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# Plantaris

The plantaris is a small muscle behind the knee with one of the body's longest, thinnest tendons, which runs down to the heel.

Official name: Plantaris muscle

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## What it is

A small muscle behind the knee with a long, thin tendon.

## What it does

Helps the calf muscles a little.

## Key points

- Small belly with one of the longest tendons in the body, which runs between gastrocnemius and soleus to the medial side of the Achilles tendon
- Can be taken as a free tendon graft with no noticeable loss of function, so its presence is checked before a graft is planned
- Its rupture was long blamed for "tennis leg"; most of these injuries are actually tears of the medial gastrocnemius head
- Its tendon lies close against the medial Achilles tendon and may contribute to midportion Achilles tendinopathy

## Key facts

**Origin**
Lower lateral supracondylar line of [femur](https://durgical.com/en/anatomy/femur/); oblique popliteal ligament

**Insertion**
Posterior [calcaneus](https://durgical.com/en/anatomy/calcaneus/), with or medial to calcaneal tendon

**Action**
Weakly assists gastrocnemius (plantar flexes ankle, flexes knee); absent in about 10%

**Nerve**
[Tibial nerve](https://durgical.com/en/anatomy/tibial-nerve/) (S1–S2)

**Blood supply**
Sural branches of [popliteal artery](https://durgical.com/en/anatomy/popliteal-artery/)

## Relations

**Course**
From above the lateral femoral condyle the belly runs down and medially across the back of the knee; its tendon then passes between gastrocnemius and [soleus](https://durgical.com/en/anatomy/soleus-muscle/) to reach the medial border of the [Achilles tendon](https://durgical.com/en/anatomy/calcaneal-tendon/)

**Superficial**
[Lateral head of gastrocnemius](https://durgical.com/en/anatomy/lateral-head-of-gastrocnemius/) at the knee, then the gastrocnemius bellies in the calf

**Deep**
Knee capsule and [oblique popliteal ligament](https://durgical.com/en/anatomy/oblique-popliteal-ligament/), [popliteus](https://durgical.com/en/anatomy/popliteus-muscle/), then the soleus

**Medial**
Near the heel, the Achilles tendon, beside which it inserts

## How to find it

It cannot be felt as a separate muscle. In dissection it is a short belly next to the lateral head of gastrocnemius with a thin, pale, ribbon-like tendon between gastrocnemius and soleus; on ultrasound the tendon is seen beside the medial edge of the Achilles tendon.

## On imaging

Ultrasound or MRI shows whether the tendon is present before graft harvest and how it relates to the medial Achilles tendon. In a calf tear, fluid between gastrocnemius and soleus with an intact [plantaris tendon](https://durgical.com/en/anatomy/tendon-of-plantaris/) points to a gastrocnemius injury.

## Clinical notes

- Donor tendon for tendon and ligament reconstructions in the hand and around the ankle
- In some resistant cases of midportion Achilles tendinopathy the plantaris tendon is released or removed

## Anatomical variants

- Absence is its best-known variant; how often it is missing depends on the study
- Its insertion varies: on the calcaneus beside the Achilles tendon, merged with that tendon, or into the flexor retinaculum or deep fascia; several insertion types are described

## Development

From the ventral (flexor) muscle mass, supplied by the tibial nerve. It is often compared with the [palmaris longus](https://durgical.com/en/anatomy/palmaris-longus/) of the forearm: both are small, long-tendoned and inconstant.

## Memory aid

Nicknamed the "freshman's nerve": its long, pale tendon is easily mistaken for a nerve by new dissectors.

## Related conditions

- [Achilles tendon rupture](https://durgical.com/en/conditions/achilles-tendon-rupture/)

## Test yourself

Think of the answer, then tap the question to see it.

## Why can the plantaris tendon be used as a free tendon graft?

Its long tendon can be taken with no noticeable loss of function, since the plantaris only weakly assists the gastrocnemius; its presence is checked first, as it may be absent.

## Is plantaris rupture the usual cause of «tennis leg»?

No. It was long blamed, but most of these injuries are tears of the medial gastrocnemius head.

## Between which muscles does the plantaris tendon run in the calf?

Between the gastrocnemius and the soleus, to the medial side of the Achilles tendon.

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Educational information, not medical advice. For any symptom, see a health professional.

## Its names

**Official Latin (TA2)**
musculus plantaris TA2 2663

**Official Spanish (DeCS)**
Músculo plantar

**English (TA2)**
Plantaris muscle

## Related

- [Tibial nerve](https://durgical.com/en/anatomy/tibial-nerve/)
- [Popliteal artery](https://durgical.com/en/anatomy/popliteal-artery/)
- [Plantaris tendon](https://durgical.com/en/anatomy/tendon-of-plantaris/)
- [Calcaneus](https://durgical.com/en/anatomy/calcaneus/)
- [Femur](https://durgical.com/en/anatomy/femur/)

Sources: Terminologia Anatomica (TA2); [Anatomy, Bony Pelvis and Lower Limb: Calf](https://www.ncbi.nlm.nih.gov/books/NBK459362/); [Anatomy, Bony Pelvis and Lower Limb: Leg Posterior Compartment](https://www.ncbi.nlm.nih.gov/books/NBK537340/).

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Representative model, for educational purposes only.

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Source: https://durgical.com/en/anatomy/plantaris-muscle/
License: CC BY 4.0 (https://creativecommons.org/licenses/by/4.0/). Cite as: DurgiPedia (durgical.com), https://durgical.com/en/anatomy/plantaris-muscle/
