The distally based split soleus muscle flap

Fayman, Moshe S.; Orak, Fethi; Hugo, B.; Berson, S. D.

doi:10.1016/0007-1226(87)90005-1

Cited by 45 publications

(35 citation statements)

References 15 publications

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“…The soleus muscle is frequently used to reconstruct soft tissue defects of the lower limb (Wright and Watkins, 1981;Fayman et al, 1987;Beck et al, 2003). Because of its possible anatomic variations, it is important to assess soleus muscle anatomy preoperatively to determine if it will sufficiently cover the soft tissue defect.…”

Section: Discussionmentioning

confidence: 99%

Anatomic variations of the musculotendinous junction of the soleus muscle and its clinical implications

et al. 2006

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The soleus muscle, like the gastrocnemius, is a powerful plantarflexor muscle in the lower limb. The soleus muscle joins the aponeurosis of the gastrocnemius muscle to form the calcaneal (Achilles) tendon. While the basic anatomy of the soleus muscle has been previously described, no study has addressed the anatomical variations of its distal attachment. We found considerable anatomic variation in the distance between this musculotendinous junction and the most proximal point of the proximal edge. This distal measuring point was defined as the most proximal point of the proximal edge of the posterior surface of the calcaneal tuberosity. Eighty human cadaver specimens were preserved according to Thiel's method; we examined one limb from each cadaver, studying 80 lower extremities in total. Following careful dissection of the lower limb, we measured the distance between the distal point of attachment of the soleus muscle fibers (the musculotendinous junction) and the designated measuring point. Our findings were divided into three groups: Group 1 (10 cases, 12.5%), where the distance between the musculotendinous junction and the designated point on the calcaneal tuberosity was between 0 and 1 inches; Group 2 (56 cases, 70%), where the distance was between 1 and 3 inches; and Group 3 (14 cases, 17.5%), where the distance was greater than 3 inches. Detailed knowledge of the anatomic variations of the soleus muscle at its insertion point onto the calcaneal tendon has clinical implications in calcaneal tendon repair following rupture and in the planning of reconstructive surgery using soleus muscle flaps.

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Section: Discussionmentioning

confidence: 99%

Anatomic variations of the musculotendinous junction of the soleus muscle and its clinical implications

et al. 2006

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“…Splitting flaps were performed as a convenient and safe method by Hirshowitz et al 39 and MollerLarsen and Petersen 40 on the tibialis anterior muscle; by Fayman et al 41 on the soleus muscle; and by Tobin 42,43 on the latissimus dorsi and pectoralis major muscles. The external longitudinal splitting of the biceps brachii muscle provides a convenient and safe method to cover exposed vessels in the medial aspect of the arm in cases with loss of soft tissue.…”

Section: Plastic and Reconstructive Surgery • January 2006mentioning

confidence: 99%

Observation of the Relationship between the Shape of Skeletal Muscles and Their Nerve Distribution Patterns: A Transparent and Microanatomic Study

Peker

Gülekon

Turgut

et al. 2006

Plastic and Reconstructive Surgery

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“…In proximally based flaps, muscle is freed from its insertion and placed proximally to cover the defects of mid tibia. This has been described by many studies [7,18]. Hemisoleus flaps are those in which the muscle is split and is rotated to cover the defects [7,18].…”

Section: Introductionmentioning

confidence: 97%

“…This has been described by many studies [7,18]. Hemisoleus flaps are those in which the muscle is split and is rotated to cover the defects [7,18]. In composite flaps fibula, the lateral half of soleus and the overlying skin are used to cover the defects [3,12].…”

Section: Introductionmentioning

confidence: 98%

Arterial supply to the soleus muscle: an anatomical study with emphasis on its application in the pedicle flap surgery

et al. 2015

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The distally based split soleus muscle flap

Cited by 45 publications

References 15 publications

Anatomic variations of the musculotendinous junction of the soleus muscle and its clinical implications

Anatomic variations of the musculotendinous junction of the soleus muscle and its clinical implications

Observation of the Relationship between the Shape of Skeletal Muscles and Their Nerve Distribution Patterns: A Transparent and Microanatomic Study

Arterial supply to the soleus muscle: an anatomical study with emphasis on its application in the pedicle flap surgery

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