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Ultrasonographic study and anatomical guidelines for botulinum neurotoxin injection into the parotid gland. 腮腺注射肉毒杆菌神经毒素的超声研究和解剖学指南。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2024-10-10 DOI: 10.5115/acb.23.255
Kyu-Ho Yi, Soo-Bin Kim, Hyewon Hu, Hee-Jin Kim

Benign enlargement of the parotid gland hypertrophy results in a bulky lateral facial contour and esthetic appearance. This study aimed to determine the depth from the skin surface to the parotid fascia, which encompasses the parotid gland. The anatomical properties of the parotid glands were evaluated in 40 patients using ultrasonography. An up-to-date understanding of the localization of botulinum neurotoxin (BoNT) injection based on anatomy could lead to better localization of the injection into the parotid gland through morphological measurements using data previously published from cadaveric studies. Measurement using the otobasion inferius as a landmark revealed parotideomasseteric fascia thickness averaging 4-6 mm from the skin surface, with the parotid gland extending approximately 15 mm anteriorly. Analysis showed a 3-7 mm thickness range, indicating an optimal injection depth for safety and efficacy in BoNT procedures. Utilizing the otobasion inferius as an anatomical landmark offers a practical approach for measuring parotideomasseteric fascia thickness, addressing cadaveric study limitations. These guidelines aim to maximize the effects of BoNT therapy, which can be useful in clinical settings, by minimizing its deleterious effects.

腮腺肥大的良性增生会导致面部侧面轮廓臃肿,影响美观。本研究旨在确定从皮肤表面到包裹腮腺的腮腺筋膜的深度。研究人员使用超声波造影术对 40 名患者的腮腺解剖特性进行了评估。根据解剖学对肉毒杆菌神经毒素(BoNT)注射定位的最新理解,可以通过使用以前发表的尸体研究数据进行形态测量,从而更好地确定腮腺的注射定位。以腮腺下缘为地标进行的测量显示,腮腺肌筋膜厚度平均为距皮肤表面 4-6 毫米,腮腺向前方延伸约 15 毫米。分析显示厚度范围为 3-7 毫米,这表明注射深度是 BoNT 手术安全性和有效性的最佳选择。利用腮腺下缘作为解剖标志为测量腮腺肌筋膜厚度提供了一种实用的方法,解决了尸体研究的局限性。这些指南旨在最大限度地提高 BoNT 疗法的效果,将其有害影响降至最低,从而使其在临床环境中发挥作用。
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引用次数: 0
Tetrapleura tetraptera fruit phenolics fraction protects against the impact of ischemic stroke-induced hippocampal distortions and memory deficits in Wistar rats. 四叶草果实酚类成分可防止缺血性中风引起的 Wistar 大鼠海马变形和记忆缺陷。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2024-10-04 DOI: 10.5115/acb.24.013
Onyinoyi Bethel Onimisi, Sunday Abraham Musa, Uduak Emmanuel Umana, Sonhap James Sambo, Wusa Makena

Stroke is the most significant cause of disability worldwide. Despite mounting data supporting memory deficit after stroke, dysfunction and treatment effect mechanisms remain unknown. Phenolics can be found in a variety of fruits and vegetables. There is, however, a scarcity of research on the therapeutic potential of the phenolics fraction of Tetrapleura tetraptera (PTT) fruit against ischemic stroke-induced abnormalities in hippocampal tissue. The rats were divided into five groups: Group I, vehicle; group II, ischemia/reperfusion (I/R)+vehicle; group III, I/R+50 mg/kg minocycline (MNC); group IV, I/R+100 mg/kg PTT; and group V, I/R+200 mg/kg PTT. Ischemia was induced via bilateral common carotid artery occlusion for 30 minutes followed by reperfusion. PTT and MNC were intraorally administered daily for 7 days. Neurodegenerative changes, cornu ammonis 1 (CA1) and cornu ammonis 3 (CA3) pyramidal cell count, levels of oxidative stress indicators, and memory functions were assessed. Rats treated with PTT, as well as MNC compared to untreated I/R rats, showed a substantial (P<0.05) rise in catalase, superoxide dismutase, glutathione levels, as well as decreased lipid peroxidation and improved memory. I/R resulted in histoarchitectural distortions, a marked decrease (P<0.05) in the intensity of the Nissl substance, and a striking decrease (P<0.05) in the number of pyramidal cells in the CA1 and CA3. PTT and MNC-treated groups showed significant attenuation in all the above parameters. Taking together, these findings revealed that PTT attenuated oxidative stress, histologic alterations and substantially restored memory impairment in the I/R rat model.

