An Anatomical Study of Gracilis Muscle and Its Vascular Pedicles

Rajeshwari, Madhu; Kumar, Bipin

doi:10.16965/ijar.2015.316

Cited by 3 publications

(5 citation statements)

References 4 publications

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“…Most often (63.24%), the main vascular pedicle was located at a distance of 88-112 mm from the origin of m. Gracilis. These results were approximately the same as obtained in the observations of Rajeshwari MS, Roshankumar BN [15] and Vigato E et.al. [5], in which they mentioned that their number was 1-5 (most 1-3).…”

Section: Discussionsupporting

confidence: 92%

“…An analysis of the literature data shows that the average width of the muscle part of m. Gracilis at its base, in the middle and at the end is 34.5±6.395, 26.3±4.682, 17.4±3.527 mm, respectively. At the same time, Dziedzic DW, et.al [8] and Rajeshwari MS, Roshankumar BN indicated the width of the belly of m. Gracilis 31.9 and 39 mm only, respectively [15].…”

Section: Discussionmentioning

confidence: 91%

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Anatomical and topographical features of the gracilis muscle of the thigh from the position of using it for autotransplantation

Gulyaev¹,

Begjanyan²,

Kaurova³

et al. 2022

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Autotransplantation of a free flap of the gracilis muscle is currently actively used in reconstructive surgery for persistent prosoplegia, injuries of the brachial plexus, for plastic closure of defects in the upper lip, and in the treatment of pelvic sepsis. This study provides important information about the anatomical features of the gracilis muscle and its neurovascular bundle, which are highly variable. The study of the anatomical and topographic features of this fine thigh muscle was carried out on a sectional study of 25 corpses of both sexes, 50 lower limbs. The present study demonstrates that the median value of the total length of m. Gracilis, the length of its muscular part, as well as the length of the tendon were 452.25 (439.7; 462.0); 225.3(208.1;239.0); 230.5 (213.0; 244.4) mm, respectively. The number of vascular pedicles included in m. Gracilis, ranged from 1 to 5. In 86% of the cases, the deep femoral artery formed the dominant vascular pedicle, and in 14% of cases, it was the medial circumflex artery. Small secondary vascular pedicles originated from the descending genicular artery or the anterior branch of the obturator arter: from the basin of the internal iliac artery. The length of the main feeding artery varied from 76 to 134 mm, the median value was 100.5(90;110) mm, and its diameter ranged from 1.4 to 2.1 mm (M = 1.9(1.8;2, 0) mm. The innervation of the fine muscle of the thigh was carried out by the anterior branch of the obturator nerve, which in 82% of the cases was represented by a single trunk; less often a loose type of structure was observed. The proper nerve was located at a distance of 108.5 (96; 117) mm from the origin of the muscle; its diameter was 2.1 (1.9; 2.2) mm. Knowledge of the topographic and anatomical relationships of the neurovascular bundle with the surrounding formations, variants of its individual anatomical variability are the key to successful reconstructive surgery.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 91%

Anatomical and topographical features of the gracilis muscle of the thigh from the position of using it for autotransplantation

Gulyaev¹,

Begjanyan²,

Kaurova³

et al. 2022

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“…It was reported that the first vascular pedicle is placed at a distance of 105AE20 mm from the pubic tubercle. 15 In the present study, this distance was 93.6AE35.6 mm on the right lower extremity and left lower extremity had still proximal topography of the first pedicle. In another study, 16 it was reported that the proximal and distal pedicles of the gracilis were located 60 mm and 266 mm away from the pubic tubercle.…”

Section: Discussionsupporting

confidence: 42%

“…3 Gracilis receives pedicles ranging between one and five and 75% of the limbs have two vascular pedicles. 15 In our study, the pedicles ranged between one and three. It was reported that the first vascular pedicle is placed at a distance of 105AE20 mm from the pubic tubercle.…”

Section: Discussionmentioning

confidence: 69%

Morphology of gracilis muscle and the topographic anatomy of its neurovascular pedicles: A cross sectional study

Kumar,

Vadgaonkar,

Prameela

et al. 2024

F1000Res

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Background The objective of this study was to perform morphometry of the gracilis muscle and understand the topographical basis of the entry of its pedicles. Methods We studied forty-four cadaveric lower extremities fixed in formalin. The length and width of the gracilis were measured at three locations: the origin, midpoint, and musculotendinous junction. The topographic location of the gracilis pedicles was also studied. Results The gracilis muscle’s length was 369.9±34.1 mm and 359.6±29.6 mm over the right and left sides. The width of right gracilis was 25±8.4 mm, 20.4±6.2 mm and 10.6±5.6 mm at the origin, midpoint and at the musculotendinous junction. The same over the left side were 26.7±8.6 mm, 20.6±9.1 mm and 10.4±6.4 mm respectively. The number of gracilis ranged from one to three. The location of first pedicle was 93.6±35.6 mm and 68.9±35.8 mm away from the pubic tubercle on the right and left sides, respectively. The second and third pedicles were entering at a distance of 153.1±38.8 mm and 101.3±20.8 mm, 214.6±86.8 mm and 145.3±124.4 mm over the right side and left side. The accessory head of the origin of the gracilis was observed in only one cadaver (2.3%), which originated from the adductor longus. Conclusions It is believed that the morphological data of the gracilis and its neurovascular pedicles will be enlightening to the operating surgeon. They will guide the procedures for reconstructive plastic surgery.

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“…Length of muscle in both male &femal was more compared to others studies, muscle belly in male is more when compared to theirs studies &less in females compared tohurbanetal [9], total tendon length in both male & femal is more compared to others study, distal tendon length in both male & femal is more compared to others study, pedicle length from origin was less compared to vigatoetal [5], morrisetal [10], machii vetal [13], rajeshwarietal [14], lainetal [2] studies and more compared to Hurban etal 9 , Hussy et al [11], Dorothee etal [15]. Gracilis muscle derives its vascular supply from a wide range of arteries.…”

Section: Discussionmentioning

confidence: 76%

AN ANATOMICAL STUDY OF GRACILIS MUSCLE & ITS ROLE IN CLINICAL RECONSTRUCTION SURGERIES

B.S¹,

Murthuza²,

konda³

et al. 2018

IJAR

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An Anatomical Study of Gracilis Muscle and Its Vascular Pedicles

Cited by 3 publications

References 4 publications

Anatomical and topographical features of the gracilis muscle of the thigh from the position of using it for autotransplantation

Anatomical and topographical features of the gracilis muscle of the thigh from the position of using it for autotransplantation

Morphology of gracilis muscle and the topographic anatomy of its neurovascular pedicles: A cross sectional study

AN ANATOMICAL STUDY OF GRACILIS MUSCLE & ITS ROLE IN CLINICAL RECONSTRUCTION SURGERIES

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