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单侧双束胸骨肌:一块常常被忽视且鲜为人知的惊人肌肉。

Unilateral Sternalis With Double Slips: An Astounding Muscle, Often Unnoticed and Unknown.

作者信息

Sahoo Sanjukta, Banik Suranjana

机构信息

Anatomy, All India Institute of Medical Sciences, Bhubaneswar, Bhubaneswar, IND.

出版信息

Cureus. 2021 Mar 30;13(3):e14185. doi: 10.7759/cureus.14185.

DOI:10.7759/cureus.14185
PMID:33936896
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8082955/
Abstract

Discovery and variations of rectus sternalis muscle are occasionally seen in humans. However, during routine academic dissection of an adult male embalmed cadaver, a rare variant of the muscle was identified. The muscle had origin from the pectoral muscle and fascia and was inserted into external oblique aponeurosis along with the sixth rib and cartilage. It had double slips with the partial merging of the bellies. Knowledge regarding such unique muscle is important to anatomists for medical education as well as to surgeons during thoracic surgeries, in craniocaudal mammography where it can mimic breast mass and for using as muscle flap in the anterior chest wall, head and neck, and breast reconstructions.

摘要

胸骨直肌的发现及变异在人类中偶尔可见。然而,在对一具成年男性防腐尸体进行常规学术解剖时,发现了该肌肉的一种罕见变异。该肌肉起自胸肌和筋膜,与第六肋及肋软骨一起止于腹外斜肌腱膜。它有双肌束,肌腹部分融合。了解这种独特的肌肉对于解剖学家进行医学教育很重要,对于胸外科手术中的外科医生、在头尾位乳腺摄影中(其可能会模仿乳腺肿块)以及在前胸壁、头颈部和乳房重建中用作肌瓣也很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6caf/8082955/70aebf08d5ef/cureus-0013-00000014185-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6caf/8082955/4269834a0ea8/cureus-0013-00000014185-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6caf/8082955/70aebf08d5ef/cureus-0013-00000014185-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6caf/8082955/4269834a0ea8/cureus-0013-00000014185-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6caf/8082955/70aebf08d5ef/cureus-0013-00000014185-i02.jpg

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引用本文的文献

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本文引用的文献

1
A unilateral rectus sternalis muscle: rare but normal anatomical variant of anterior chest wall musculature.单侧胸直肌:一种罕见但正常的前胸壁肌肉解剖变异。
J Clin Diagn Res. 2013 Dec;7(12):2665-7. doi: 10.7860/JCDR/2013/7379.3726. Epub 2013 Dec 15.
2
Sternalis muscle, what every anatomist and clinician should know.胸骨肌,每位解剖学家和临床医生都应了解的知识。
Clin Anat. 2014 Sep;27(6):866-84. doi: 10.1002/ca.22361. Epub 2014 Jan 16.
3
Prevalence and variance of the sternalis muscle: a study in the Chinese population using multi-detector CT.
胸骨肌的患病率及变异情况:一项在中国人群中使用多排CT的研究
Surg Radiol Anat. 2014 Apr;36(3):219-24. doi: 10.1007/s00276-013-1175-4. Epub 2013 Aug 3.
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Sternalis muscle: an underestimated anterior chest wall anatomical variant.胸骨肌:一种被低估的前胸壁解剖变异。
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