The plantaris is one of the superficial

muscle Skeletal muscles (commonly referred to as muscles) are organs of the vertebrate muscular system and typically are attached by tendons to bones of a skeleton. The muscle cells of skeletal muscles are much longer than in the other types of mus ...

s of the superficial posterior compartment of the leg, one of the fascial compartments of the leg. It is composed of a thin muscle belly and a long thin

tendon A tendon or sinew is a tough, high-tensile-strength band of dense fibrous connective tissue that connects muscle to bone. It is able to transmit the mechanical forces of muscle contraction to the skeletal system without sacrificing its ability ...

. While not as thick as the

achilles tendon The Achilles tendon or heel cord, also known as the calcaneal tendon, is a tendon at the back of the lower leg, and is the thickest in the human body. It serves to attach the plantaris, gastrocnemius (calf) and soleus muscles to the calcaneus ...

, the plantaris tendon (which tends to be between in length) is the longest tendon in the

human body The human body is the structure of a human being. It is composed of many different types of cells that together create tissues and subsequently organ systems. They ensure homeostasis and the viability of the human body. It comprises a hea ...

. Not including the tendon, the plantaris muscle is approximately long and is absent in 8-12% of the population. It is one of the plantar

flexors A flexor is a muscle that flexes a joint. In anatomy, flexion (from the Latin verb ''flectere'', to bend) is a joint movement that decreases the angle between the bones that converge at the joint. For example, one’s elbow joint flexes when o ...

in the posterior compartment of the leg, along with the

gastrocnemius The gastrocnemius muscle (plural ''gastrocnemii'') is a superficial two-headed muscle that is in the back part of the lower leg of humans. It runs from its two heads just above the knee to the heel, a three joint muscle (knee, ankle and subtalar ...

and

soleus In humans and some other mammals, the soleus is a powerful muscle in the back part of the lower leg (the calf). It runs from just below the knee to the heel, and is involved in standing and walking. It is closely connected to the gastrocnemius mu ...

muscles. The plantaris is considered to have become an unimportant muscle when human ancestors switched from climbing trees to bipedalism and in

anatomically modern humans Early modern human (EMH) or anatomically modern human (AMH) are terms used to distinguish '' Homo sapiens'' (the only extant Hominina species) that are anatomically consistent with the range of phenotypes seen in contemporary humans from exti ...

it mainly acts with the gastrocnemius.

Structure

The plantaris muscle arises from the inferior part of the

lateral supracondylar ridge The lateral supracondylar ridge is a prominent, rough margin on the lower part of the lateral border of the humerus. It presents an anterior lip for the origin of forearm extensors, including the brachioradialis muscle above, and the extensor car ...

of the

femur The femur (; ), or thigh bone, is the proximal bone of the hindlimb in tetrapod vertebrates. The head of the femur articulates with the acetabulum in the pelvic bone forming the hip joint, while the distal part of the femur articulates ...

at a position slightly superior to the origin of the lateral head of

. It passes posterior to the

knee joint In humans and other primates, the knee joins the thigh with the human leg, leg and consists of two joints: one between the femur and tibia (tibiofemoral joint), and one between the femur and patella (patellofemoral joint). It is the largest join ...

in an inferomedial direction and becomes tendinous distally to insert into the

Achilles tendon The Achilles tendon or heel cord, also known as the calcaneal tendon, is a tendon at the back of the lower leg, and is the thickest in the human body. It serves to attach the plantaris, gastrocnemius (calf) and soleus muscles to the calcaneus ...

. It occasionally separately inserts into the medial side of the

calcaneus In humans and many other primates, the calcaneus (; from the Latin ''calcaneus'' or ''calcaneum'', meaning heel) or heel bone is a bone of the tarsus of the foot which constitutes the heel. In some other animals, it is the point of the hock. ...

Innervation

The plantaris muscle is innervated by the

tibial nerve The tibial nerve is a branch of the sciatic nerve. The tibial nerve passes through the popliteal fossa to pass below the arch of soleus. Structure Popliteal fossa The tibial nerve is the larger terminal branch of the sciatic nerve with root val ...

