open access

Vol 79, No 3 (2020)
CASE REPORTS
Published online: 2019-09-27
Submitted: 2019-06-24
Accepted: 2019-07-02
Get Citation

An unusual insertion of an accessory band of the semitendinosus tendon: case report and review of the literature

Ł. Olewnik, M. Podgórski, M. Polguj
DOI: 10.5603/FM.a2019.0105
·
Pubmed: 31565787
·
Folia Morphol 2020;79(3):645-648.

open access

Vol 79, No 3 (2020)
CASE REPORTS
Published online: 2019-09-27
Submitted: 2019-06-24
Accepted: 2019-07-02

Abstract

The Pes Anserinus is characterised by high morphological variability. It consists of three tendons: the sartorius, gracilis and semitendinosus. The semitendinosus and gracilis tendons are routinely harvested for reconstruction anterior cruciate ligament, and the presence of accessory bands within them can handicap the harvesting process. This report presents a case of a rare insertion of accessory band of the semitendinosus tendon (to the fascia of the soleus muscle and tibia). The current classification should be extended to accommodate such “rare cases” to facilitate more successful hamstring grafts.

Abstract

The Pes Anserinus is characterised by high morphological variability. It consists of three tendons: the sartorius, gracilis and semitendinosus. The semitendinosus and gracilis tendons are routinely harvested for reconstruction anterior cruciate ligament, and the presence of accessory bands within them can handicap the harvesting process. This report presents a case of a rare insertion of accessory band of the semitendinosus tendon (to the fascia of the soleus muscle and tibia). The current classification should be extended to accommodate such “rare cases” to facilitate more successful hamstring grafts.

Get Citation

Keywords

hamstring graft; harvest; pes anserinus; semitendinosus tendon; gracilis tendon

About this article
Title

An unusual insertion of an accessory band of the semitendinosus tendon: case report and review of the literature

Journal

Folia Morphologica

Issue

Vol 79, No 3 (2020)

Pages

645-648

Published online

2019-09-27

DOI

10.5603/FM.a2019.0105

Pubmed

31565787

Bibliographic record

Folia Morphol 2020;79(3):645-648.

