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2019 | 78 | 2 |
Tytuł artykułu

An atypical biceps brachii and coracobrachialis muscles associated with multiple neurovascular aberrations: a case report with clinical significance

Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Neural and vascular variations in the axilla and upper limb area are usually paired, but coexistence of muscular aberration on top of this is uncommon. The current case report emphasizes on the unilateral coexistence of a three-headed (tricipital) biceps brachii muscle, a two-headed coracobrachialis with an accessory muscle bundle joining the superficial and deep heads of coracobrachialis muscle. On the ipsilateral side of the 72-year-old male cadaver, a connecting branch originated from the musculocutaneous nerve and joined the median nerve after surpassing the accessory muscle bundle. A large diameter subscapular trunk originated from the 2nd part of the axillary artery and after giving off the 1st lateral thoracic artery trifurcated into a common stem which gave off the 2nd and 3rd lateral thoracic arteries, the circumflex scapular artery and a common branch that gave off the 4th and 5th lateral thoracic arteries and the thoracodorsal artery, as the ultimate branch. All lateral thoracic arteries were accompanied by multiple intercostobrachial nerves. Documentation of such muscular and neurovascular variants and their embryologic origin increases awareness of their potential impact on diagnosis and treatment of upper limb pathology. To the best of our knowledge, the currently reported cadaveric observations seem to constitute a unique finding. (Folia Morphol 2019; 78, 2: 444–449)
Słowa kluczowe
EN
Wydawca
-
Czasopismo
Rocznik
Tom
78
Numer
2
Opis fizyczny
p.444–449,fig.,ref.
Twórcy
autor
  • Department of Anatomy, School of Medicine, Faculty of Health Sciences, National and Kapodistrian University of Athens, Greece
autor
  • Department of Anatomy and Surgical Anatomy, Faculty of Health Sciences, Aristotle University of Thessaloniki, Greece
  • Department of Anatomy and Surgical Anatomy, Faculty of Health Sciences, Aristotle University of Thessaloniki, Greece
autor
  • Department of Anatomy and Surgical Anatomy, Faculty of Health Sciences, Aristotle University of Thessaloniki, Greece
autor
  • Department of Anatomy and Surgical Anatomy, Faculty of Health Sciences, Aristotle University of Thessaloniki, Greece
Bibliografia
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  • 14. Natsis K, Vlasis K, Tsakotos G, et al. case of a supernumerary third head of the biceps brachii muscle - clinical significance. Aristotle University Med J. 2010; 37: 39–41.
  • 15. Natsis K, Piagkou M, Panagiotopoulos NA, et al. An unusual high bifurcation and variable branching of the axillary artery in a Greek male cadaver. Springerplus. 2014; 3: 640, doi: 10.1186/2193-1801-3-640, indexed in Pubmed: 25392808.
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  • 19. Paraskevas G, Natsis K, Ioannidis O, et al. Accessory muscles in the lower part of the anterior compartment of the arm that may entrap neurovascular elements. Clin Anat. 2008; 21(3): 246–251, doi: 10.1002/ca.20608, indexed in Pubmed: 18351653.
  • 20. Rai R, Ranade AV, Prabhu LV, et al. Third head of biceps brachii in an Indian population. Singapore Med J. 2007; 48(10): 929–931, indexed in Pubmed: 17909679.
  • 21. Rincón F, Rodríguez Z, Sánchez A, et al. The anatomic characteristics of the third head of biceps branchii muscle in a colombian population. Rev Chis Anat. 2002; 20(2): 197–200, doi: 10.4067/s0716-98682002000200014.
  • 22. Rodríguez-Niedenführ M, Vázquez T, Choi D, et al. Supernumerary humeral heads of the biceps brachii muscle revisited. Clin Anat. 2003; 16(3): 197–203, doi: 10.1002/ca.10060, indexed in Pubmed: 12673814.
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Bibliografia
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