Ogawa K, Takahashi M, Yoshida A
Department of Orthopaedic Surgery, School of Medicine, Keio University, Tokyo, Japan.
J Shoulder Elbow Surg. 1999 Jan-Feb;8(1):46-8. doi: 10.1016/s1058-2746(99)90054-x.
Thirteen shoulders of 13 cases with aberrant muscle attached to the subscapularis encountered during surgery are described. The distal part of the subscapularis was completely or incompletely covered by aberrant muscle in all cases, and the anterior circumflex vessels were covered in 3 cases. Knowledge concerning these aberrant muscles is indispensable in minimizing confusion concerning surgical anatomy and in achieving adequate exposure of the shoulder during surgery while preserving the anterior circumflex artery, which constitutes the main nutrient vessel of the humeral head.
本文描述了13例手术中遇到的肩胛下肌附着异常肌肉的病例，共13个肩部。所有病例中，肩胛下肌远端均被异常肌肉完全或部分覆盖，3例中旋肱前血管被覆盖。了解这些异常肌肉对于最大限度减少手术解剖结构的混淆，以及在保留作为肱骨头主要营养血管的旋肱前动脉的同时，在手术中充分暴露肩部至关重要。
