Fatty Gastrocnemius Muscle: A Case Report

Abstract

BackgroundThe gastrocnemius muscle is a superficial two‐headed muscle located in the posterior compartment of the leg, consisting of two heads: medial head and lateral head. The gastrocnemius muscle plays a significant role in our daily activities because its function is plantar flexing the foot at the ankle joint and flexing the leg at the knee joint. We report a very rare case of fatty gastrocnemius.MethodsThe abnormal gastrocnemius muscles were encountered during the dissection of the lower limbs of a 63‐year‐old female cadaver. For histological examination, muscular samples were sectioned from the top, middle, and bottom of two heads of both legs. A total of six muscular slides, nerve slides, artery slides were all stained with Hematoxylin and Eosin (H&E) stains. Slides were analyzed using light microscopy.ResultFor anatomy analysis, the medial heads of both gastrocnemius muscles of the lower limbs are completely infiltrated by adipose tissue. But the lateral heads of gastrocnemius muscles on both sides are almost healthy. Only the bottom of the lateral head of gastrocnemius muscles shows adipose tissue, but the middle and topdo not. Additionally, the medial heads connect to the tibial nerve and arteries normally. No abnormal adipose tissue was observed in other muscles throughout the body. For histological analysis, the entire medial heads and the bottom lateral heads are replaced by adipose cells, but the middle and top of the lateral heads are healthy muscle cells. No abnormalities or pathologies were observed in the nerves or arteries.ConclusionBoth medial heads of the gastrocnemius muscle appear to have become adipose tissue. While no underlying cause was identified it appears the pathology was spreading to the medial head.