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双侧第三腓肠肌与单侧双头跖肌并存。

A bilateral gastrocnemius tertius coexisting with a unilateral two-headed plantaris muscle.

作者信息

Tsakotos George, Triantafyllou George, Koutserimpas Christos, Piagkou Maria

机构信息

Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, Athens, Greece.

出版信息

Anat Cell Biol. 2024 Sep 30;57(3):459-462. doi: 10.5115/acb.24.038. Epub 2024 May 2.

DOI:10.5115/acb.24.038
PMID:38692676
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11424571/
Abstract

The current cadaveric report aims to present a coexistence of two uncommon variants of the posterior leg compartment. The variations were detected, during classical dissection in an 84-year-old donated male cadaver. On the left lower limb, the gastrocnemius muscle was identified as having a third head that was attached to the lateral head. This variant is known as gastrocnemius tertius muscle and was bilaterally identified. The left-sided plantaris muscle had two distinct heads that fused into a common tendon that was inserted into the calcaneal tuberosity. Knowledge of these variants is important, due to their close relationship with the popliteal neurovascular bundle. Clinicians should be aware, to avoid pitfalls and take them into account in their differential diagnosis.

摘要

当前的尸体报告旨在呈现小腿后群两个罕见变异的共存情况。这些变异是在对一名84岁男性捐赠尸体进行常规解剖时发现的。在左下肢,腓肠肌被确定有第三个头附着于外侧头。这种变异被称为腓肠肌第三头肌,双侧均有发现。左侧跖肌有两个不同的头,融合成一条共同的肌腱,插入跟骨结节。了解这些变异很重要,因为它们与腘部神经血管束关系密切。临床医生应予以注意,避免失误,并在鉴别诊断时将其考虑在内。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea2/11424571/609a97b0958b/acb-57-3-459-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea2/11424571/705cdeb9fdee/acb-57-3-459-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea2/11424571/609a97b0958b/acb-57-3-459-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea2/11424571/705cdeb9fdee/acb-57-3-459-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ea2/11424571/609a97b0958b/acb-57-3-459-f2.jpg

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本文引用的文献

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A three-headed plantaris muscle fused with Kaplan fibres: potential clinical significance.一块与卡普兰纤维融合的三头跖肌:潜在的临床意义。
Folia Morphol (Warsz). 2024;83(2):466-471. doi: 10.5603/fm.95513. Epub 2023 Nov 14.
2
Bilateral Gastrocnemius Tertius Muscles: Cadaveric Findings of a Rare Variant.双侧第三腓肠肌:一种罕见变异的尸体解剖发现
Cureus. 2023 Sep 15;15(9):e45316. doi: 10.7759/cureus.45316. eCollection 2023 Sep.
3
Vascular entrapment neuropathy of the tibial nerve within the gastrocnemius muscle.腓肠肌内胫神经的血管压迫性神经病变
Surg Neurol Int. 2021 May 17;12:224. doi: 10.25259/SNI_75_2021. eCollection 2021.
4
The plantaris muscle - Anatomical curiosity or a structure with important clinical value? - A comprehensive review of the current literature.跖肌——解剖学上的奇特结构还是具有重要临床价值的结构?——当前文献综述
Ann Anat. 2021 May;235:151681. doi: 10.1016/j.aanat.2021.151681. Epub 2021 Feb 6.
5
A bilateral third head of the gastrocnemius which is morphologically similar to the plantaris.腓肠肌的双侧第三头,在形态上类似于比目鱼肌。
Surg Radiol Anat. 2021 Jul;43(7):1095-1098. doi: 10.1007/s00276-020-02670-w. Epub 2021 Jan 10.
6
A bifurcated plantaris muscle: another confirmation of its high morphological variability? Another type of plantaris muscle.双叉型跖肌:对其高度形态变异性的又一证实?另一种类型的跖肌。
Folia Morphol (Warsz). 2021;80(3):739-744. doi: 10.5603/FM.a2020.0101. Epub 2020 Aug 26.
7
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