Pandey Vivek, Madi Sandesh, Maddukuri Satish, Deepika N, Hafiz Nazar, Acharya Kiran
Department of Orthopaedics, Kasturba Medical College, Manipal, Manipal University, India.
Department of Radiology, Kasturba Medical College, Manipal, Manipal University, India.
J Clin Orthop Trauma. 2016 Oct-Dec;7(Suppl 1):76-79. doi: 10.1016/j.jcot.2016.06.013. Epub 2016 Jun 21.
Aberrant insertions of the pectoralis minor tendon are quite rare. Most cases are incidental findings during cadaver dissections, on an MRI or during surgical procedures of the shoulder joint. Rarely the aberrant insertion points can be a source of pain or restriction of the shoulder joint. From the literature review, we found that there has been no mention regarding the frequency of occurrence of this variation with respect to unilateral or bilateral occurence, and only three cases have been reported, in which aberrant bilateral insertions have been documented of which two were noted during cadaveric dissection and one radiologically. We report a rare case of aberrant bilateral insertions of the pectoralis minor, which was found during an arthroscopic procedure, and we discuss its clinical and surgical implications.
胸小肌腱的异常附着相当罕见。大多数病例是在尸体解剖、磁共振成像(MRI)或肩关节手术过程中偶然发现的。异常附着点很少会成为肩关节疼痛或活动受限的原因。通过文献回顾,我们发现关于这种变异单侧或双侧发生的频率尚无提及,仅报告过3例,其中有2例双侧异常附着是在尸体解剖时发现的,1例是通过影像学发现的。我们报告1例在关节镜手术过程中发现的罕见的双侧胸小肌异常附着病例,并讨论其临床及手术意义。