, a branch of the

sciatic nerve The sciatic nerve, also called the ischiadic nerve, is a large nerve in humans and other vertebrate animals which is the largest branch of the sacral plexus and runs alongside the hip joint and down the lower limb. It is the longest and widest ...

in the sacral plexus. Signaling for contraction begins in the

frontal lobe The frontal lobe is the largest of the four major lobes of the brain in mammals, and is located at the front of each cerebral hemisphere (in front of the parietal lobe and the temporal lobe). It is parted from the parietal lobe by a groove be ...

of the

brain A brain is an organ (biology), organ that serves as the center of the nervous system in all vertebrate and most invertebrate animals. It is located in the head, usually close to the sensory organs for senses such as Visual perception, vision. I ...

with the pre-central gyrus (

primary motor cortex The primary motor cortex (Brodmann area 4) is a Human brain, brain region that in humans is located in the dorsal portion of the frontal lobe. It is the primary cortex, primary region of the motor system and works in association with other motor ...

Upper motor neuron Upper motor neurons (UMNs) is a term introduced by William Gowers in 1886. They are found in the cerebral cortex and brainstem and carry information down to activate interneurons and lower motor neurons, which in turn directly signal muscles t ...

s are stimulated and send a signal through the

internal capsule The internal capsule is a white matter structure situated in the inferomedial part of each cerebral hemisphere of the brain. It carries information past the basal ganglia, separating the caudate nucleus and the thalamus from the putamen and the ...

and down the

corticospinal tract The corticospinal tract is a white matter motor pathway starting at the cerebral cortex that terminates on lower motor neurons and interneurons in the spinal cord, controlling movements of the limbs and trunk. There are more than one million ne ...

. Decussation of the

lateral corticospinal tract The lateral corticospinal tract (also called the crossed pyramidal tract or lateral cerebrospinal fasciculus) is the largest part of the corticospinal tract. It extends throughout the entire length of the spinal cord, and on transverse section appe ...

occurs in the

medullary pyramids In neuroanatomy, the medullary pyramids are paired white matter structures of the brainstem's medulla oblongata that contain motor fibers of the corticospinal and corticobulbar tracts – known together as the pyramidal tracts. The lower limi ...

, then the fibers continue down the contralateral side of the

spinal cord The spinal cord is a long, thin, tubular structure made up of nervous tissue, which extends from the medulla oblongata in the brainstem to the lumbar region of the vertebral column (backbone). The backbone encloses the central canal of the sp ...

. Upper motor neurons synapse with

lower motor neuron Lower motor neurons (LMNs) are motor neurons located in either the anterior grey column, anterior nerve roots (spinal lower motor neurons) or the cranial nerve nuclei of the brainstem and cranial nerves with motor function (cranial nerve low ...

s at the anterior horn of the spinal cord in the sacral plexus (formed from the anterior rami of spinal nerves L4, L5, S1–4). The lower motor neuron fibers continue down the sciatic nerve and then diverge into the tibial and common fibular nerves. The tibial nerve runs medially at the

. When the tibial nerve receives an action potential, the plantaris muscle contracts, providing weak plantar flexion of the foot and weak flexion of the knee.

Variation

The muscle may arise from the

oblique popliteal ligament The oblique popliteal ligament (posterior ligament) is a broad, flat, fibrous band on the posterior knee representing an expansion of the tendon of the semimembranosus muscle. It attaches onto the intercondylar fossa and lateral condyle of the fe ...

. Interdigitations with the lateral head of the

and a fibrous extension of the muscle to the

patella The patella, also known as the kneecap, is a flat, rounded triangular bone which articulates with the femur (thigh bone) and covers and protects the anterior articular surface of the knee joint. The patella is found in many tetrapods, such as ...

are not unusual.

