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Published in: Journal of Medical Case Reports 1/2021

Open Access 01-12-2021 | Case report

Anomalous plantar intrinsic foot muscle attaching to the medial longitudinal arch: possible mechanism for medial nerve entrapment: a case report

Authors: R. Claire Aland, Alana C. Sharp

Published in: Journal of Medical Case Reports | Issue 1/2021

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Abstract

Background

Muscular variations are potentially symptomatic and may complicate imaging interpretation. Intrinsic foot musculature and extrinsic tendon insertion variations are common. Distinct supernumerary muscles are rare. We report a novel anomalous intrinsic foot muscle on the medial longitudinal arch.

Case presentation

An accessory muscle was encountered on the medial arch of the right foot of a 78-year-old white male cadaver, between layers two and three of the foot intrinsics. It did not appear to be a slip or variant of a known foot muscle. This muscle consisted of two slips that ran transversely on the plantar aspect of the medial arch, crossing the medial transverse tarsal joint and attaching to the tuberosity of the navicular, the short and long plantar ligaments, and spring ligament.

Conclusions

The medial plantar vessels and nerve passed from deep to superficial between the two slips, and this suggests a possible location for medial nerve entrapment.
Literature
1.
go back to reference Agawany AE, Meguid EA. Mode of insertion of the abductor hallucis muscle in human feet and its arterial supply. Folia Morphol. 2010;69:54–61. Agawany AE, Meguid EA. Mode of insertion of the abductor hallucis muscle in human feet and its arterial supply. Folia Morphol. 2010;69:54–61.
2.
go back to reference Arakawa T, Tokita K, Miki A, Terashima T. Anatomical study of human adductor hallucis muscle with respect to its origin and insertion. Ann Anat. 2003;185(6):585–92.CrossRef Arakawa T, Tokita K, Miki A, Terashima T. Anatomical study of human adductor hallucis muscle with respect to its origin and insertion. Ann Anat. 2003;185(6):585–92.CrossRef
3.
go back to reference Boyer EL. The musculature of the inferior extremity of the orang-utan, Simia satyrus. Am J Anat. 1935;56:192–256.CrossRef Boyer EL. The musculature of the inferior extremity of the orang-utan, Simia satyrus. Am J Anat. 1935;56:192–256.CrossRef
4.
go back to reference Brenner E. Insertion of the abductor hallucis muscle in feet with and without hallux valgus. Anat Rec. 1999;254:429–34.CrossRef Brenner E. Insertion of the abductor hallucis muscle in feet with and without hallux valgus. Anat Rec. 1999;254:429–34.CrossRef
5.
go back to reference Brooks HSJ. On the short muscles of the pollex and hallux of the anthropoid apes, with special reference to the opponens hallucis. J Anat Physiol. 1887;22:78–95.PubMedPubMedCentral Brooks HSJ. On the short muscles of the pollex and hallux of the anthropoid apes, with special reference to the opponens hallucis. J Anat Physiol. 1887;22:78–95.PubMedPubMedCentral
6.
go back to reference Chittoria RK, Pratap H, Yekappa SH. Abductor hallucis: Anatomical variation and its clinical implications in the reconstruction of chronic nonhealing ulcers and defects of foot. Adv Wound Care. 2015;4(12):719–23.CrossRef Chittoria RK, Pratap H, Yekappa SH. Abductor hallucis: Anatomical variation and its clinical implications in the reconstruction of chronic nonhealing ulcers and defects of foot. Adv Wound Care. 2015;4(12):719–23.CrossRef
7.
go back to reference Čihák R. Ontogenesis of the Skeleton and Intrinsic Muscles of the Human Hand and Foot. In: Advances in anatomy, embryology, and cell biology. Berlin Heidelberg GmbH: Springer-Verlag; 1972. p. 5-194. Čihák R. Ontogenesis of the Skeleton and Intrinsic Muscles of the Human Hand and Foot. In: Advances in anatomy, embryology, and cell biology. Berlin Heidelberg GmbH: Springer-Verlag; 1972. p. 5-194.
