可能具有临床意义。因此,目前的这种变异在预测腿部罕见的神经血管卡压方面值得考虑,并且在膝关节区域的各种手术操作中也可能有用。

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