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Bifurcated plantaris with rare relations to the neurovascular bundle in the popliteal fossa
Sushma R Kotian1, K S Sachin, Kumar M R Bhat
1Department of Anatomy, Kasturba Medical College, Manipal University, Manipal, 576104, India.
Abstract:
The plantaris muscle (PM) is a vestigial muscle in human. The PM arises as a small muscular belly from the lateral condyle of the femur and then its long tendon inserts into the calcaneum or blends with the tendocalcaneus. There are many reports to describe the variations in the origin, nature of muscle, course of the tendon, and insertion of PM. However, here we report a case of a rare and unreported variation of PM with one common origin and two muscle bellies with peculiar relations with the neurovascular bundle in the popliteal fossa. Although its anatomical functions are insignificant, its tendon is useful as a graft in various reconstructive surgeries and variation in this muscle and its relation to nearby neurovascular bundle may be of clinical interest. Therefore, the present variation is worth considering in predicting uncommon neurovascular entrapment in the leg and may also be useful in various surgical procedures in the region of the knee joint.
Insights
A rare variation of the plantaris muscle (PM) was found, featuring two muscle bellies from a single origin. This anatomical anomaly has significant implications for understanding neurovascular entrapment and surgical procedures in the knee region.
Area of Science:
- Anatomy
- Human Morphology
- Surgical Anatomy
Background:
- The plantaris muscle (PM) is a small, often vestigial muscle in humans, typically originating from the femur and inserting into the calcaneum.
- Variations in the PM's origin, course, and insertion are documented, but uncommon.
- Understanding PM anatomy is crucial due to its tendon's use in reconstructive surgery.
Observation:
- A rare case of plantaris muscle (PM) variation is presented.
- This variation involved a single common origin with two distinct muscle bellies.
- Peculiar relationships between the dual bellies and the neurovascular bundle in the popliteal fossa were observed.
Findings:
- The identified plantaris muscle (PM) variation presented with a unique dual-belly structure arising from a single origin.
- The anatomical course of these dual bellies demonstrated unusual proximity to the neurovascular structures within the popliteal fossa.
- This specific variation is previously unreported in anatomical literature.
Implications:
- This rare PM variation highlights the importance of detailed anatomical knowledge for surgical planning in the knee and leg.
- Awareness of such variations can aid in predicting and diagnosing uncommon neurovascular entrapment syndromes.
- The findings may inform reconstructive surgical techniques utilizing the plantaris tendon, considering potential anatomical anomalies.
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