Unusual extended fibular origin of the human soleus muscle: Possible morpho‐physiologic significance based on comparative anatomy
Unusual extended fibular origin of the human soleus muscle: Possible morpho‐physiologic significance based on comparative anatomy
复制标题
人类比目鱼肌异常延伸的腓骨起源：基于比较解剖学的可能的形态生理意义
DOI：
10.1002/ca.10171
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发表时间：
2003
期刊：
影响因子：
2.4
通讯作者：
D. Cerasoli
中科院分区：
文献类型：
--
作者：
F. Barberini;C. Bucciarelli;A. Zani;D. Cerasoli
在一具 73 岁女性尸体中观察到双侧比目鱼肌起源异常延长。它起于头部、颈部和腓骨内侧嵴近端三分之二处，从腓骨外侧缘穿过腿部后肌间隔。比目鱼肌形成了肌肉隧道的拱顶，克服了长约 15 厘米、向下和横向的腿部深层屈肌。延伸的腓骨起点在肌肉隧道的侧面界定了一个盲凹，并且平行于腓骨的后表面。该凹陷长 6.5 厘米，在肌肉隧道的下开口上方延伸 3.5 厘米；拇长屈肌的上部位于其内，位于腓骨内侧嵴的延伸起点和后肌间隔的部分之间。后腿的神经血管束在肌肉隧道中走行。比目鱼肌的胫骨起点和跟骨附着正常。对哺乳动物下肢肌肉的系统发育研究表明，比目鱼肌的腓骨起源比胫骨起源更恒定，并且在灵长类动物中，腓骨起源是在大多数猴子中观察到的唯一起源。报告的病例可能被认为是在灵长类动物中观察到的腓骨起点明显增大。比目鱼肌的大腓骨起源可能在手术过程中，当接近腓骨近三分之二以结扎腓动脉时会遇到困难。临床。阿纳特。 16:383–388, 2003。© 2003 Wiley-Liss, Inc.
A bilateral anomalous extended origin of the soleus muscle was observed in a 73‐year‐old female cadaver. It arose from the head, neck, and proximal two‐thirds of the medial crest of the fibula and ran through the posterior intermuscular septum of the leg, from the lateral border of the fibula. The soleus muscle formed the vault of a muscular tunnel, overcoming the deep flexor muscles of the leg that was about 15 cm in length and directed inferiorly and laterally. The extended fibular origin delimited a blind recess lateral to the muscular tunnel and parallel to the posterior surface of the fibula. This recess measured 6.5 cm in length and extended 3.5 cm above the inferior opening of the muscular tunnel; the superior portion of the flexor hallucis longus was housed within it between the portions of the extended origin from the medial crest of the fibula and posterior intermuscular septum. The neurovascular bundle of the posterior leg coursed in the muscular tunnel. The tibial origin and calcaneal insertion of the soleus muscle were normal. Phylogenetic studies of the muscles of the lower limbs in mammals indicate that the fibular origin of soleus is more constant than the tibial origin and, in primates, the fibular origin is the only one observed in most monkeys. The case reported might be considered a conspicuous enlargement of the fibular origin observed in primates. This large fibular origin of the soleus muscle may prove to be a difficulty during surgery when accessing the proximal two‐thirds of the fibula for ligation of the peroneal artery. Clin. Anat. 16:383–388, 2003. © 2003 Wiley‐Liss, Inc.