Fetal Kadavralarda Plantaris’in Morfometrik ve Morfolojik Analizi

Yıl 2022, Cilt: 32 Sayı: 3, 245 - 251, 01.08.2022

Anil Didem Aydın Kabakçı Ahmet Safa Gökşan Duygu Akın Saygın Mustafa Büyükmumcu Aynur Çiçekcibaşı

https://doi.org/10.54005/geneltip.1033580

Öz

Amaç: Musculus plantaris, bacağın arka kısmında yer alan, kısa bir karın ve uzun, ince bir tendona sahip olan bir kastır. Musculus gastrocnemius ile birlikte fonksiyon gösterir. Bu kasın kaldırılması ekstremite fonksiyonunda bir değişikliğe neden olmadığından, potansiyel bir greft kaynağı olarak kullanılır. Çalışmamızda fetal kadavralarda musculus plantaris’in morfolojik özelliklerinin olası varyasyonlarının araştırılması amaçlanmıştır.
Gereç ve yöntemler: Bu çalışma, Necmettin Erbakan Üniversitesi, Tıp Fakültesi, Anatomi Anabilim Dalı’nda yer alan fetal kadavra koleksiyonu üzerinde gerçekleştirilmiştir. Çalışmada gestasyonel yaşları 28 ile 40 hafta arasında değişen 11 erkek ve 9 dişi fetal kadavra kullanılmıştır. Kasın karın uzunluğu (LB), genişliği (WB) ve kalınlığı (TB) ölçüldü. Kas tendonunun sonlanması 4 tip altında sınıflandırıldı. Ayrıca, sonlanma tendonu yelpaze şeklinde ve düz şeklinde olmak üzere 2 grupta sınıflandırıldı.
Bulgular: Çalışmamızda 40 alt ektremitenin 36’sında (%90) musculus plantaris’in var olduğu, 4 (%10) alt ekstremite de ise olmadığı gözlemlendi. Ortalama kas karın uzunluğu, genişliği ve kalınlığı sırasıyla 13.29±3.73 mm, 4.72±1.77 mm ve 3.65±1.17 mm olarak belirlendi. Kasın sıklıkla tendo calcaneus’un anteromedial’ine insersiyo yaptığı (Tip 2, %67.5) belirlendi. Ayrıca, kas tendonunun sıklıkla düz şekilde (%86.11) insersiyo yaptığı gözlemlendi.
Sonuç: Çalışmamızdan elde edilen verilerin bebeklik ve çocukluk döneminde yapılması planlanan fleksör tendinoplastiler, el tendonları ve lateral ayak bileği bağlarının rekonstrüksiyonu, atriyoventriküler kapakların onarımı gibi işlemlerde faydalı olacağını düşünüyoruz.

Anahtar Kelimeler

Musculus plantaris, fetal kadavralar, varyasyon, morfometri, greft, tendo calcaneus, flexor tendinoplasti, Musculus plantaris, fetal kadavralar, varyasyon, morfometri, greft, tendo calcaneus, flexor tendinoplasti

A Morphometric and Morphological Analysis of Plantaris in Fetal Cadavers

Öz

Objective: The plantaris is a muscle in the back of the leg that has a short body and a long, thin tendon. The muscle acts functionally with the gastrocnemius. Due to removal of the muscle does not cause a change in limb function, it is used as a potential source of graft. The aim of the present study was to investigate the morphological features and possible variations of plantaris in fetal cadavers.
Methods: This study was carried out on the fetal cadaver collection of University of Necmettin Erbakan, Faculty of Medicine, Anatomy Department. 11 male and 9 female fetal cadavers (ages range: 28 to 40 weeks) were used. The muscle belly length (LB), width (WB) and thickness (TB) were measured. The plantaris insertion was classified into 4 types. Furtermore, the distal part of the tendon was classified as the fan-shaped and flat-shaped.
Results: It was determined that plantaris was present in 36 of 40 (90%) lower extremities and absent in 4 (10%). The average muscle belly length (LB), width (WB) and thickness (TB) was found 13.29±3.73 mm, 4.72±1.77 mm and 3.65±1.17 mm, respectively. It was observed that the plantaris tendon often (Type 2, 67.5%) inserts in the anteromedial of the calcaneal tendon. Furthermore, the most common insertion type was observed as flat-shaped (86.11%).
Conclusion: We believe that the data obtained from our study will be useful in procedures such as flexor tendinoplasties, reconstruction of hand tendons and lateral ankle ligaments, and repair of atrioventricular valves, which are planned to be performed in infancy and childhood.

Anahtar Kelimeler

Plantaris muscle, fetal cadaver, variation, morphometry, graft, tendo calcaneus, flexor tendinoplasties, Plantaris muscle, fetal cadaver, variation, morphometry, graft, tendo calcaneus, flexor tendinoplasties

Kaynakça

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