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IJAR.2016.506

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Type of Article:  Original Research

Volume 5; Issue 1 (March 2017)

Page No.: 3560-3566

DOI: https://dx.doi.org/10.16965/ijar.2016.506

A MORPHOLOGICAL STUDY OF PLANTARIS MUSCLE AND ITS SURGICAL PERSPECTIVE

Syed Nazeer Ahmed *1 , Pradeep K. Murudkar 2 , Md Khaleel Ahmed.

*1 Assistant Professor, Department of Anatomy, KBN Medical College, Kalaburagi, Gulbarga, Karnataka, India.

2 Professor and HOD, Department of Anatomy, KBN Medical College, Kalaburagi, Gulbarga, Karnataka, India.

3 Assistant Professor, Department of Anatomy, KBN Medical College, Kalaburagi, Gulbarga, Karnataka, India.

Address for correspondence: Dr. Syed Nazeer Ahmed, Assistant professor, Department of Anatomy, KBN Medical College, Kalaburagi, Gulbarga, Karnataka, India. E-Mail: nazeer1715@gmail.com 

ABSTRACT

Introduction: The pain is a modality of sensation given to the mankind as blessing, because unless pain is felt the person will not consult the doctor and the pathology may go un-noticed. The small fusiform plantaris muscle, with its long slender tendon, is of great importance from anatomical and from the surgical aspect. The plantaris muscle and its tendon are subject to considerable variation in both the points of origin and insertion.

Materials and Methods: Formalin fixed 50 lower limbs preserved for more than one year, approximate age between 50-60 years were dissected following the Cunningham’s manual of practical anatomy, volume 01. Origin and insertion of the muscles were studied and the muscle length and breadth measured with the Vernier’s caliper and documented.

Results: The total 25 adult cadavers studied of which 23 were males and 2 were females, out of these there were 25 left and 25 right limbs. The statistical analysis was carried out by using the SPSS 19 Software After dissecting the specimens we could find insertion of the tendon is of five types and origin of the muscle belly is of six types.

Discussion: The present study carried out in 50 specimens consisting of, 46 male limbs and 4 female limbs, 25 of left side and 25 of right side. There was total 4% of bilateral agenesis in a male cadaver. Highest cases of agenesis in the review literature was by Harvey et al in the year 1983, they studied 658 lower limbs in which they found agenesis of the plantaris muscle in 126 limbs an incidence of 19.14%. In the present study out of 48 limbs in which the plantaris muscle was present in 33 limbs showed the commonest type of insertion i.e. type 1 in which the tendon is directly inserted on the calcaneum medial to the Achilles tendon independently which is 68.75%.

Conclusion: The agenesis of Palmaris longus is 28%, and that of plantaris muscle is 10%. Therefore plantaris tendon should be the tendon of choice for hand tendon repair or other reconstructive orthopedic and plastic surgeries. After going through the review of literatures by various authors, the agenesis of the plantaris muscle is not well understood. Hence further study is required for the same.

Key words: Plantaris muscle, Agenesis, Knee joint, Patellofemoral pain syndrome..

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Cite this article: Syed Nazeer Ahmed, Pradeep K. Murudkar, Md Khaleel Ahmed. A MORPHOLOGICAL STUDY OF PLANTARIS MUSCLE AND ITS SURGICAL PERSPECTIVE. Int J Anat Res 2017;5(1):3560-3566. DOI: 10.16965/ijar.2016.506