Function

The plantaris acts to weakly

plantar flex Motion, the process of movement, is described using specific anatomical terms. Motion includes movement of organs, joints, limbs, and specific sections of the body. The terminology used describes this motion according to its direction relativ ...

the

ankle joint The ankle, or the talocrural region, or the jumping bone (informal) is the area where the foot and the leg meet. The ankle includes three joints: the ankle joint proper or talocrural joint, the subtalar joint, and the inferior tibiofibular joi ...

and flex the

. The plantaris muscle may also provide

proprioceptive Proprioception ( ), also referred to as kinaesthesia (or kinesthesia), is the sense of self-movement, force, and body position. It is sometimes described as the "sixth sense". Proprioception is mediated by proprioceptors, mechanosensory neurons ...

feedback information to the

central nervous system The central nervous system (CNS) is the part of the nervous system consisting primarily of the brain and spinal cord. The CNS is so named because the brain integrates the received information and coordinates and influences the activity of all p ...

regarding the position of the foot. The unusually high density of proprioceptive receptor end organs supports this notion.Moore, Keith L; & Dalley Arthur R (2008). ''Clinically Oriented Anatomy'' (6th ed.). Lippincott Williams and Wilkins. Its motor function is so minimal that its long tendon can readily be harvested for reconstruction elsewhere with little functional deficit. Often mistaken for a nerve by new medical students (and thus called the "freshman's nerve"), the muscle was useful to other

primate Primates are a diverse order of mammals. They are divided into the strepsirrhines, which include the lemurs, galagos, and lorisids, and the haplorhines, which include the tarsiers and the simians ( monkeys and apes, the latter includin ...

s for grasping with their feet.Andor, W.J.M., Glaudemans, Rudi A.J.O. Dierckx, Jan L.M.A. Gielen, Johannes (Hans) Zwerver (2015). ''Nuclear Medicine and Radiologic Imaging in Sports Injuries''. Springer. p. 762

Clinical significance

A common injury that is normally attributed to the plantaris muscle is a condition called ''tennis leg''. Although pain in the calf can be attributed to a rupture of the plantaris muscle, recent ultrasound research has shown that tennis leg more commonly arises from tears in the musculotendinous junction of the medial gastrocnemius. In one clinical study, 94 out of 141 patients (66.7%) diagnosed with tennis leg were found with a partial rupture of the gastrocnemius muscle, while rupture of the plantaris tendon was only seen in 2 patients (1.4%). Injury may occur from running, jumping, or pushing off one leg in sports such as tennis, basketball and soccer, which require quick foot movement in a certain direction. Isolated plantaris muscle strains are rare, and ruptures normally occur in conjunction with injury to other muscles in the posterior compartment of the lower leg. Symptoms of a plantaris muscle rupture may include an audible popping sound in the area during physical activity, swelling, pain in the back of the lower leg, and persistent soreness. Ankle flexion may also be painful.

Additional images

File:Plantaris muscle - animation.gif, Animation File:Sobo 1909 304.png, The plantaris is visible under the gastrocnemius. File:Plantaris muscle by Sanjoy Sanyal.webm, Dissection video (59 s) Image:Gray1242.png, The

synovial sheath A synovial sheath is one of the two membranes of a tendon sheath which covers a tendon. The other membrane is the outer fibrous tendon sheath. The tendon invaginates the synovial sheath from one side so that the tendon is suspended from the membra ...

s of the tendons around the ankle. Medial aspect. (Tendon of Plantaris labeled at bottom right.) Image:Gray438-Musculus plantaris.png, Muscles of the back of the leg. Superficial layer. File:Gray440 - Plantaris.svg, Cross-section through middle of leg. Tendon of plantaris is located between

and

. File:Plantaris muscle 2.jpg, Plantaris muscle File:Space of the gastrocnemius and soleus - text.png, Plantaris tendon runs between

and

. Plantaris tendon is indicated by white arrow-heads.

References

External links

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PTCentral
{{DEFAULTSORT:Plantaris Muscle Muscles of the lower limb