中风是导致全球残疾的最主要原因。尽管有越来越多的数据支持中风后的记忆缺失,但功能障碍和治疗效果机制仍然未知。各种水果和蔬菜中都含有酚类物质。然而,有关四叶草(PTT)果实中的酚类成分对缺血性中风引起的海马组织异常的治疗潜力的研究却很少。将大鼠分为五组:第一组,车辆;第二组,缺血再灌注(I/R)+车辆;第三组,I/R+50 mg/kg 米诺环素(MNC);第四组,I/R+100 mg/kg PTT;第五组,I/R+200 mg/kg PTT。通过双侧颈总动脉闭塞诱导缺血 30 分钟,然后再灌注。每天口服 PTT 和 MNC,连续 7 天。对大鼠的神经退行性变化、1号角锥体(CA1)和3号角锥体(CA3)锥体细胞数量、氧化应激指标水平和记忆功能进行评估。与未接受 I/R 治疗的大鼠相比,接受 PTT 和 MNC 治疗的大鼠的记忆功能大幅提高(PPP
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引用次数: 0
Unusual nerve communication in gluteal region: embryological basis and clinical perspective. 臀部异常的神经沟通:胚胎学基础和临床视角。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2024-10-04 DOI: 10.5115/acb.24.076
Vidhu Dhawan, Sarah Sko Sangma, Suryakanta Seth, Vishwajit Deshmukh, Monica Baxla, Seema Singh

The posterior femoral cutaneous nerve (PFCN) has been widely studied with context to its origin, distribution and mononeuropathies. Due to the vulnerability of the gluteal region to iatrogenic injuries and pressure ulcers etc., an understanding of the cutaneous innervation of the gluteal region holds immense relevance. The communication between the PFCN and the inferior gluteal nerve (IGN) was observed at the back of thigh of a 56-year-old male cadaver while exploring distribution of nerves in gluteal region during routine anatomical dissection. The above communication holds importance in numerous diagnostic and reconstructive procedures. It assumes relevance where nerve blocks in PFCN are needed for surgical procedures in the vicinity of the thigh, knee, and the postero-superior part of the leg. The grade of motor response elicited in IGN on attempted PFCN stimulation could be a reliable determinant of adequate PFCN block.

人们对股后皮神经(PFCN)的起源、分布和单神经病变进行了广泛的研究。由于臀部容易受到先天性损伤和褥疮等,因此了解臀部的皮神经支配具有重要意义。在对一具 56 岁的男性尸体进行常规解剖时,在其大腿后侧观察到了臀下神经(IGN)与臀上神经(PFCN)之间的沟通。上述交流在许多诊断和整形手术中都非常重要。在大腿、膝盖和腿后上部附近进行外科手术时,如果需要对 PFCN 的神经进行阻滞,则上述沟通具有重要意义。在尝试刺激 PFCN 时,IGN 所引起的运动反应等级可能是充分阻滞 PFCN 的可靠决定因素。
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引用次数: 0
A variant deep femoral artery passing anterior to femoral vein: an anatomical observation with implication in femoral vein cannulation. 股深动脉在股静脉前方穿过的变异股深动脉:对股静脉插管的解剖学观察。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2024-10-02 DOI: 10.5115/acb.24.083
Mohammadali M Shoja, Maria-Teresa De Leon, Jay Sheth, Sana Padival, Tara Tritsch, Gary B Schwartz

The common femoral artery (CFA) typically gives rise to its superficial and deep branches, with the deep femoral artery (DFA) being the largest and most substantial of these branches. This case study presents a rare variation of the DFA characterized by an unusual branching pattern and its specific relationship with the femoral vein within the subinguinal region. In nutshell, the DFA and the medial femoral circumflex artery shared a common origin from the medial aspect of the CFA. The DFA assumed an unusual course, initially passing anterior to the femoral vein above the saphenofemoral junction, followed by a spiraling trajectory around the medial aspect of the femoral vein before running posteriorly. The embryological origins and clinical implications of this anatomical variation are thoroughly examined. This unusual vascular relationship in the subinguinal region may potentially result in arterial injury during femoral vein cannulation or formation of arteriovenous fistula after the procedure.

