肩胛下肌副肌一例极其罕见，及其潜在的临床意义。
A very rare case of an accessory subscapularis muscle and its potential clinical significance.
机构信息
Department of Anatomical Dissection and Donation, Medical University of Lodz, Lodz, Poland.
Department of Neurosurgery, Tulane University School of Medicine, New Orleans, LA, USA.
出版信息
Surg Radiol Anat. 2021 Jan;43(1):19-25. doi: 10.1007/s00276-020-02531-6. Epub 2020 Jul 12.
Abstract
The subscapularis muscle is the largest muscle of the rotator cuff and its main function is internal rotation. It is morphologically variable in both point of origin and insertion. The presence of an accessory subscapularis muscle can lead to brachial plexus neuropathy. This report presents a very rare accessory subscapularis muscle originating from two distinct bands on the subscapularis and teres major muscles. The insertion was divided among four tendons. The fourth tendon is bifurcated. One of these was connected to the tendon of the subscapularis muscle and the other three inserted into the base of the coracoid process of the scapula. This anomalous muscle has the potential to entrap the nerves of the posterior cord such as the axillary, lower subscapular, and thoracodorsal nerves.
摘要
肩胛下肌是肩袖中最大的肌肉，其主要功能是内旋。它在起点和止点上形态多样。副肩胛下肌的存在可导致臂丛神经病。本报告介绍了一种非常罕见的副肩胛下肌，它起源于肩胛下肌和大圆肌上的两个不同的束。止点分为四束肌腱。第四束肌腱呈分叉状。其中一束与肩胛下肌肌腱相连，另外三束插入肩胛骨喙突的基部。这种异常的肌肉有可能会压迫后束神经，如腋神经、肩胛下神经和胸背神经。
相似文献
1
A very rare case of an accessory subscapularis muscle and its potential clinical significance.肩胛下肌副肌一例极其罕见，及其潜在的临床意义。
Surg Radiol Anat. 2021 Jan;43(1):19-25. doi: 10.1007/s00276-020-02531-6. Epub 2020 Jul 12.
2
Variations in Subscapularis Muscle Innervation-A Report on Case Series.肩胛下肌肌神经变异——病例系列报告。
Medicina (Kaunas). 2020 Oct 12;56(10):532. doi: 10.3390/medicina56100532.
3
An anomalous muscle (accessory subscapularis-teres-latissimus muscle) in the axilla penetrating the brachial plexus in man.人腋窝处的一块异常肌肉（副肩胛下肌-大圆肌）穿透臂丛神经。
Acta Anat (Basel). 1976;96(4):513-33. doi: 10.1159/000144700.
4
Semiquantifying of fascicles of the C7 spinal nerve in the upper and lower subscapular nerves innervating the subscapularis and its clinical inference in Erb's palsy.在上、下肩胛下神经中对支配肩胛下肌的 C7 脊神经束进行半定量分析及其在臂丛神经损伤中的临床意义。
Clin Anat. 2013 May;26(4):470-5. doi: 10.1002/ca.22064. Epub 2012 Mar 19.
5
Unknown variant of the accessory subscapularis muscle?肩胛下肌副肌的未知变异？
Anat Sci Int. 2022 Jan;97(1):138-142. doi: 10.1007/s12565-021-00633-8. Epub 2021 Sep 30.
6
A rare human variation: the relationship of the axillary and inferior subscapular nerves to an accessory subscapularis muscle.
Anat Rec. 1986 Nov;216(3):440-2. doi: 10.1002/ar.1092160314.
7
Accessory subscapularis muscle - A forgotten variation?副肩胛下肌——一种被遗忘的变异？
Morphologie. 2017 Jun;101(333):101-104. doi: 10.1016/j.morpho.2017.04.003. Epub 2017 May 15.
8
Nerve fiber analysis on the so-called accessory subscapularis muscle and its morphological significance.
Anat Sci Int. 2008 Mar;83(1):55-9. doi: 10.1111/j.1447-073X.2007.00169.x.
9
Innervation of the scapular muscles and its morphological significance in man.肩胛部肌肉的神经支配及其在人体中的形态学意义。
Anat Anz. 1989;168(2):155-68.
10
Characterization of an anatomic safe zone surrounding the lower subscapular nerve during an open deltopectoral approach.在经肱三头肌外侧入路时，对肩胛下神经下方解剖安全区域的特征描述。
J Shoulder Elbow Surg. 2019 Apr;28(4):671-677. doi: 10.1016/j.jse.2018.09.008. Epub 2018 Nov 30.
引用本文的文献
1
An unreported infraspinatus muscle variation-two-headed infraspinatus minor muscle and three-headed fusion with the teres minor muscle.一种未报道的冈下肌变异——小冈下肌双头和与小圆肌融合的三头。
Surg Radiol Anat. 2022 Sep;44(9):1305-1308. doi: 10.1007/s00276-022-02999-4. Epub 2022 Aug 12.
2
A Proposal for a New Classification of the Supernumerary Heads of the Biceps Brachii Muscle.关于二头肌长头肌额外头的新分类提案。
Biomed Res Int. 2022 Apr 22;2022:1510363. doi: 10.1155/2022/1510363. eCollection 2022.
