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Czasopismo

2009 | 68 | 1 |

Tytuł artykułu

A rare case of bilateral supernumerary heads of sternocleidomastoid muscle and its clinical impact

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
The sternocleidomastoid muscle (SCM) functions as a landmark for physicians such as anatomists, orthopaedic surgeons, neurosurgeons, and anaesthesiologists, who intervene in the minor supraclavicular fossa located at the base of the neck. The variability of SCM anatomy may cause complications while trying to access the vital elements that are located in the minor supraclavicular fossa. This study aims to present a case of supernumerary heads of the sternocleidomastoid muscle and to discuss its clinical significance. The cervical region of an elderly male cadaver was dissected and the findings were recorded and photographed. On both sides, the SCM muscle had an additional sternal head, and simultaneously there were three additional clavicular heads, four in total. These additional heads, the sternal and the clavicular, reduced the interval between them causing significant stenosis of the minor supraclavicular fossa. Sternocleidomastoid muscle variations with regard to the number of its heads are very rare in the literature, but this variation may cause severe complications. The minor supraclavicular fossa is important for anaesthesiologists because of the anterior central venous catheterization approach. Physicians should be aware of this anatomical variation in order to prevent complications. (Folia Morphol 2009; 68, 1: 52–54)

Słowa kluczowe

Wydawca

-

Czasopismo

Rocznik

Tom

68

Numer

1

Opis fizyczny

p.52-54,fig.,ref.

Twórcy

autor
  • Department of Anatomy, Medical School, Aristotle University of Thessaloniki, P.O. Box: 300, 54124 Thessaloniki, Greece
  • Department of Anesthesiology, G. Papanikolaou Hospital, Exohi, Thessaloniki, Greece
autor
  • Department of Anatomy, Medical School, Aristotle University of Thessaloniki, P.O. Box: 300, 54124 Thessaloniki, Greece
  • Department of Anatomy, Medical School, Aristotle University of Thessaloniki, P.O. Box: 300, 54124 Thessaloniki, Greece
autor
  • Department of Anatomy, Medical School, Aristotle University of Thessaloniki, P.O. Box: 300, 54124 Thessaloniki, Greece
  • Department of Anatomy, Medical School, Aristotle University of Thessaloniki, P.O. Box: 300, 54124 Thessaloniki, Greece

Bibliografia

  • 1. Asouhidou I, Natsis K, Asteri T, Sountoulides P, Vlasis K, Tsikaras P (2008) Anatomical variation of left internal jugular vein: clinical significance for an anaesthesiologist. Eur J Anaesthesiol, 25: 314–318.
  • 2. Asteri T, Tsagaropoulou I, Vasiliadis K, Fessatidis I, Papavasiliou E, Spyrou P (2002) Beware Swan-Ganz complications. Perioperative management. J Cardiovasc Surg, 43: 467–470.
  • 3. Boaro SN, Fragoso Neto R (2003) A topographic variation of the sternocleidomastoid muscle in a just been born children. Int J Morphol, 21: 261–264.
  • 4. Botha R, van Schoor AN, Boon JM, Becker JH, Meiring JH (2006) Anatomical considerations of the anterior approach for central venous catheter placement. Clin Anat, 19: 101–105.
  • 5. Bruneau M, Cornelius JF, George B (2005) Anterolateral approach to the V2 segment of the vertebral artery. Neurosurgery, 57: 262–267.
  • 6. Costa D, Vitti M, de Oliveira Tosello D, Costa RP (1994) Participation of the sternocleidomastoid muscle on deep inspiration in man. An electromyographic study. Electromyogr Clin Neurophysiol, 34: 315–320.
  • 7. Kua JS, Tan IK (1997) Airway obstruction following internal jugular vein cannulation. Anaesthesia, 52: 776–780.
  • 8. Marino PL (2007) The ICU Book. Lippincott Williams & Wilkins, NY, pp: 119–121.
  • 9. Nayak SR, Krishnamurthy A, Sj MK, Pai MM, Prabhu LV, Jetti R (2006) A rare case of bilateral sternocleidomastoid muscle variation. Morphologie, 90: 203–204.
  • 10. Ramesh RT, Vishnumaya G, Prakashchandra S, Suresh R (2007) Variation in the origin of sternocleidomastoid muscle. A Case Report. Int J Morphol, 25: 621–623.
  • 11. Standring S, Berkovitz BKB, Hackney CM, Ruskell IGL (2005) Gray’s anatomy. The anatomical basis of clinical practice. 39th Ed. Churchill & Livingtone, Edinburg, pp. 536.
  • 12. Symes A, Ellis H (2005) Variations in the surface anatomy of the spinal accessory nerve in the posterior triangle. Surg Radiol Anat, 27: 404–408.
  • 13. Sznajder JI, Zveibil FR, Bitterman H, Weiner P, Bursztein S (1986) Central vein catheterization: failure and complication rates by three percutaneous approaches. Arch Intern Med, 146: 259–261.
  • 14. Williams PL, Bannister LH, Berry M eds. (1995) Gray’s anatomy. 38th Ed. Churchill & Livingtone, Edinburg, pp. 804–805.

Typ dokumentu

Bibliografia

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Identyfikator YADDA

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