Selva Sen1, Gulsum Buse Senol2, Tugrul Ormeci3, Meral Cetinkaya4, Bayram Ufuk Sakul2. 1. Department of Anatomy, School of Medicine, Istanbul Medipol University, Göztepe Neighborhood, Atatürk Street No:19, Beykoz, Istanbul, Turkey. selvasen@medipol.edu.tr. 2. Department of Anatomy, School of Medicine, Istanbul Medipol University, Göztepe Neighborhood, Atatürk Street No:19, Beykoz, Istanbul, Turkey. 3. Department of Radiology, School of Medicine, Istanbul Medipol University, Istanbul, Turkey. 4. Department of Radiology, Medipol University Hospital, Istanbul, Turkey.
Abstract
BACKGROUND: Anatomical variations are common in gluteal region. This report presents two cases of gluteoperinealis muscles detected during radiological imaging. CASE PRESENTATION: Our study was conducted on two patients. This report describes an accessory muscle detected in the gluteal region on MRI examination of a patient who admitted to our clinic after a firearm injury and a second patient examined with CT imaging who had signs of pelvic infection. In the first case, this accessory muscle originated bilaterally from the fascia of the gluteus maximus throughout its posteromedial side and was attached to the perineal body. In the second case, it extended forward from the fascia of the gluteus maximus muscle and inserted to the cavernous body of penis on the left side and to the perineal body on the right. In the literature, this accessory muscle has been described as the gluteoperinealis muscle being a rare variation. CONCLUSION: Considering the origin and insertion of the muscle, this variation may be important during the surgical operations of the gluteal and perineal regions.
BACKGROUND: Anatomical variations are common in gluteal region. This report presents two cases of gluteoperinealis muscles detected during radiological imaging. CASE PRESENTATION: Our study was conducted on two patients. This report describes an accessory muscle detected in the gluteal region on MRI examination of a patient who admitted to our clinic after a firearm injury and a second patient examined with CT imaging who had signs of pelvic infection. In the first case, this accessory muscle originated bilaterally from the fascia of the gluteus maximus throughout its posteromedial side and was attached to the perineal body. In the second case, it extended forward from the fascia of the gluteus maximus muscle and inserted to the cavernous body of penis on the left side and to the perineal body on the right. In the literature, this accessory muscle has been described as the gluteoperinealis muscle being a rare variation. CONCLUSION: Considering the origin and insertion of the muscle, this variation may be important during the surgical operations of the gluteal and perineal regions.
Entities:
Keywords:
Anatomic variations; Gluteoperinealis muscle; Gluteus maximus muscle; Magnetic resonance imaging; Perineal body
Authors: Giancarlo Cavalli Polesello; Marcelo Cavalheiro Queiroz; João Paulo Tavares Linhares; Denise Tokechi Amaral; Nelson Keiske Ono Journal: Rev Bras Ortop Date: 2013-06-11