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

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 lon...

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Main Authors: R. Claire Aland, Alana C. Sharp
Format: Article
Language:English
Published: BMC 2021-02-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s13256-021-02676-x
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author R. Claire Aland
Alana C. Sharp
author_facet R. Claire Aland
Alana C. Sharp
author_sort R. Claire Aland
collection DOAJ
description 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.
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spelling doaj.art-a0d8dbb4b1044736a206464bfc681c112022-12-21T19:49:26ZengBMCJournal of Medical Case Reports1752-19472021-02-011511410.1186/s13256-021-02676-xAnomalous plantar intrinsic foot muscle attaching to the medial longitudinal arch: possible mechanism for medial nerve entrapment: a case reportR. Claire Aland0Alana C. Sharp1School of Rural Medicine, University of New EnglandInstitute of Life Course and Medical Sciences, University of LiverpoolAbstract 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.https://doi.org/10.1186/s13256-021-02676-xAnatomical variationMedial longitudinal archMedial nerve entrapmentPlantar intrinsic muscleCase report
spellingShingle R. Claire Aland
Alana C. Sharp
Anomalous plantar intrinsic foot muscle attaching to the medial longitudinal arch: possible mechanism for medial nerve entrapment: a case report
Journal of Medical Case Reports
Anatomical variation
Medial longitudinal arch
Medial nerve entrapment
Plantar intrinsic muscle
Case report
title Anomalous plantar intrinsic foot muscle attaching to the medial longitudinal arch: possible mechanism for medial nerve entrapment: a case report
title_full Anomalous plantar intrinsic foot muscle attaching to the medial longitudinal arch: possible mechanism for medial nerve entrapment: a case report
title_fullStr Anomalous plantar intrinsic foot muscle attaching to the medial longitudinal arch: possible mechanism for medial nerve entrapment: a case report
title_full_unstemmed Anomalous plantar intrinsic foot muscle attaching to the medial longitudinal arch: possible mechanism for medial nerve entrapment: a case report
title_short Anomalous plantar intrinsic foot muscle attaching to the medial longitudinal arch: possible mechanism for medial nerve entrapment: a case report
title_sort anomalous plantar intrinsic foot muscle attaching to the medial longitudinal arch possible mechanism for medial nerve entrapment a case report
topic Anatomical variation
Medial longitudinal arch
Medial nerve entrapment
Plantar intrinsic muscle
Case report
url https://doi.org/10.1186/s13256-021-02676-x
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