股总动脉(CFA)通常会产生浅层和深层分支,其中股深动脉(DFA)是这些分支中最大和最重要的分支。本病例研究展示了一种罕见的股深动脉变异,其特点是不寻常的分支模式及其与腹股沟下区股静脉的特殊关系。简而言之,DFA和股内侧周动脉共同起源于CFA的内侧。DFA的走向并不寻常,它最初经过股静脉前方,位于股隐窝交界处上方,随后以螺旋状轨迹绕过股静脉内侧,然后向后方运行。本文对这一解剖变异的胚胎学起源和临床意义进行了深入研究。腹股沟下区域这种不寻常的血管关系可能会在股静脉插管时造成动脉损伤,或在手术后形成动静脉瘘。
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引用次数: 0
Edible mushroom (Pleurotus cornucopiae) extract vs. glibenclamide on alloxan induced diabetes: sub-acute in vivo study of Nrf2 expression and renal toxicity. 食用菌提取物与格列本脲对阿脲诱导糖尿病的影响:Nrf2表达和肾毒性的亚急性体内研究。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2024-09-30 Epub Date: 2024-07-05 DOI: 10.5115/acb.24.054
Chinedu Godwin Uzomba, Uchenna Kenneth Ezemagu, Mary-Sonia Ofoegbu, Njoku Lydia, Essien Goodness, Chinedum Emelike, Uchewa Obinna, Alo Joseph Nwafor, Ejikeme Felix Mbajiorgu

The study aims to compare the action of Pleurotus cornucopiae and glibenclamide on alloxan-induced diabetes and ascertain how an aqueous extract of the edible mushroom regulates the expression of nuclear factor erythroid 2-related factor 2 (Nrf2), oxidative stress biomarkers and renal toxicity in a diabetic male Wistar rat model. Twenty-five adult male Wistar rats were randomly grouped into five groups with five rats per. Group 1 and those in the treatment groups received normal feed and water ad libitum. Group 2 received intraperitoneal administration of alloxan monohydrate (150 mg/kg body weight). Group 3 received alloxan monohydrate and glibenclamide (5 mg/kg body weight bwt), group 4 received alloxan monohydrate plus the extract (250 mg/kg bwt) and group 5 received alloxan monohydrate plus the extract (500 mg/kg bwt). The administration of glibenclamide plus the extract was oral for 14 days. Glibenclamide and the extract lowered blood glucose level, catalase, and glutathione peroxidase activities, increased the superoxide dismutase (SOD) activity in rats with alloxan induced diabetes. The extract at 500 mg/kg bwt reduced the plasma urea and sodium concentration in the treated rats. The extract and glibenclamide could detoxify alloxan and restore its induced renal degeneration and glomeruli atrophy, intra renal hemorrhage and inflammation and oxidative biomarkers through activation of Nrf2 expression. The drug glibenclamide and P. cornucopiae have appreciable hypoglycemic activity and potential to restore the normal renal architecture in the rats, hence they offer similar curative effects. Additionally, the extract at 500 mg/kg bwt activated SOD and Nrf2 expression more than glibenclamide in rats with alloxan-induced diabetes.

