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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Anat Biol Anthropol</journal-id>
<journal-id journal-id-type="publisher-id">ABA</journal-id>
<journal-title-group>
<journal-title>Anatomy &#x0026; Biological Anthropology</journal-title>
</journal-title-group>
<issn pub-type="ppub">2671-5651</issn>
<issn pub-type="epub">2671-566X</issn>
<publisher>
<publisher-name>Korean Association of Physical Anthropologists</publisher-name>
</publisher>
</journal-meta>

<article-meta>
<article-id pub-id-type="doi">10.11637/aba.2019.32.4.151</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Anatomical Classification of Plantaris Tendon according to Shape and Location of Insertion in Korean
</article-title>
</title-group>

<contrib-group>

<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0002-7288-8622</contrib-id>
<name>
<surname>Park</surname>
<given-names>Kwang Rak</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0001-8680-4680</contrib-id>
<name>
<surname>Cho</surname>
<given-names>Jaeho</given-names>
</name>
<xref ref-type="aff" rid="A2">2</xref>
</contrib>

<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0002-8074-0986</contrib-id>
<name>
<surname>Choi</surname>
<given-names>Yu Jin</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0002-2926-4558</contrib-id>
<name>
<surname>Kim</surname>
<given-names>Digud</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0002-3162-2297</contrib-id>
<name>
<surname>Kwon</surname>
<given-names>Hyung Wook</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0003-3334-0637</contrib-id>
<name>
<surname>Jang</surname>
<given-names>Hye Jin</given-names>
</name>
<xref ref-type="aff" rid="A3">3</xref>
</contrib>

<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0001-5981-5421</contrib-id>
<name>
<surname>Kang</surname>
<given-names>Hansol</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

<contrib contrib-type="author" corresp="yes">
<contrib-id contrib-id-type="orcid" authenticated="true">https://orcid.org/0000-0002-2589-2223</contrib-id>
<name>
<surname>Park</surname>
<given-names>Jeonghyun</given-names>
</name>
<xref ref-type="aff" rid="A1">1</xref>
</contrib>

</contrib-group>

<aff id="A1"><label>1</label>Department of Anatomy &#x0026; Cell Biology, Graduate School of Medicine, Kangwon National University, <country>Korea</country>.</aff>
<aff id="A2"><label>2</label>Department of Orthopedic Surgery, Chuncheon Sacred Heart Hospital, Hallym University of Medicine, <country>Korea</country>.</aff>
<aff id="A3"><label>3</label>Department of Nursing, Graduate School of Catholic University, <country>Korea</country>.</aff>

<author-notes>
<corresp>Correspondence to: <email>jhpark@kangwon.ac.kr</email></corresp>
</author-notes>

<pub-date pub-type="ppub">
<month>12</month>
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>31</day>
<month>12</month>
<year>2019</year>
</pub-date>
<volume>32</volume>
<issue>4</issue>
<fpage>151</fpage>
<lpage>157</lpage>

<history>
<date date-type="received">
<day>11</day>
<month>11</month>
<year>2019</year>
</date>
<date date-type="rev-recd">
<day>02</day>
<month>12</month>
<year>2019</year>
</date>
<date date-type="accepted">
<day>10</day>
<month>12</month>
<year>2019</year>
</date>
</history>

<permissions>
<copyright-statement>&#x00A9; 2019 Korean Association of Physical Anthropologists</copyright-statement>
<copyright-year>2019</copyright-year>
<copyright-holder>Korean Association of Physical Anthropologists</copyright-holder>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
<license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>

<abstract>
<p>The plantaris muscle is a small muscle with a short belly and long thin tendon that forms part of the posterior superficial compartment of the calf. The purpose of this study was to classify the insertion type of plantaris tendon of Korean population, to measure anthropological characteristics by measuring the width and thickness, and to obtain clinically applicable anatomical basis data. The dissection was performed on 68 lower limbs (34 right, 34 left) fixed in formalin mixture. The types of insertion of plantaris tendon was classified according to the area and location of insertion into calcaneal tuberosity and calcaneal bone. In this study, all five types were identified. 25 limbs (36.8%) were classified into type 1, 8 limbs (11.8%) into types 2 and 3 respectively, 5 limbs (7.4%) into type 4, 18 lower extremities (26.5%) into type 5. The plantaris tendon was found to be absent in 4 lower limbs (5.9%). No differences in body side or gender were found in the insertion type of plantaris tendon. The thickness of the plantaris tendon was 0.72&#x00B1;0.27 mm for males and 0.59&#x00B1;0.18 mm for females, and males were thicker than females(<italic>p</italic>=0.029). However, there was no difference between the two genders in the width of the plantaris tendon. In conclusion, this study not only examined the morphological characteristics of plantaris tendon in Korean population, but also presented basic anatomical data that doctors can apply to clinical practice.</p>
</abstract>

