https://www.ijmhr.org/ijar.htm editor_anatomy@ijmhr.org
ISSN:       2321-4281 (E) 2321-8967 (P)

IJAR.2018.448

DOWNLOAD PDF
Table of Contents

Type of Article:  Original

Volume 7; Issue 1.2 (February 2019)

Page No.: 6234-6238

DOI: https://dx.doi.org/10.16965/ijar.2018.448

MORPHOLOGICAL STUDY OF ACHILLES TENDON

Pallavi Bajpayee 1, Shilpa Gosavi *2, P Vatsalaswamy 3.

1 Assistant Professor, Department of Anatomy, Dr. D. Y. Patil Medical College, Dr. D Y Patil Vidyapeeth, Pimpri, Pune, India.

*2 Professor, Department of Anatomy, Bharati Vidyapeeth (Deemed to be university)Medical College , Pune, India.

3 Professor, Department of Anatomy and Director Academics, Dr. D. Y. Patil Medical College, Dr. D Y Patil Vidyapeeth, Pimpri, Pune, India.

Corresponding author: Dr. Shilpa Gosavi, Professor, Department of Anatomy, Bharati Vidyapeeth (Deemed to be university) Medical College, Pune, India. Mob. – 9822218073, E-Mail: sngosavi@yahoo.com

ABSTRACT:

Background: The calcaneal tendon is the thickest and strongest tendon in the human body which is attached to the midpoint of the posterior surface of calcaneum. It is a frequent site of rupture, degenerative changes and inflammation.

Aim: To study the anatomical and morphological details of attachment of Achilles tendon.

Materials and Methods: The study was carried out on 70 adult cadaveric lower limbs in two Medical colleges. Various linear measurements were taken with the help of digital vernier caliper, accurate up to 0.01 mm.

Results: Presence of Achilles tendon in all cadaveric limbs was observed in the present study. Bursa between the tendon at insertion and calcaneus was seen in all specimens. Length of tendon of gastrocnemius was observed to vary between 16.5 cm to 29.5 cm. The width at musculotendinous junction with gastrocnemius was observed to vary between 3.42 cm to 6.84 cm. Other measurements taken were minimum width, thickness at insertion, length of gastrocnemius aponeurosis medially and laterally.

Conclusion: In the present study, variations in the morphology of Gastrocnemius were observed. Understanding these variations of the gastrocnemius tendon and aponeurosis will aid the surgeon in performing surgical procedures such as pedicle tendon flap for reconstructive surgery and arthroplasty, Endoscopic Gastrocnemius Recession (EGR), on the Achilles tendon and prevent iatrogenic complications. It is also useful to the Anatomists as it will help them integrate in their teaching the variations and thus better prepare the students for their clinical tenures/work/future.

Key words: Tendoachilles, Repair Of Ruptured Tendon, Reconstructive Surgery, Arthroplasty.

REFERENCES

  1. Standring S, Gray’sAnatomy- The anatomical basis of clinical practice 40th London UK: Elsevier; 2008:884-886.
  2. Nigel Palastanga, Derek Field, Roger Soames, Butterworth Henemann .Anatomy and human movement; structure and function. Fifth edition. 2006; Elsevier Ltd.:292.
  3. Gurubachan Singh, Vijay Prakash Agrawal, M Basavarajappa, M Manohar. Gastrocnemius – Achilles tendon: A human anatomical variation. IJBAR 2012; 03(08): 653-655.
  4. Lichtwark GA, Wilson AM. In vivo mechanical properties of the human Achilles tendon during one-legged hopping. J ExpBiol 2005;208 (24):4715-25.
  5. Sella EJ. Disorders of the Achilles tendon and its insertion. Clin Pediatr Med Surg 2005;22(1):87-99
  6. Georges Y, El-Khoury. Essentials of musculoskeletal imaging, Churchill livingstone 2003:586-87.
  7. Abdel-Ghany AGH, Ollo HA; Anatomical and histological study of the tendoachilles. Bull Alex Fac Med. 2008; 44(3). Available from med.alexu.edu.eg/journal/index. php/bulletin/article/down load/…/242
  8. Pang BSF, Ying M. Sonographic measurement of Achillis tendon in asymptomatic subjects. J Ultrasoundin medicine 2006; 25: 1291-1296.
  9. Balius R, Alomar X, Rodas G, Miguel-Pérez M,  Pedret C, Dobado MC, Blasi J, Koulouri G.  The soleus muscle: MRI, anatomic and histologic findings in cadavers with clinical correlation of strain injury distribution. Skeletal Radiol 2013; 42: 521–530.
  10. Pichler W, Tesch NP, Grechenig W, Leithgoeb O, WindischG. Anatomic variations of the musculotendinous junction of the soleus muscle and its clinical implications. ClinAnat 2007;20(4):444-7.
  11. Koivunen-Niemelä, T. Parkkola, K. Anatomy of the Achilles tendon (tendo calcaneus) with respect to tendon thickness measurements. SurgRadiolAnat .1995; 17: 263.
  12. Kharte and Larsen.Ultrasound evaluation of Achilles tendon thickness in asymptomatic’-s: A reliability study. International journal of physiotherapy and rehabilitation. nov 2012; 2:1-11.
  13. De mello RAF, Marchiori E, Alair Augusto S.M.D. dos Santos, Neto GT. Morphometric evaluation of Achilles tendon by ultrasound. Radiol Bras 2006; 39(3).
  14. Neal M Blitz, David j. Eliot. Anatomical aspect of the Gastrocnemius aponeurosis and its insertion: A cadaveric study. Journal of Foot & Ankle surgery 2007; 46(2):101-108.
  15. Barfod Band Pers M. Gastrocnemius-plasty for primary closure of Compound injuries of the knee. The journal of bone and joint surgery1970; 52 b( I).
  16. Ger R. The technique of muscle transposition in the operative treatment of traumatic and ulcerative lesion of leg. J Trauma1971;11(6):502-11.
  17. Nitya J and Mariya. Morphological aspects of Triceps surae – A Cadaveric Study. International journal of innovative research & development 2013; 2 (7): 372-76.
  18. Elson DW, Whiten S, Hillman SJ, Johnson RJ, Lo SS, Robb JE. The conjoint junction of the triceps surae: implications for gastrocnemius tendon lengthening. Clin Anat. 2007; 20(8):924-8.
  19. Mobius B, Scheller EE. The pediculated gastrocnemius muscle flap as a treatment for soft tissue problems of the knee – indication, placement and result. GMS Interdiscip Plast Reconstr Surg DGPW 2012; 1.
  20. Browner, Jupiter, Levine, Trafton. Skeletal trauma: Basic science, management and Reconstruction. Vol-II. Saunders Publication 2003:1893
  21. Holinshead WH; The Back and Limbs, In Anatomy for surgeons. 3rdedition, volume 3, New York; Harper and Row publishers,1982:773-778.
  22. Maffuli N, Sharma P, Luscombe K L; Achilles tendinopathy: aetiology and management. Journal of Royal Society of Medicine 2004;97:472-476.

Cite this article: Pallavi Bajpayee, Shilpa Gosavi, P Vatsalaswamy. MORPHOLOGICAL STUDY OF ACHILLES TENDON. Int J Anat Res 2019;7(1.2):6234-6238. DOI: 10.16965/ijar.2018.448