本研究旨在比较褐飞虱和格列本脲对阿脲诱导糖尿病的作用,并确定食用菌水提取物如何调节糖尿病雄性 Wistar 大鼠模型中核因子红细胞 2 相关因子 2 (Nrf2)、氧化应激生物标志物和肾毒性的表达。将 25 只成年雄性 Wistar 大鼠随机分为 5 组,每组 5 只。第 1 组和治疗组大鼠自由摄入正常饲料和水。第 2 组腹腔注射一水阿脲(150 毫克/千克体重)。第 3 组接受一水阿脲和格列本脲(5 毫克/千克体重),第 4 组接受一水阿脲加提取物(250 毫克/千克体重),第 5 组接受一水阿脲加提取物(500 毫克/千克体重)。格列本脲和提取物口服 14 天。格列本脲和提取物降低了阿脲诱导糖尿病大鼠的血糖水平、过氧化氢酶和谷胱甘肽过氧化物酶活性,提高了超氧化物歧化酶(SOD)活性。每千克体重 500 毫克的提取物可降低治疗大鼠的血浆尿素和钠浓度。通过激活 Nrf2 的表达,提取物和格列本脲可以解毒阿脲,恢复阿脲诱导的肾脏变性和肾小球萎缩、肾内出血、炎症和氧化生物标志物。药物格列本脲和玉米须具有明显的降血糖活性和恢复大鼠正常肾脏结构的潜力,因此它们具有相似的治疗效果。此外,在阿脲诱导的糖尿病大鼠体内,500 毫克/千克体重的提取物比格列本脲更能激活 SOD 和 Nrf2 的表达。
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引用次数: 0
Atlantooccipital assimilation associated with combined atlas arch defect: a radiological case report. 伴有合并寰椎弓缺损的寰枕同位:一例放射学病例报告。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2024-09-30 Epub Date: 2024-05-13 DOI: 10.5115/acb.23.281
Athikhun Suwannakhan, Pannawat Trerattanavong, Laphatrada Yurasakpong, Woranan Kirisattayakul, Nutmethee Kruepunga, Kiarttiyot Tuntiseranee, Kanitin Rumpansuwon, Thanyaporn Senarai

In this report, atlantooccipital assimilation (AS), anterior arch defect (AAD), and posterior arch defect (PAD) of the atlas, and several variations around the craniocervical junction were identified on computed tomography (CT) of a patient of unknown sex and age. Coronal and sagittal CT scans showed AS and bilateral fusion of the atlas and the base of occipital bone. Axial CT scan at the atlas revealed PAD type B on the left side and midline AAD. Morphometric measurements indicated a potential ventral spinal cord compression. In addition, mid-sagittal CT revealed the presence of fossa navicularis magna and incomplete formation of the transverse foramen on the right side. This study reports an extremely rare AS associated with AAD, PAD, and other variations of the clivus and the atlas. To our knowledge, no similar case has been reported in the literature.

在本报告中,一名性别和年龄不详的患者通过计算机断层扫描(CT)发现了寰枕同化(AS)、寰枕前弓缺损(AAD)、寰枕后弓缺损(PAD)以及颅颈交界处的一些变异。冠状和矢状CT扫描显示寰椎和枕骨基部有强直性脊柱炎和双侧融合。寰椎的轴向 CT 扫描显示左侧为 PAD B 型,中线为 AAD。形态测量显示脊髓腹侧可能受到压迫。此外,中矢状面 CT 显示右侧存在舟状窝和横突孔未完全形成。本研究报告了一例极其罕见的伴有AAD、PAD以及其他颅楔和寰椎变异的强直性脊柱炎。据我们所知,文献中还没有类似病例的报道。
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引用次数: 0
Variability in the projection level of the vertebra prominens: a cadaveric study. 椎体突出水平的变化:尸体研究。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2024-09-30 Epub Date: 2024-06-25 DOI: 10.5115/acb.24.061
Trifon Totlis, Andreas Sammer, Maria Piagkou, Konstantinos Natsis, Panagiotis-Konstantinos Emfietzis, Filippos Karageorgos, George Tsakotos, George Triantafyllou, Georg Feigl

The 7th cervical vertebra (C7) is described as having the most prominent spinous process (SP) and is characterized as the "vertebra prominens" (VP) of the cervical spine in anatomy textbooks. The VP is an important anatomical landmark of the neck for clinical examination and therapeutic intervention. The present study identifies the level of the most prominent SP of the cervical and uppermost thoracic vertebrae in a cadaveric cohort. Thirty-nine (23 female and 16 male) cadavers of a mean age of 77.5 years were investigated in a prone position and a certain cervical kyphotic bending. The most prominent SP, at the base of the neck, was palpated and marked with a wedging nail into the SP of the vertebra. The cervical region was dissected, and a blind investigator examined whether the nail was placed into the SP of C7 or the SP of another upper or lower vertebra. In 19 out of 39 cadavers (48.7%), the C7 was identified as the VP (typical anatomy), followed by the C6 (in 14 cadavers, 35.9%), C5 (in 4 cadavers, 10.3%). In 2 cadavers (5.1%) the first thoracic vertebra was identified as having the most prominent SP. Although C7 is described as the VP, in the present study the SP of C7 was the most prominent in less than 50%. The high variable projection level of the most prominent SP of the cervical vertebra holds great clinical significance for spine examination, neck surgery, and spinal anesthesia.

