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跖肌起源的罕见双侧变异:一例报告及文献复习

Rare Bilateral Variations in the Origin of the Plantaris Muscle: A Case Report and Literature Review.

作者信息

Hawi Jihad, El Ahmadieh Christina, Aboul Hosn Shahd, El Masri Jad, Ouaini Naim

机构信息

Anatomy, American University of Beirut, Beirut, LBN.

Faculty of Medicine, Lebanese University, Tripoli, LBN.

出版信息

Cureus. 2024 Nov 28;16(11):e74668. doi: 10.7759/cureus.74668. eCollection 2024 Nov.

Abstract

The plantaris muscle is spindle-shaped in the posterior compartment of the leg. It is distinguished for its small muscle belly and an exceptionally long tendon. It presents with great variability in its origin and insertion when present. This case report presents a novel bilateral variation in the origin of the plantaris muscle in a male cadaver. In addition, it studies the clinical implications behind this novel variation. A 75-year-old male cadaver was dissected following the guidelines of the 16th edition of Grant's Dissector in the Anatomy Lab at the American University of Beirut. This case report showcased that the plantaris muscle in the left lower limb of the male cadaver comprises two separate plantaris muscle bellies that have distinct origins, and their tendons insert distally at the Achilles tendon. While in the right lower limb, two plantaris muscle bellies emerged from the same origin, i.e., the lateral supracondylar line of the femur, and their tendons insert distally at the Achilles tendon. The presence of such an anatomical variation in the plantaris muscle can have significant clinical outcomes that could possibly help physicians with diagnosis and treatment.

摘要

跖肌在小腿后群肌中呈纺锤形。它以其较小的肌腹和异常长的肌腱而著称。当存在时,其起止点具有很大的变异性。本病例报告展示了一名男性尸体中跖肌起点的一种新的双侧变异情况。此外,还研究了这种新变异背后的临床意义。按照《格兰特解剖学图谱》第16版的指导方针,在贝鲁特美国大学解剖实验室对一具75岁男性尸体进行了解剖。本病例报告显示,该男性尸体左下肢的跖肌由两个独立的肌腹组成,它们有不同的起点,其肌腱在远端附着于跟腱。而在右下肢,两个跖肌肌腹起于同一部位,即股骨外侧髁上线,其肌腱在远端附着于跟腱。跖肌存在这种解剖变异可能会产生重大的临床后果,这可能有助于医生进行诊断和治疗。

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