<kwd-group>
<kwd>Plantaris muscle</kwd>
<kwd>Plantaris tendon</kwd>
<kwd>Insertion type</kwd>
<kwd>Tendon thickness</kwd>
<kwd>Tendon width</kwd>
</kwd-group>

</article-meta>
</front>

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</back>

<floats-group>

<fig position="float" id="F1">
<label>Fig. 1</label>
<caption>
  <title>Schematic representation of the major types of the plantaris tendon insertion. Medial view of the right leg with the plantaris tendon. Olewnik et al. (2017) classified into 5 types of PT insertion by location and area inserted in calcaneal tuberosity. (A) Type 1, fan-shaped insertion to the calcaneal tuberosity on the medial side of the calcaneal tendon; (B) Type 2, insertion to the calcaneal tuberosity, along with the calcaneal tendon (Fan shape is not taken); (C) Type 3, insertion at the calcaneal bone, anterior to the calcaneal tendon; (D) Type 4, insertion not being located on the calcaneal tuberosity but rather in the deep crural fascia; (E) Type 5, very wide insertion encircling the posterior and medial surfaces of the calcaneal tendon. PT: plantaris tendon, CT: calcaneal tendon. Black arrow indicates plantaris tendon.</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="aba-32-151-g001"></graphic>
</fig>

<fig position="float" id="F2">
<label>Fig. 2</label>
<caption>
  <title>Location of extension points(ExP) for measuring width and thickness in plantaris muscles. The plantaris muscle was extracted from the right leg. extension point (black arrow) is the point at which the distal tendon begins to expand before its insertion. PM: plantaris muscle, bPM: belly of plantaris muscle, tPM: tendon of plantaris muscle, ExP: extension point.</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="aba-32-151-g002"></graphic>
</fig>

<fig position="float" id="F3">
<label>Fig. 3</label>
<caption>
  <title>Types of insertion of the plantaris tendon. Medial view of the right leg with the plantaris tendon. (A) Type 1 (36.8%); (B) Type 2 (11.8%); (C) Type 3 (11.8%); (D) Type 4 (7.4%); (E) Type 5 (26.5%). PT: plantaris tendon, CT: calcaneal tendon, ExP: extension point. Black arrow indicates plantaris tendon.</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="aba-32-151-g003"></graphic>
</fig>

<table-wrap position="float" id="T1">
<label>Table 1</label>
<caption>
  <title>Categorization by age and gender in the Korean population</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="aba-32-151-i001"></graphic>
<table-wrap-foot>
<fn>
  <p>The data are presented as number.</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T2">
<label>Table 2</label>
<caption>
  <title>Classification of plantaris tendon according to insertion type</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="aba-32-151-i002"></graphic>
<table-wrap-foot>
<fn>
  <p>The data are presented as number(percent).</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T3">
<label>Table 3</label>
<caption>
  <title>Frequency of right and left side according to insertion type of plantaris tendon</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="aba-32-151-i003"></graphic>
<table-wrap-foot>
<fn>
  <p>The data are presented as number(percent).</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T4">
<label>Table 4</label>
<caption>
  <title>Comparison of width and thickness of the plantaris tendon between male and female</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="aba-32-151-i004"></graphic>
<table-wrap-foot>
<fn>
  <p>The data are presented as mean&#x00B1;SD, <sup>*</sup>: <italic>p</italic>&#x003C;0.05.</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T5">
<label>Table 5</label>
<caption>
  <title>Comparison of width and thickness of the plantaris tendon between right and left side</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="aba-32-151-i005"></graphic>
<table-wrap-foot>
<fn>
  <p>The data are presented as mean&#x00B1;SD.</p>
</fn>
</table-wrap-foot>
</table-wrap>

<table-wrap position="float" id="T6">
<label>Table 6</label>
<caption>
  <title>Frequency of Koreans and Europeans according to the insertion type of plantaris tendon</title>
</caption>
<graphic xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="aba-32-151-i006"></graphic>
<table-wrap-foot>
<fn>
  <p>The data are presented as number(percent).</p>
</fn>
</table-wrap-foot>
</table-wrap>

</floats-group>

</article>