第 7 颈椎(C7)被描述为具有最突出的棘突(SP),在解剖教科书中被称为颈椎的 "突出椎体"(VP)。VP 是临床检查和治疗干预的重要颈部解剖标志。本研究确定了尸体群中颈椎和最上胸椎最突出 SP 的水平。研究人员对 39 具(23 女 16 男)平均年龄为 77.5 岁的尸体进行了俯卧位和一定的颈椎弯曲度调查。触诊颈部底部最突出的 SP,并用楔入椎体 SP 的钉子做标记。解剖颈椎区域,由一名盲人调查员检查钉子是钉在 C7 椎体的 SP 上,还是钉在其他上部或下部椎体的 SP 上。39 具尸体中有 19 具(48.7%)的 C7 被确定为 VP(典型解剖),其次是 C6(14 具尸体,35.9%)、C5(4 具尸体,10.3%)。在 2 具尸体(5.1%)中,第一胸椎被确认为具有最突出的 SP。虽然 C7 被描述为 VP,但在本研究中,C7 的 SP 最突出的比例不到 50%。颈椎最突出 SP 的投影水平变化较大,这对脊柱检查、颈部手术和脊髓麻醉具有重要的临床意义。
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引用次数: 0
Complete transverse basilar cleft associated with hemifacial microsomia. 伴有半面小畸形的完全横向基底裂。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2024-09-30 Epub Date: 2024-03-07 DOI: 10.5115/acb.23.289
Laphatrada Yurasakpong, Athikhun Suwannakhan, Joe Iwanaga, R Shane Tubbs, Arada Chaiyamoon, Nutmethee Kruepunga, Somluk Asuvapongpatana, Thanwa Sudsang

Transverse basilar cleft (TBC) is an extremely rare variation of the clivus or the basilar part of the occipital bone. In this report, a unilateral transverse basilar fissure was found at the clivus in a head computed tomography of an 18-year-old female patient diagnosed with hemifacial microsomia (HFM). Image analysis of this patient showed shortening of the ramus of the right mandible along with medial displacement of the right temporomandibular joint and hypoplastic right maxilla. In addition, observation of the clivus showed a cleft between the basioticum and basioccipital bones at the level of the pharyngeal tubercle on the right side. This cleft was identified as TBC. Clival variations, TBC included, attributed to HFM have never been reported. This report draws attention to the complex relationship between abnormal development of clivus and HFM syndrome, and sheds light on a possible genetic and molecular association between these two conditions.

横基底裂(TBC)是一种极其罕见的枕骨clivus或枕骨基底部分的变异。在本报告中,一名被诊断为半面小畸形(HFM)的 18 岁女性患者在头部计算机断层扫描中发现颅嵴处有单侧横向基底裂。对该患者的图像分析表明,右下颌骨横突缩短,右颞下颌关节向内侧移位,右上颌骨发育不良。此外,对颚骨的观察显示,在右侧咽结节水平的基底骨和枕基骨之间有一个裂隙。该裂隙被鉴定为 TBC。包括 TBC 在内的颅骨变异归因于 HFM 的报道从未有过。本报告提请人们注意颅嵴发育异常与高频综合征之间的复杂关系,并揭示了这两种疾病之间可能存在的遗传和分子关联。
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引用次数: 0
Challenging arterial pattern of foregut and its potential impact on surgery. 具有挑战性的前肠动脉模式及其对手术的潜在影响。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2024-09-30 Epub Date: 2024-06-27 DOI: 10.5115/acb.24.078
Phalguni Srimani, Anubha Saha

