Iamsaard Sitthichai, Uabundit Nongnut, Khamanarong Kimaporn, Sripanidkulchai Kittisak, Chaiciwamongkol Kowit, Namking Malivalaya, Ratanasuwan Somsiri, Boonruangsri Porntip, Hipkaeo Wiphawi
Department of Anatomy, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. ; Integrative Complementary Alternative Medicine (ICAM) Research and Development Group, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
Anat Cell Biol. 2012 Dec;45(4):288-90. doi: 10.5115/acb.2012.45.4.288. Epub 2012 Dec 14.
Many origins and insertions of an axillary muscular slip (also known as Langer's or axillary arch muscles) have been documented previously. In this report, we found duplicated axillary arch muscles (two variant muscular slips) originating from the inferolateral border of the right side latissimus dorsi muscle. Obviously, these axillary arch muscles can be distinguished as short and long muscular strips. While the origin was the same, the short muscular slip inserts into the fascia covering on the pectoralis minor, whereas the longer one inserts on/into the aponeurosis of pectoralis major. For the surgery in the axillary region, this rare variation should be considered a cause of surgical interventions.
先前已有文献记载腋部肌束(也称为朗格氏肌或腋弓肌)的多种起点和止点。在本报告中,我们发现了重复的腋弓肌(两条变异肌束),起源于右侧背阔肌的下外侧缘。显然,这些腋弓肌可区分为短肌条和长肌条。虽然起点相同,但短肌束止于覆盖胸小肌的筋膜,而较长的肌束止于胸大肌的腱膜。对于腋部手术,这种罕见的变异应被视为手术干预的一个原因。