A proposal for a new morphological classification of the popliteus muscle tendon with potential clinical and biomechanical significance

Abstract The purpose of this study was to characterize the morphological variations in the proximal attachments and create an accurate classification of the PPM for use in planning surgical procedures in this area, for evaluating radiological imaging and rehabilitation. One hundred and thirty-four l...

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Autores principales:	Łukasz Olewnik, Robert F. LaPrade, Friedrich Paulsen, Bartosz Gonera, Konrad Kurtys, Michał Podgórski, Paloma Aragonés, J. Ramón Sanudo, Michał Polguj
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/5ca6dc6e08184c4894a1469ffa5ce34e
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spelling	oai:doaj.org-article:5ca6dc6e08184c4894a1469ffa5ce34e2021-12-02T16:08:07ZA proposal for a new morphological classification of the popliteus muscle tendon with potential clinical and biomechanical significance10.1038/s41598-021-93778-52045-2322https://doaj.org/article/5ca6dc6e08184c4894a1469ffa5ce34e2021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-93778-5https://doaj.org/toc/2045-2322Abstract The purpose of this study was to characterize the morphological variations in the proximal attachments and create an accurate classification of the PPM for use in planning surgical procedures in this area, for evaluating radiological imaging and rehabilitation. One hundred and thirty-four lower limbs of body donors (52 woman and 82 man) fixed in 10% formalin solution were examined. The popliteus muscle was present in all 134 limbs. Four main types were identified with subtypes. The most common type was Type I (34.3%), characterized by a single tendon in the popliteus sulcus. Type II (30.6%) characterized by a main tendon in the popliteus sulcus and accessory bands. This type was divided into five subtypes (A–E) based on presence of specific accessory bands. Type III (15.3%) was characterized by two tendons in the popliteal sulcus. Type IV (19.4%) was characterized by two tendons in the popliteus sulcus and additional bands. This type was also divided into five subtypes (A–E) based on presence of specific accessory bands. The popliteofibular ligament was present in 90.3% of cases. A new classification based on a proximal attachment is proposed. The popliteus tendon is characterized by a very high morphological variability, which can affect posterolateral knee stability and the natural rotation of the tibia. Such a classification system may be useful for clinicians performing medical procedures within the knee joint, including orthopedic surgeons.Łukasz OlewnikRobert F. LaPradeFriedrich PaulsenBartosz GoneraKonrad KurtysMichał PodgórskiPaloma AragonésJ. Ramón SanudoMichał PolgujNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Łukasz Olewnik Robert F. LaPrade Friedrich Paulsen Bartosz Gonera Konrad Kurtys Michał Podgórski Paloma Aragonés J. Ramón Sanudo Michał Polguj A proposal for a new morphological classification of the popliteus muscle tendon with potential clinical and biomechanical significance
description	Abstract The purpose of this study was to characterize the morphological variations in the proximal attachments and create an accurate classification of the PPM for use in planning surgical procedures in this area, for evaluating radiological imaging and rehabilitation. One hundred and thirty-four lower limbs of body donors (52 woman and 82 man) fixed in 10% formalin solution were examined. The popliteus muscle was present in all 134 limbs. Four main types were identified with subtypes. The most common type was Type I (34.3%), characterized by a single tendon in the popliteus sulcus. Type II (30.6%) characterized by a main tendon in the popliteus sulcus and accessory bands. This type was divided into five subtypes (A–E) based on presence of specific accessory bands. Type III (15.3%) was characterized by two tendons in the popliteal sulcus. Type IV (19.4%) was characterized by two tendons in the popliteus sulcus and additional bands. This type was also divided into five subtypes (A–E) based on presence of specific accessory bands. The popliteofibular ligament was present in 90.3% of cases. A new classification based on a proximal attachment is proposed. The popliteus tendon is characterized by a very high morphological variability, which can affect posterolateral knee stability and the natural rotation of the tibia. Such a classification system may be useful for clinicians performing medical procedures within the knee joint, including orthopedic surgeons.
format	article
author	Łukasz Olewnik Robert F. LaPrade Friedrich Paulsen Bartosz Gonera Konrad Kurtys Michał Podgórski Paloma Aragonés J. Ramón Sanudo Michał Polguj
author_facet	Łukasz Olewnik Robert F. LaPrade Friedrich Paulsen Bartosz Gonera Konrad Kurtys Michał Podgórski Paloma Aragonés J. Ramón Sanudo Michał Polguj
author_sort	Łukasz Olewnik
title	A proposal for a new morphological classification of the popliteus muscle tendon with potential clinical and biomechanical significance
title_short	A proposal for a new morphological classification of the popliteus muscle tendon with potential clinical and biomechanical significance
title_full	A proposal for a new morphological classification of the popliteus muscle tendon with potential clinical and biomechanical significance
title_fullStr	A proposal for a new morphological classification of the popliteus muscle tendon with potential clinical and biomechanical significance
title_full_unstemmed	A proposal for a new morphological classification of the popliteus muscle tendon with potential clinical and biomechanical significance
title_sort	proposal for a new morphological classification of the popliteus muscle tendon with potential clinical and biomechanical significance
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/5ca6dc6e08184c4894a1469ffa5ce34e
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A proposal for a new morphological classification of the popliteus muscle tendon with potential clinical and biomechanical significance

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