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Pretterklieber, B.
Morphological characteristics and variations of the human quadratus plantae muscle.
Ann Anat. 2018; 216(3):9-22 Doi: 10.1016/j.aanat.2017.10.006
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Leading authors Med Uni Graz
Pretterklieber Bettina
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Abstract:
The quadratus plantae (QP) is a highly variable structure. A number of partly inexact descriptions of this entity have been provided in textbooks of anatomy. Although several authors have examined the QP, its exact site of origin and type of insertion have hitherto not been specified. The aim of this study has been to provide detailed qualitative and quantitative data about the number of heads, points of origin, and type of insertion of the QP. The QP in both feet of 50 formalin-fixed specimens of body donors (25 men and women) were analyzed by gross anatomical dissection. It was composed of one (34%), two (57%) or three heads (9%). The latter condition was observed only in men. The lateral head was absent in 31 feet, and the medial head only in one right foot of a man. The medial head arose, amongst others, in 100% of the examined cases from the medial calcaneal surface, in 93% from the long plantar ligament and in 80% from the plantar calcaneocuboid ligament. The lateral head arose, amongst others, from the long plantar ligament in 90%, and from the lateral process of the calcaneal tuberosity in 64% of the examined feet. The type of insertion was always a mixture of at least two of three types; i.e. muscular (84%), tendinous (89%) and aponeurotic (45%). As additional findings, the flexor digitorum accessorius longus (FDAL) and the peroneocalcaneus internus (PCI) were observed in 12% of all individuals and in 20% of men. The present investigation revealed that the QP may be classified according to the number of heads, but no classification can be given for its points of origin or type of insertion. The present data are mandatory for anatomical and surgical practice and will hopefully lead to further imaging and biomechanical studies. Copyright © 2017 Elsevier GmbH. All rights reserved.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Cadaver -
Calcinosis - pathology
Female -
Foot - anatomy & histology
Foot - pathology
Humans -
Ligaments - anatomy & histology
Ligaments - pathology
Male -
Middle Aged -
Muscle, Skeletal - anatomy & histology
Muscle, Skeletal - pathology
Tendons - anatomy & histology

Find related publications in this database (Keywords)
Quadratus plantae
Flexor digitorum accessorius
Flexor digitorum accessorius longus
Peroneocalcaneus internus
Tarsal tunnel syndrome
Accessory muscles
Foot deformities
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