한국인 셋째종아리근 닿는곳의 해부학적 특성 및 형태계측학적 분류
Anatomical Characteristics and Morphometric Study of the Fibularis Tertius Muscle at Its Insertion Area in Korean Cadavers
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초록
셋째종아리근은 힘줄이식 등 다양한 임상술식에 활용된다. 따라서 본 연구의 목적은 셋째종아리근 힘줄의닿는곳의 형태를 분류하고 그 위치를 분석하여 한국인의 체질인류학적 특성을 파악하고 임상적으로 활용할 수 있는기초자료를 확보하고자 한다. 한국인 시신 15구에서 27쪽의 표본을 사용하였으며, 시신의 평균나이는 71.53±15.00 세였다. 닿는곳에서 셋째종아리근 힘줄의 형태에 따라 분류하고 힘줄이 닿는곳의 위치를 계측하였다. 셋째종아리근 힘줄은 7.41%에서는 존재하지 않았다. 직사각형 형태로 부착하는 1유형 (29.63%), 삼각형 형태로 부착하는 2유형(25.93%), 띠를 형성하는 3유형 (18.52%), 두 갈래로 분지하는 4유형 (18.52%)으로 분류하였다. 3유형이 가장 몸쪽에부착하였고, 4유형의 두 갈래 중 안쪽갈래가 가장 먼쪽까지 주행하여 다섯째발허리뼈의 약 3/5지점에 닿았다. 이러한연구결과는 한국인의 대상으로 셋째종아리근 힘줄의 형태학적 특성을 규명하였을 뿐 아니라, 임상적용가능한 기초자료가 될 것으로 사료된다.
Abstract
The fibularis tertius muscle has been used by plastic surgeons during clinical procedures such as tendoplasty of the tendon graft. The aim of this study was to determine its morphological characteristics and observe its insertion area. Twenty-seven specimens from Korean cadavers were used in this study (mean age: 71.53±15.00 years). All specimens were measured and classified into four types according to their pattern and point of insertion. In 2 specimens (7.41%), fibularis tertius muscle was absent. Type I (rectangular), Type II (triangular), Type III (band), and Type IV (bifurcated) were observed in 29.63% (8/27), 25.93% (7/27), 18.52% (5/27), and 18.52% (5/27) of cases, respectively. Among the four types, the tendon of the fibularis tertius muscle in type III was mostly a proximal attachment, while those of type IV were mostly distal attachment, 3/5 of the fifth metatarsal bone. The morphology of the fibularis tertius muscle and its distal attachments were variable; therefore, precise and detailed knowledge can provide useful information to surgeons and anatomists.
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