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前所未见的四头肌跖肌。

Never undescribed before, four-headed plantaris muscle.

作者信息

Zielinska Nicol, Maślanka Krystian, Węgiel Andrzej, Kurtys Konrad, Olewnik Łukasz

机构信息

Department of Clinical Anatomy, Masovian Academy in Plock, Płock, Poland.

Department of Anatomical Dissection and Donation, Medical University of Lodz, Łódź, Poland.

出版信息

Folia Morphol (Warsz). 2024;83(4):942-946. doi: 10.5603/fm.98753. Epub 2024 May 17.

Abstract

The plantaris is a small muscle of the superficial posterior compartment of the leg. It originates at the lateral supracondylar line of the femur and the knee joint capsule, from where it continues distally, forming a long and slender tendon distally attached to the calcaneal tuberosity. During standard anatomical dissection a four-headed plantaris muscle was found, and all of its heads connected to each other as a single muscle belly passing into tendinous structure, which was distally attached as a standard plantaris muscle. The first head originated from the popliteal surface of the femur. The second one originated from distal Kaplan fibre. The third and fourth heads were proximally attached to the lateral femoral epicondyle. Knowledge about morphological variations is necessary because of its potential clinical significance, which means not only neurovascular compressions, but also surgical procedures.

摘要

跖肌是小腿后浅部的一块小肌肉。它起于股骨外侧髁上缘和膝关节囊,自此向远端延续,形成一条细长的肌腱,远端附着于跟骨结节。在标准解剖 dissection 中发现了一块四头肌的跖肌,其所有肌头相互连接成一个单一的肌腹,进入腱性结构,该腱性结构远端作为标准的跖肌附着。第一个肌头起于股骨的腘面。第二个起于远端的 Kaplan 纤维。第三个和第四个肌头近端附着于股骨外侧髁。由于其潜在的临床意义,了解形态变异是必要的,这不仅意味着神经血管受压,还涉及外科手术。

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