Popliteus muscle. An anatomical study

I. Quintero
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Abstract

Background: The popliteus muscle fulfills a function of rotational stabilizer of the knee. Its particular shape and innervation pattern are the interest of anatomists and surgeons. The aim of this work was characterizing the anatomy and innervation of the popliteus muscle of knees from a sample of mestizo-raced population, predominant in Latin America.   Methods: This cross-sectional study was made in 23 knee segments 14 right knees and 9 left knees coming from 14 men and 9 women aged 67 ± 22 years.   Results: The popliteus muscle presented a scalene-like triangle shape and its medial base was covered by the superficial expansion of the semimembranosus tendon. The length of its base was 79,2±12,8 mm with a superior and inferior side that measured 58.0±7.4 mm and 101.7±11.7 mm respectively. The popliteus muscle innervation was supplied by the tibial nerve (TN) by the arising of two branches in 22 cases (95.7%). The first branch arose proximal to the inter articular line and presented a length of 91,1 mm. The second branch arose distally to the inter articular line with a length of 48.4±1.3mm. The third was observed in just one case (4.3%) Its length was 108±1.1mm and it arose distally to the inter articular line.   Conclusions: The morphological characteristics of the popliteus muscle and its innervation patterns found in our study differ from what was reported in previous studies. The presence of these findings can be considered during the planning of surgical procedures in the posterior aspect of the knee.
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腘肌肌肉。解剖学研究
背景:腘肌起着膝关节旋转稳定器的作用。其特殊的形状和神经支配模式引起了解剖学家和外科医生的兴趣。这项工作的目的是从拉丁美洲占主导地位的混血种群样本中,对膝腘肌的解剖和神经支配进行表征。方法:对来自14名男性和9名女性的23个膝段(14个右膝和9个左膝)进行横断面研究,年龄为67±22岁。结果:腘肌呈斜角三角形,内侧基底被半膜肌腱的浅表扩张所覆盖。其基部长度为79.2±12.8 mm,上侧和下侧分别为58.0±7.4 mm和101.7±11.7 mm。22例(95.7%)腘肌神经支配由胫神经(TN)通过两个分支提供,第一个分支出现在关节间线附近,长度91,1mm。第二支位于关节间线远端,长度为48.4±1.3mm。第三支仅在一例(4.3%)中观察到,长度为108±1.1mm,位于关节间线上远端。结论:在我们的研究中发现的腘肌的形态特征及其神经支配模式与以前的研究中报道的不同。这些发现的存在可以在计划膝盖后侧的手术过程中考虑。
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