Mehra Lalit, Tuli Anita, Raheja Shashi
Department of Anatomy, Lady Hardinge Medical College and Associated Hospitals, New Delhi, India.
Anat Cell Biol. 2016 Sep;49(3):213-216. doi: 10.5115/acb.2016.49.3.213. Epub 2016 Sep 29.
The muscle trapezius shows considerable morphological diversity. Variations include an anomalous origin and complete or partial absence of the muscle. The present study reported, a hitherto undocumented complete bilateral absence of the cervical part of trapezius. Based on its peculiar origin and insertion, it was named dorsoscapularis triangularis. The embryological, phylogenetic and molecular basis of the anomaly was elucidated. Failure of cranial migration of the trapezius component of the branchial musculature anlage to gain attachment on the occipital bone, cervical spinous processes, ligamentum nuchae between 11 mm and 16 mm stage of the embryo, resulted in this anomaly. A surgeon operating on the head and neck region or a radiologist analyzing a magnetic resonance imaging of the cervical region would find the knowledge of this morphological variation of trapezius useful in making clinical decisions.
斜方肌表现出相当大的形态多样性。变异包括异常起源以及该肌肉完全或部分缺失。本研究报告了一种此前未被记录的双侧斜方肌颈部完全缺失的情况。基于其独特的起止点,它被命名为肩胛背三角肌。阐明了该异常的胚胎学、系统发育学和分子基础。在胚胎11毫米至16毫米阶段,鳃肌原基的斜方肌成分向头侧迁移失败,未能附着于枕骨、颈椎棘突和项韧带,导致了这种异常。在头颈部区域进行手术的外科医生或分析颈椎磁共振成像的放射科医生会发现,了解斜方肌的这种形态变异有助于做出临床决策。