Tulane University School of Medicine, Louisiana, New Orleans, USA.
Department of Anatomical Dissection and Donation, Chair of Anatomy and Histology, Medical University of Lodz, Lodz, Poland.
Anat Histol Embryol. 2023 Jul;52(4):649-652. doi: 10.1111/ahe.12921. Epub 2023 Mar 31.
The variant plantaris muscle has itself been reported to have variable presentations. Here, we report an unusual finding of the plantaris muscle and report its gross and histological findings. A duplicated head of the plantaris muscle was identified in the right leg of an adult cadaver age and sex. The more anterior head of the muscle was in the typical location and originated from the superolateral condyle of the femur. However, the more posteriorly located head arose from the iliotibial band at the level of the distal thigh. The two heads united and continued as the typical distal tendon of the plantaris muscle to insert into the calcaneus tendon (Achilles). The normally positioned head of the plantaris muscle was found to be composed of typical skeletal muscle fibres. However, the accessory head of the plantaris muscle was found to be severely degenerated and infiltrated with adipose tissue. We report a duplicated head of the plantaris muscle. Histologically, the accessory head was degenerated and infiltrated with adipose tissue. To our knowledge, this is the first report of such a case. Further cases are now necessary to further elucidate this finding.
变异的比目鱼肌本身就有不同的表现。在这里,我们报告了一个比目鱼肌的不寻常发现,并报告了其大体和组织学发现。在一具成年尸体的右腿中发现了一个比目鱼肌的双头,其年龄和性别未知。肌肉的靠前头部位于典型位置,起源于股骨的外上髁。然而,位置更靠后的头部则从大腿远端的阔筋膜带发出。两个头部联合起来,并继续作为比目鱼肌的典型远端肌腱插入跟腱(跟腱)。发现正常位置的比目鱼肌头部由典型的骨骼肌纤维组成。然而,副头的比目鱼肌则严重退化并浸润脂肪组织。我们报告了一个比目鱼肌的双头。组织学上,辅助头退化并浸润脂肪组织。据我们所知,这是首例此类病例报告。现在需要进一步的病例来进一步阐明这一发现。