Keywords

hamstring graft
harvest
pes anserinus
semitendinosus tendon
gracilis tendon

Authors

Ł. Olewnik
M. Podgórski
M. Polguj

References (29)
  1. Ashaolu JO, Osinuga TS, Ukwenya VO, et al. Pes Anserinus structural framework and constituting tendons are grossly aberrant in nigerian population. Anat Res Int. 2015; 2015: 483186.
  2. Bernicker JP, Haddad JL, Lintner DM, et al. Patellar tendon defect during the first year after anterior cruciate ligament reconstruction: appearance on serial magnetic resonance imaging. Arthroscopy. 1998; 14(8): 804–809.
  3. Candal-Couto JJ, Deehan DJ. The accessory bands of Gracilis and Semitendinosus: an anatomical study. Knee. 2003; 10(4): 325–328.
  4. Ferretti A, Conteduca F, Morelli F, et al. Regeneration of the semitendinosus tendon harvested for anterior cruciate ligament reconstruction. Evaluation using ultrasonography. Am J Sports Med. 2000; 28(4): 556–561.
  5. Freedman KB, D'Amato MJ, Nedeff DD, et al. Arthroscopic anterior cruciate ligament reconstruction: a metaanalysis comparing patellar tendon and hamstring tendon autografts. Am J Sports Med. 2003; 31(1): 2–11.
  6. Herbst E, Hoser C, Gföller P, et al. Impact of surgical timing on the outcome of anterior cruciate ligament reconstruction. Knee Surg Sports Traumatol Arthrosc. 2017; 25(2): 569–577.
  7. Kartus J, Movin T, Karlsson J. Donor-site morbidity and anterior knee problems after anterior cruciate ligament reconstruction using autografts. Arthroscopy. 2001; 17(9): 971–980.
  8. Mahapatra P, Horriat S, Anand BS. Anterior cruciate ligament repair - past, present and future. J Exp Orthop. 2018; 5(1): 20.
  9. Mascarenhas R, MacDonald PB. Anterior cruciate ligament reconstruction: a look at prosthetics--past, present and possible future. Mcgill J Med. 2008; 11: 29–37.
  10. Mochizuki T, Akita K, Muneta T, et al. Pes anserinus: layered supportive structure on the medial side of the knee. Clin Anat. 2004; 17(1): 50–54.
  11. Mohtadi NG, Chan DS, Dainty KN, et al. Patellar tendon versus hamstring tendon autograft for anterior cruciate ligament rupture in adults. Cochrane Database Syst Rev. 2011; 9: CD005960.
  12. Moore KL, Dalley AF. Clinical Oriented Anatomy, 4th ed. Lippincott Williams & Wilkins, Philadeplphia 1999.
  13. Nau T, Lavoie P, Duval N. A new generation of artificial ligaments in reconstruction of the anterior cruciate ligament. Two-year follow-up of a randomised trial. J Bone Joint Surg Br. 2002; 84(3): 356–360.
  14. Nguene-Nyemb AG, Huten D, Ropars M. Chronic patellar tendon rupture reconstruction with a semitendinosus autograft. Orthop Traumatol Surg Res. 2011; 97(4): 447–450.
  15. Nixon RG, SeGall GK, Sax SL, et al. econstitution of the patellar tendon donor site after graft harvest. Clin Orthop Relat Res. 1995: 162–171.
  16. Olewnik Ł, Gonera B, Kurtys K, et al. The anterolateral ligament of the knee: a proposed classification system. Clin Anat. 2018; 31(7): 966–973.
  17. Olewnik Ł, Gonera B, Kurtys K, et al. A proposal for a new classification of the fibular (lateral) collateral ligament based on morphological variations. Ann Anat. 2019; 222: 1–11.
  18. Olewnik Ł, Gonera B, Podgórski M, et al. A proposal for a new classification of pes anserinus morphology. Knee Surg Sports Traumatol Arthrosc. 2019; 27(9): 2984–2993.
  19. Olewnik Ł, Podgórski M, Polguj M, et al. The plantaris muscle - rare relations to the neurovascular bundle in the popliteal fossa. Folia Morphol. 2018; 77(4): 785–788.
  20. Olewnik Ł, Wysiadecki G, Podgórski M, et al. The plantaris muscle tendon and its relationship with the achilles tendinopathy. Biomed Res Int. 2018; 2018: 9623579.
  21. Paschos NK, Howell SM. Anterior cruciate ligament reconstruction: principles of treatment. EFORT Open Rev. 2016; 1(11): 398–408.
  22. Patel S, Trehan RK, Railton GT. Successful ACL reconstruction with a variant of the pes anserinus. J Orthop Traumatol. 2009; 10(4): 203–205.
  23. Reina N, Abbo O, Gomez-Brouchet A, et al. Anatomy of the bands of the hamstring tendon: how can we improve harvest quality? Knee. 2013; 20(2): 90–95.
  24. Risberg MA, Moksnes H, Storevold A, et al. Rehabilitation after anterior cruciate ligament injury influences joint loading during walking but not hopping. Br J Sports Med. 2009; 43(6): 423–428.
  25. Rizvi A, Iwanaga J, Oskouian RJ, et al. Additional attachment of the semitendinosus and gracilis muscles to the crural fascia: a review and case illustration. Cureus. 2018; 10(8): e3116.
  26. Takazawa Y, Ikeda H, Ishijima M, et al. Reconstruction of a ruptured patellar tendon using ipsilateral semitendinosus and gracilis tendons with preserved distal insertions: two case reports. BMC Res Notes. 2013; 6: 361.
  27. Tuncay I, Kucuker H, Uzun I, et al. The fascial band from semitendinosus to gastrocnemius: the critical point of hamstring harvesting: an anatomical study of 23 cadavers. Acta Orthop. 2007; 78(3): 361–363.
  28. Xie X, Liu X, Chen Z, et al. A meta-analysis of bone-patellar tendon-bone autograft versus four-strand hamstring tendon autograft for anterior cruciate ligament reconstruction. Knee. 2015; 22(2): 100–110.
  29. Yasin MN, Charalambous CP, Mills SP, et al. Accessory bands of the hamstring tendons: A clinical anatomical study. Clin Anat. 2010; 23(7): 862–865.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By  "Via Medica sp. z o.o." sp.k., Świętokrzyska 73, 80–180 Gdańsk, Poland

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl