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Czasopismo

2013 | 72 | 4 |

Tytuł artykułu

Morphology and clinical implication of the extra-head of biceps brachii muscle

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
The biceps brachii muscle is present in the anterior aspect of the arm. Its morphological variations have great clinical significance for surgeons, orthopaedic surgeons, anaesthetists, neurologists and anatomists. This study aimed to describe the incidence and morphology of the extra-heads of the biceps brachii muscle. Hundred upper limbs of 50 adult human cadavers (30 men and 20 women) were used in this study after the approval of the medical ethical committee. These cadavers were obtained from the Anatomy Department, Faculty of Medicine, King Abdul-Aziz University. The incidence of anatomical variations of biceps muscle was equal in both male and female cadavers (10%) with predominance of the left side (7%). The 3-headed biceps brachii muscle was noticed in 7% (4% male and 3% female), while the 4-headed biceps was seen in 2 (2%) left limbs, 1 male and 1 female. The third head of the biceps muscle arose from the anteromedial aspect of humerus, between the coracobrachialis insertion and the brachialis origin, in 6% and from middle of the medial border of humerus in 3%. While the fourth head originated from the articular capsule of shoulder joint in 1 (1%) limb and from the coracoid process of scapula in the other limb. The biceps common tendon of insertion received the supernumerary heads in 7% of the limbs. However, the extra-head fused with the long head in 2 (2%) limbs and united with the short head in 1 (1%) limb. The mean of the third head length was 118.8 ± 10.9 in all limbs, where it was 121.8 ± 12.3 in male and 113.5 ± 8.1 in female cadavers. The third head length/arm length ratio was 38.4 ± 2.6 in all, 38.3 ± 3.4 in male and 38.8 ± 1.8 in female cadavers. The length of the extra-head was extremely significant with those of the corresponding limb in all, male and female cadavers (p < 0.0001). Knowledge of the morphological variations of biceps muscle provides better pre-operative evaluation, safe surgical intervention within the arm and better postoperative outcomes. (Folia Morphol 2013; 72, 4: 349–356)

Wydawca

-

Czasopismo

Rocznik

Tom

72

Numer

4

Opis fizyczny

p.349-356,fig.,ref.

Twórcy

autor
  • Anatomy Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt
  • Anatomy Department, Faculty of Medicine, King Abdul-Aziz University, Jeddah, Kingdom of Saudi Arabia
  • Anatomy Department, Faculty of Medicine, King Abdul-Aziz University, Jeddah, Kingdom of Saudi Arabia

Bibliografia

  • 1. Amar J, Elezy MN (2012) Study of variations in the origin of biceps brachii muscle in Kerala. Int J Sci Res, 2: 1–4.
  • 2. Arora L, Dhingra R (2006) Unusual nerve supply of biceps from ulnar nerve and median nerve and a third head of biceps. Indian J Plastic Surg, 39: 172–174.
  • 3. Asvat R, Candler P, Sarmiento EE (1993) High incidence of the third head of biceps brachii in South African populations. J Anat, 182: 101–104.
  • 4. Cheema P, Singla R (2011) Lower incidence of the third head of biceps brachii in North Indian Population. J Clin Diagnostic Res, Suppl. 2, 5: 1323–1326.
  • 5. Cucca YY, SVB McLay, T Okamoto, J Ecker (2010) The biceps brachii muscle and its distal insertion: observations of surgery and evolutionary relevance. Surg Radiol Anat, 32: 371–375.
  • 6. Kervancioglu P, Orhan M (2011) An anatomical study on the three-headed biceps brachii in human foetuses, and clinical relevance. Folia Morphol, 70: 116–120.
  • 7. Kosugi K, Shibata S, Yamashita H (1992) Supernumerary head of biceps brachii and branching pattern of the musculocutaneous nerve in Japanese. Surg Radiol Anat, 14: 175–185.
  • 8. Kumar H, Das S, Rath G (2008) An anatomical insight to the third head of biceps brachii muscle. Bratisl Lek Listy, 109: 76–78.
  • 9. Larsen WJ (2004) Human embryology. Churchill Livingstone, New York.
  • 10. Natsis K, Konstantinos V, George T, Trifon T, Juergen K (2010) A case of a supernumerary third head of biceps brachii muscle-clinical significance. Aristotle University Medical J, 37: 39–41.
  • 11. Nayak SR, Ashwin Krishnamurthy, Latha V Prabhu, Jiji PJ, Lakshmi Ramanathan, Savinaya Kumar (2007) Multiple supernumerary muscles of the arm and its clinical significance. Bratisl Lek Listy, 109:74–76.
  • 12. Nayak SR, Ashwin K, Madhan KSJ, Latha VP, Vasudha S, Merin MT (2008) Four-headed biceps and triceps brachii muscles with neurovascular variation. Anat Sci Intl, 83: 107–111.
  • 13. Ozan H, Atsev A, Sianau, A, Simsek, C, Basar R (1997) An unusual insertion of the accessory biceps brachii muscle. Am Anat Nippon, 72: 515–519.
  • 14. Pacha VD, Forcada CP, Career BA, Liusa PM (2005) Innervation of biceps brachii and brachialis: anatomical and surgical approach. Clin Anatomy, 18: 186–194.
  • 15. Paval J, Mathew JG (2006) A rare variation of the biceps brachii muscle. Indian J Plastic Surgery, 39: 65–67.
  • 16. Poudal PP, Bhattarai C (2009) Study of the supernumerary heads of biceps brachii muscle in Nepalese. Nepal Med Coll J, 11: 96–98.
  • 17. Rai R, Ranade AV, Prabhu LV, Prakash MMP (2007) Third head of biceps brachii: A study in indian population. Singapore Med J, 48: 929–931.
  • 18. Rincon F, Rodriguez IZ, Sanchez A, Leon A, Gonzalez LF (2002) The anatomic characteristics of the third head of biceps brachii muscle in Colombian population. Rev Chis Anat, 20: 197–200.
  • 19. Rodriguez-Niedenfuhr M, Vasquez T, Choi D, Parkin I, Sanudo JR (2003) Supernumerary humeral heads of biceps muscle revisited. Clin Anat, 16: 197–203.
  • 20. Sandeep VP, Borole BS, Mahajan AA (2012) A study on the accessory head of biceps brachii in Indians which was done during cadaver dissections. J Clin Diagnostic Res, 6 (suppl.): 1137–1139.
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  • 22. Sharadkumar PS, Shaguphta TS, Rakhi MM (2012) Variant heads of biceps brachii muscle with clinical importance. Indian J Basic Applied Med Res, 1: 245–250.
  • 23. Standring S (2005) Gray’s anatomy. 39th Ed. In: Nervous system. Churchill Livingstone, Edinburgh, London, New York, Oxford, Philadelphia, Sydney, Toronto.
  • 24. Vazquez T, Rodriguez-Niedenfuhr M, Parkin I, Sanudo JR (2003) A rare case of a four-headed biceps brachii muscle with a double piercing by the musculocutaneous nerve. Surg Radiol Anat, 25: 462–464.
  • 25. Wood J (2012) Tables of primate head, neck, pectoral and upper limb muscles, anatomy and phylogeny of primate muscles and human evolution comparative. J Anat Physiol, 1: 44–59.

Typ dokumentu

Bibliografia

Identyfikatory

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