8.
go back to reference Cralley JC, Schuberth JM. The transverse head of adductor hallucis. Anat Anz. 1979;146:400–9.PubMed Cralley JC, Schuberth JM. The transverse head of adductor hallucis. Anat Anz. 1979;146:400–9.PubMed
9.
go back to reference Diogo R, Shearer B, Potau JM, Pastor JF, De Paz FJ, Arias-Martorell J, Turcotte C, Hammond A, Vereecke E, Vanhoof M, Nauwelaerts S. Photographic and Descriptive Musculoskeletal Atlas of Bonobos. New York: Springer; 2017.CrossRef Diogo R, Shearer B, Potau JM, Pastor JF, De Paz FJ, Arias-Martorell J, Turcotte C, Hammond A, Vereecke E, Vanhoof M, Nauwelaerts S. Photographic and Descriptive Musculoskeletal Atlas of Bonobos. New York: Springer; 2017.CrossRef
10.
go back to reference Ferkel E, Davis WH, Ellington JK. Entrapment neuropathies of the foot and ankle. Clin Sports Med. 2015;34(4):791–801.CrossRef Ferkel E, Davis WH, Ellington JK. Entrapment neuropathies of the foot and ankle. Clin Sports Med. 2015;34(4):791–801.CrossRef
11.
go back to reference Harcourt-Smith WE, Aiello LC. Fossils, feet and the evolution of human bipedal locomotion. J Anat. 2004;204(5):403–16.CrossRef Harcourt-Smith WE, Aiello LC. Fossils, feet and the evolution of human bipedal locomotion. J Anat. 2004;204(5):403–16.CrossRef
12.
go back to reference Kafka RM, Aveytua IL, Fiacco RC, Ream GM, DiLandro AC, D’Antoni A. Intrinsic Muscles of the Foot. In: Tubbs RS, Shoja MM, Loukas M, editors. Bergman’s Comprehensive Encyclopedia of Human Anatomic Variation. New York: Wiley; 2016. p. 438–48.CrossRef Kafka RM, Aveytua IL, Fiacco RC, Ream GM, DiLandro AC, D’Antoni A. Intrinsic Muscles of the Foot. In: Tubbs RS, Shoja MM, Loukas M, editors. Bergman’s Comprehensive Encyclopedia of Human Anatomic Variation. New York: Wiley; 2016. p. 438–48.CrossRef
13.
go back to reference Kura H, Luo Z-P, Kitaoka HB, An K-N. Quantitative analysis of the intrinsic muscles of the foot. The Anatomical Record. 1997;249(1):143–51.CrossRef Kura H, Luo Z-P, Kitaoka HB, An K-N. Quantitative analysis of the intrinsic muscles of the foot. The Anatomical Record. 1997;249(1):143–51.CrossRef
14.
go back to reference Lambert HW. Leg muscles. In: Tubbs RS, Shoja MM, Loukas M, editors. Bergman's comprehensive encyclopedia of human anatomic variation. John Wiley & Sons; 2016. p. 421-47. Lambert HW. Leg muscles. In: Tubbs RS, Shoja MM, Loukas M, editors. Bergman's comprehensive encyclopedia of human anatomic variation. John Wiley & Sons; 2016. p. 421-47.
15.
go back to reference Macalister A. Macalister on muscular anomalies in human anatomy. Trans R Ir Acad. 1875;25:34. Macalister A. Macalister on muscular anomalies in human anatomy. Trans R Ir Acad. 1875;25:34.
16.
go back to reference Standring S (ed.). Gray’s Anatomy 40th edition. Elsevier Churchill Livingstone; 2008. p. 1429-1462. Standring S (ed.). Gray’s Anatomy 40th edition. Elsevier Churchill Livingstone; 2008. p. 1429-1462.
17.
go back to reference Wong YS. Influence of the abductor hallucis muscle on the medial arch of the foot: a kinematic and anatomical cadaver study. Foot Ankle Int. 2007;28(5):617–20.CrossRef Wong YS. Influence of the abductor hallucis muscle on the medial arch of the foot: a kinematic and anatomical cadaver study. Foot Ankle Int. 2007;28(5):617–20.CrossRef
Metadata
Title
Anomalous plantar intrinsic foot muscle attaching to the medial longitudinal arch: possible mechanism for medial nerve entrapment: a case report
Authors
R. Claire Aland
Alana C. Sharp
Publication date
01-12-2021
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2021
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/s13256-021-02676-x

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