닿는곳에서 짧은종아리근과 새끼종아리근의 형태계측학적 연구
Morphometric Study of Fibularis Brevis and Fibularis Digiti Quinti Muscles Insertion Patterns
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
짧은종아리근과 새끼종아리근은 힘줄을 이용한 재건술 또는 골절의 치료에 중요한 임상적 의미를 가진다. 따라서 본 연구의 목적은 한국인 시신에서 짧은종아리근과 새끼종아리근의 형태를 파악하고, 힘줄이 닿는 위치와 너비를 계측하여 한국인에서 임상적으로 활용 가능한 해부학적 기초자료를 확보하고자 함이다. 한국인 성인 시신 17구에서 30쪽의 표본을 사용하였으며, 시신의 평균 나이는 72.00±12.01세였다. 닿는곳의 형태에 따라 유형을 분류하고, 각 유형에서 닿는곳의 위치와 힘줄의 너비를 계측하였다. 하나의 힘줄만을 가지는 형태를 1유형 (26.67%), 두 갈래로나뉘어서 닿는 형태를 2유형 (16.67%), 짧은종아리근에서 새끼종아리근이 일어나는 형태를 3유형 (56.67%)으로 분류하였다. 힘줄이 닿는 위치는 짧은종아리근 닿는곳의 형태와 통계적으로 유의한 관련성을 보이지 않았으며, 힘줄의 너비는 형태에 따라 통계적으로 유의한 차이를 보였다. 6.67%에서는 새끼종아리근이 힘살을 가지고 있었고, 가장 먼쪽에 닿았다. 본 연구의 결과는 짧은종아리근과 새끼종아리근의 형태학적 특성을 파악하는 데 도움이 될 것이며, 한국인의 체질인류학적 연구와 임상시술을 위한 기초자료로 활용될 수 있을 것이다.
Abstract
The fibularis brevis and fibularis digiti quinti muscles are of clinical significance during reconstructive surgery and treatment of fractures of the metatarsal bone. The aim of this study was to determine the morphological characteristics of these muscles and the location of their respective insertion areas. Thirty specimens from Korean cadavers were used in this study (mean age: 72.00±12.01 years). All specimens were classified into one of three types according to their morphology at the insertion site; Type 1 (single attachment), Type 2 (bifurcated attachment), and Type 3 (presence of fibularis digiti quinti muscle) were observed in 26.67% (8/30), 16.67% (5/30), and 56.67% (17/27) of cases, respectively. The location of the insertion area of the fibularis brevis muscle did not differ significantly and the width of the tendon show statistically significant difference according to the morphology. Fibularis digiti quinti muscle bellies with particularly distal attachments were observed in two specimens (6.67%). An improved understanding of the anatomical characteristics of the fibularis muscles provides insights that may benefit future anthropological study as well as clinical procedures relating to the foot.
참고문헌 (25)
- Seyidova N, "Peroneus brevis tendon in proximal 5th metatarsal fractures : Anatomical considerations for safe hook plate placement", Injury, 49, pp.720~725 (2018)
- Bhargava K, "Lateral musculature of the leg as seen in hundred Indian Cadavers", Ind J Med Sci, 15, pp.181~185 (1961)
- Cecava ND, "Peroneus brevis tendon variant insertion on the calcaneus", J Radiol Case Rep, 9, pp.22~29 (2015)
- Verma P, "Bifurcation of tendon of peroneus brevis in human cadavers : case study", J Life Sci, 3, pp.13~15 (2011)
- Taşer F, "Coexistence of anomalous m. peroneus tertius and longitudinal tear in the m. peroneus brevis tendon", Eklm Hastalik Cerrahisi, 20, pp.165~168 (2009)
- Rosser BW, "Bilateral tripartite insertion of the fibularis(peroneus)brevis muscle : a case report", Int J Morphol, 37, pp.481~485 (2019)
- Yammine K, "The accessory peroneal (fibular) muscles: peroneus quartus and peroneus digiti quinti. A systematic review and meta-analysis", Surg Radiol Anat., 37, pp.617~627 (2015)
- Demir BT, "The variations of peroneus digiti quinti muscle and its contribution to the extension of the fifth toe. A cadaveric study", Saudi Med J., 36, pp.1285~1289 (2015)
- Jadhav SD, "Study of peroneus digiti minimi quinti in Indian population : a cadaveric study", Rev Arg de Anat Clin, 5, pp.67~72 (2013)
- Olewnik Ł, "The report on the co-occurrence of two different rare anatomic variations of the plantaris muscle tendon on both sides of an individual", Folia morphol(Warsz), 76, pp.331~333 (2017)
- Olewnik Ł, "The Plantaris muscle tendon and its relationship with the Achilles tendinopathy", BioMed Res Int, 2018, pp.1~9 (2018)
- Olewnik Ł, "The plantaris muscle-rare relations to the neurovascular bundle in the popliteal fossa", Folia Morphol(Warsz), 77, pp.785~788 (2018)
- Olewnik Ł, "Anatomical variations of the palmaris longus muscle including its relation to the median nerve-a proposal for a new classification", BMC Musculoskelet Disord, 18, pp.539~ (2017)
- Arora AK, "Study of extensor hallucis longus muscle in adult human cadavers of Punjab", J Life Sci, 3, pp.101~105 (2011)
- Olewnik Ł, "New classification of the distal attachment of the fibularis brevis-Anatomical variations and potential clinical implications", Foot Ankle Surg, 26, pp.308~313 (2020)
- Sönmez M, "The supernumerary peroneal muscles : case report and review of the literature", Foot Ankle Surg, 6, pp.125~129 (2000)
- Donley BG, "Peroneus quartus muscl. a rare cause of chronic lateral ankle pain", Am J Sports Med, 29, pp.373~375 (2001)
- Chaney ME, "The fibularis digiti quinti tendon : A cadaveric study with anthropological and clinical considerations", Foot(Edinb), 34, pp.45~47 (2018)
- Testut L, "Muscles de la tête. Traité d’anatomie humaine", pp.715~748 (1921), Librairie Octave Doin
- Imre N, "The peroneus brevis tendon at its insertion site on fifth metatarsal bone", Foot Ankle Surg, 22, pp.41~45 (2016)
- Dangintawat P, "Unusual accessory peroneal muscles, peroneus quartus, peroneus digiti quinti, and their association with peroneus brevis tendon tear", Asian Biomedicine, 12, pp.125~130 (2019)
- Teli CG, "Case of peroneus digiti quinti muscle", National Journal of Clinical Anatomy, 7, pp.157~ (2018)
- Davda K, "Peroneal tendon disorders", EFORT Open Rev, 2, pp.281~292 (2017)
- Theodorou DJ, "Fractures of proximal portion of fifth metatarsal bone : anatomic and imaging evidence of a pathogenesis of avulsion of the plantar aponeurosis and the short peroneal muscle tendon", Radiology, 226, pp.857~865 (2003)
- Monson DK, "Lateral ankle stabilization after distal fibular resection using a novel approach : a surgical technique", Clin Orthop Relat Res, 472, pp.1262~1270 (2014)