3
Relationships among Coracobrachialis, Biceps Brachii, and Pectoralis Minor Muscles and Their Correlation with Bifurcated Coracoid Process.喙肱肌、肱二头肌和胸小肌之间的关系及其与分叉喙突的相关性。
Biomed Res Int. 2022 Mar 25;2022:8939359. doi: 10.1155/2022/8939359. eCollection 2022.
4
The Subscapularis Muscle: A Proposed Classification System.肩胛下肌：一种新的分类系统。
Biomed Res Int. 2021 Dec 11;2021:7450000. doi: 10.1155/2021/7450000. eCollection 2021.
5
Unknown variant of the accessory subscapularis muscle?肩胛下肌副肌的未知变异？
Anat Sci Int. 2022 Jan;97(1):138-142. doi: 10.1007/s12565-021-00633-8. Epub 2021 Sep 30.
6
Coexistence of two accessory flexor pollicis longus heads or coexistence of two-headed flexor pollicis longus with an unrecognized anatomical structure?两个副头长屈肌腱共存或双头长屈肌腱与未识别的解剖结构共存？
Surg Radiol Anat. 2021 May;43(5):763-769. doi: 10.1007/s00276-021-02721-w. Epub 2021 Mar 3.
7
Two muscular variations in the elbow associated with the anterior interosseous nerve.肘部存在两种与骨间前神经相关的肌肉变异。
Surg Radiol Anat. 2021 May;43(5):735-739. doi: 10.1007/s00276-021-02706-9. Epub 2021 Feb 15.
8
A proposal for a new classification of coracobrachialis muscle morphology.一种新的喙肱肌形态分类的建议。
Surg Radiol Anat. 2021 May;43(5):679-688. doi: 10.1007/s00276-021-02700-1. Epub 2021 Feb 9.
9
A rare case of an anatomical variation of bilateral long head of the biceps brachii tendons identified within the substance of bifid subscapularis tendons.一例罕见的双侧肱二头肌长头肌腱解剖变异，发现于肩胛下肌双叉肌腱实质内。
Asia Pac J Sports Med Arthrosc Rehabil Technol. 2020 Dec 11;23:18-21. doi: 10.1016/j.asmart.2020.09.001. eCollection 2021 Jan.
10
Variations in Subscapularis Muscle Innervation-A Report on Case Series.肩胛下肌肌神经变异——病例系列报告。
Medicina (Kaunas). 2020 Oct 12;56(10):532. doi: 10.3390/medicina56100532.
本文引用的文献
1
Proposal for a new classification of plantaris muscle origin and its potential effect on the knee joint.关于足底肌起点新分类的建议及其对膝关节的潜在影响。
Ann Anat. 2020 Sep;231:151506. doi: 10.1016/j.aanat.2020.151506. Epub 2020 Mar 12.
2
Innervation of the subscapularis: an anatomic study.肩胛下肌的神经支配：一项解剖学研究。
JSES Open Access. 2019 Apr 26;3(2):65-69. doi: 10.1016/j.jses.2019.02.001. eCollection 2019 Jul.
3
'Superior biceps aponeurosis'-Morphological characteristics of the origin of the short head of the biceps brachii muscle."Superior biceps aponeurosis"- 肱二头肌短头起点的形态学特征。
Ann Anat. 2019 May;223:85-89. doi: 10.1016/j.aanat.2019.01.014. Epub 2019 Feb 21.
4
Rotator cable in pathological shoulders: comparison with normal anatomy in a cadaveric study.病理性肩关节中的旋转缆索：一项尸体研究中与正常解剖结构的比较
Anat Sci Int. 2019 Jan;94(1):53-57. doi: 10.1007/s12565-018-0447-9. Epub 2018 Jul 10.
5
Quadrilateral Space Syndrome: Diagnosis and Clinical Management.四边形空间综合征：诊断与临床管理
J Clin Med. 2018 Apr 21;7(4):86. doi: 10.3390/jcm7040086.
6
Subscapularis tendon tears: Management and arthroscopic repair.肩胛下肌腱撕裂：治疗与关节镜修复
EFORT Open Rev. 2017 Dec 15;2(12):484-495. doi: 10.1302/2058-5241.2.170015. eCollection 2017 Dec.
7
Anatomical variations of the pronator teres muscle in a Central European population and its clinical significance.中欧人群中旋前圆肌的解剖变异及其临床意义。
Anat Sci Int. 2018 Mar;93(2):299-306. doi: 10.1007/s12565-017-0413-y. Epub 2017 Aug 28.
8
Subscapularis tendon tear classification based on 3-dimensional anatomic footprint: a cadaveric and prospective clinical observational study.基于三维解剖足迹的肩胛下肌腱撕裂分类：一项尸体解剖及前瞻性临床观察研究
Arthroscopy. 2015 Jan;31(1):19-28. doi: 10.1016/j.arthro.2014.08.015. Epub 2014 Oct 18.
9
The variable roles of the upper and lower subscapularis during shoulder motion.肩胛下肌上、下部分在肩部运动中的不同作用。
Clin Biomech (Bristol). 2014 Sep;29(8):885-91. doi: 10.1016/j.clinbiomech.2014.07.003. Epub 2014 Aug 7.
10
Surgical anatomy of the shoulder.肩部的外科解剖学
Instr Course Lect. 2012;61:87-95.
Zotero 插件