Krishna Hare, Gaur Rahul, Gupta Sarthak, Ghatak Surajit
Department of Anatomy, All India Institute of Medical Sciences Jodhpur, Jodhpur, India.
Anat Cell Biol. 2025 Mar 31;58(1):132-135. doi: 10.5115/acb.24.194. Epub 2024 Nov 22.
During routine dissection, we observed a unique case of unilateral polydactyly in the left foot of a 61-year-old male cadaver. We observed the medial head of the quadratus plantae (QP) muscle, which gave off an additional tendinous slip before joining the lateral head of QP. The 4th tendon of the flexor digitorum longus (FDL) was bifurcated into two tendinous parts after receiving a thin fibrous slip from the tendinous slip of the medial head of QP. The medial division of the 4th tendon of FDL passed forward and attached to the base of the distal phalanx of the 5th toe. The extra tendinous slip from the medial head of QP was attached distally to the lateral division of the 4th tendon of FDL and formed a common anomalous tendon to the 6th toe. The knowledge of this variation would be helpful in reconstructive foot surgeries and correction of congenital deformities.
在常规解剖过程中,我们观察到一例61岁男性尸体左足单侧多指畸形的独特病例。我们观察到足底方肌(QP)的内侧头,该内侧头在与QP外侧头汇合之前发出一条额外的腱束。趾长屈肌(FDL)的第4条肌腱在接受了QP内侧头腱束发出的一条细纤维束后,分成两条腱性部分。FDL第4条肌腱的内侧分支向前走行并附着于第5趾远节趾骨基底。QP内侧头的额外腱束在远端附着于FDL第4条肌腱的外侧分支,并形成一条通向第6趾的共同异常肌腱。了解这种变异将有助于足部重建手术和先天性畸形的矫正。