Samal Badhuli, Lobaton Gilberto O, Gibula Ashleigh, Jose Olivia V, Jose Jean
Department of Radiology, University of Miami, Miami, FL, USA.
Department of Orthopaedics, UHealth Sports Medicine Institute, University of Miami, Miami, FL, USA.
Radiol Case Rep. 2023 Sep 6;18(11):4080-4084. doi: 10.1016/j.radcr.2023.08.020. eCollection 2023 Nov.
Anatomic variants of lower extremity musculature, such as the gastrocnemius, popliteus, and the plantaris have been well described in the literature. The impact of these anatomical variations on clinical outcomes depends on their proximity to and effects on adjacent anatomical structures, particularly in the context of planned surgical procedures in the region. While the presence of the accessory plantaris is rare, no previous cases have described it negatively affecting surgical outcomes to our knowledge. We present a case of a 42-year-old patient who underwent an anterior cruciate ligament (ACL) reconstruction using a femoral Endobutton for graft fixation positioned just beneath an accessory plantaris, leading to impingement and persistent knee pain. This case highlights the importance of understanding anatomical variations when planning and performing surgical procedures and suggests the need for further research in this area.
下肢肌肉组织的解剖变异，如腓肠肌、腘肌和跖肌，在文献中已有充分描述。这些解剖变异对临床结果的影响取决于它们与相邻解剖结构的接近程度及其对相邻解剖结构的影响，特别是在该区域计划进行外科手术的情况下。虽然副跖肌的存在很少见，但据我们所知，以前没有病例描述过它会对手术结果产生负面影响。我们报告一例42岁患者，该患者使用股骨纽扣式固定器进行前交叉韧带（ACL）重建，移植物固定位置恰好在副跖肌下方，导致撞击和持续的膝关节疼痛。该病例强调了在计划和实施外科手术时了解解剖变异的重要性，并表明该领域需要进一步研究。