Anticipating a wide range of morphological variations of arterial anatomy of foregut derivatives beyond the classical pattern, a precise understanding is pertinent to preoperative diagnosis, operative procedure and to avoid potentially devastating post-operative outcome during various traumatic and non-traumatic vascular insult of foregut. The study aimed to revisit the morphological details and update unusual configurations of arteries of foregut to establish clinico-anatomical correlations. This study described the detailed branching pattern of coeliac trunk (CT) as principal artery of foregut with source & course of hepatic, gastric, duodenal and pancreatic branches in 58 cadaveric dissections. Based on morphology, different types and subtypes were made. The descriptions were explained using figures and pertinent tables. Among classical branches of CT, splenic artery was found as most stable whereas other two branches were found to be most variable with missing common hepatic artery in 11 cases. In addition to classical trifurcation (65.52%), different types of bifurcation (12.07%) and tetrafurcations (22.41%) of CT were observed. Regarding variations of hepatic arteries (27.59%), both non-classical origin and accessory hepatic branches were found. In case of gastric branches, more variant origins were seen with right gastric (50%) as compared to left gastric artery (34.48%). Other morphological variations included non-classical origin of gastro-duodenal artery (18.96%) along with presence of accessory pancreatic (17.13%) and duodenal arteries (6.38%). Awareness of anatomical variations regarding circulatory dynamics of foregut is worth knowing in order to facilitate successful planning of surgery involving upper abdominal organs with least complications.

前肠衍生物的动脉解剖形态变化范围广泛,超出了传统模式的范畴,因此准确了解这些形态变化对于术前诊断、手术过程以及避免前肠遭受各种创伤和非创伤性血管损伤时可能出现的破坏性术后结果至关重要。本研究旨在重新审视前肠动脉的形态细节并更新其不寻常的构型,以建立临床解剖学相关性。这项研究描述了 58 例尸体解剖中作为前肠主要动脉的腹腔干(CT)的详细分支模式,以及肝、胃、十二指肠和胰腺分支的来源和走向。根据形态,划分出不同的类型和亚型。并用数字和相关表格进行了说明。在 CT 的经典分支中,脾动脉最为稳定,而其他两个分支的变化最大,其中有 11 例缺少肝总动脉。除了经典的三叉(65.52%)外,还观察到不同类型的 CT 分叉(12.07%)和四叉(22.41%)。关于肝动脉的变异(27.59%),发现了非经典起源和附属肝分支。在胃动脉分支方面,与胃左动脉(34.48%)相比,胃右动脉(50%)的变异起源更多。其他形态变异包括胃十二指肠动脉(18.96%)的非经典起源,以及胰腺(17.13%)和十二指肠动脉(6.38%)的分支。对前肠循环动力学解剖变异的认识值得了解,以便成功规划涉及上腹部器官的手术,减少并发症。
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引用次数: 0
A bilateral gastrocnemius tertius coexisting with a unilateral two-headed plantaris muscle. 双侧腓肠肌与单侧双头跖肌并存。
IF 1.4 Q3 ANATOMY & MORPHOLOGY Pub Date : 2024-09-30 Epub Date: 2024-05-02 DOI: 10.5115/acb.24.038
George Tsakotos, George Triantafyllou, Christos Koutserimpas, Maria Piagkou

The current cadaveric report aims to present a coexistence of two uncommon variants of the posterior leg compartment. The variations were detected, during classical dissection in an 84-year-old donated male cadaver. On the left lower limb, the gastrocnemius muscle was identified as having a third head that was attached to the lateral head. This variant is known as gastrocnemius tertius muscle and was bilaterally identified. The left-sided plantaris muscle had two distinct heads that fused into a common tendon that was inserted into the calcaneal tuberosity. Knowledge of these variants is important, due to their close relationship with the popliteal neurovascular bundle. Clinicians should be aware, to avoid pitfalls and take them into account in their differential diagnosis.

本尸体报告旨在介绍两种不常见的腿部后室变异同时存在的情况。这些变异是在对一具 84 岁的男性遗体进行经典解剖时发现的。在左下肢,腓肠肌被发现有第三个头与外侧头相连。这种变异被称为 "腓肠肌第三头"(gastrocnemius tertius muscle),双侧均可识别。左侧的跖肌有两个不同的头,融合成一条共同的肌腱,插入小关节结节。了解这些变异非常重要,因为它们与腘窝神经血管束关系密切。临床医生应注意避免误诊,并在鉴别诊断时加以考虑。
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引用次数: 0
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