Online ISSN: 2515-8260

Keywords : Semitendinosus


THE PES ANSERINUS: THE ANATOMY AND PATHOLOGY OF NATURALLY OCCURRING AND EXTRACTED TENDONS

Dr.Mukesh Bansal, Dr Muktyaz Hussain, Dr Alpana Bansal

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 4, Pages 2312-2320

The goal of this article is to have a comprehensive review of the anatomy of the pes anserinus (PA) and the spectrum of pathologic conditions that can affect this structure. After the insertion site of the PA tendons was fully exposed, careful dissection was performed to determine the exact shape of the PA. Insertions were made into the gracilis and superficial layers of the sartorius and the deep layers of the semitendinosus on the medial side of the tibia. Sixty-six percent of specimens had one semitendinosus tendon at the insertion site, while 31 percent had two, and 3 percent had three. A connection was made between the deep fascia of the leg and the tendons of the gracilis and semitendinosus. The anserine bursa was a somewhat asymmetrical, roughly circular shape. Some of the anserine bursa specimens even extended beyond the proximal line of the tibia. The anserine bursa, as seen from the medial side of the tibia, was situated posteriorly & superiorly from the tibial midline, paralleling the sartorius muscle. Anserine bursa injections should be given at an angle of 20 degrees medially and inferiorly from the vertical line, 15 or 20 millimetres deep, and roughly 20 millimetres medially and 12 millimetres superior from the inferomedial point of the tibial tuberosity.

Comparison of functional outcome of arthroscopic anterior cruciate ligament reconstruction using an autologous fourstrand single semitendinosus tendon versus semitendinosus and gracilis tendon graft

Sagar Goel,Manoj Kumar,Keshav Vijan,Varun Gautam,Nikhil L Gore

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 4, Pages 2766-2779

Background: There is no consensus about the optimal graft choice for anterior cruciate
ligament (ACL) reconstruction. The present study was aimed to compare the clinical and
functional results of reconstruction of ACL by using an autologous four strand
semitendinosus tendon versus semitendinosus and gracilis graft.
Methodology and Results: Patients were randomized to undergo ACL repair either by
autologous four strand ST tendon or a ST and gracilis tendon graft. Baseline characteristics of
patients in the two study groups were similar. In the present study, 58 patients were included.
Mean age of the patients in the ST group was 27.34 ± 6.28 years and that in the STG group
was 26.34 ± 5.19 years. Road traffic accident was the most common mode of injury and most
common symptom at presentation was knee pain. It was found that among all patients
included in the study, 48.3% had 4 to 8 months since the time of injury. Mean time since
injury was 6.59 ± 2.7 months in the ST group and 6.42 ± 2.2 months in the STG group. LKSS
and IKDC values were significantly higher in the ST group as compared to STG group at 2
and 8 weeks post-operatively. Later on, at all follow up points, the mean LKSS and IKDC
were similar in the two study groups. Anterior drawer and Lachman test showed no statistical
difference between the two study groups.
Conclusion: Since ACL reconstruction using quadrupled ST is more technically demanding
than doubled STG and with there being no difference in outcomes, no compulsory advice
should be made on the former technique.